Denis Efremov , Tsentr 'SIBALT', CBO, Omsk, Siberia 21.07.2014, Melbourne, Australia
description
Transcript of Denis Efremov , Tsentr 'SIBALT', CBO, Omsk, Siberia 21.07.2014, Melbourne, Australia
www.aids2014.org
Success of evidence-based combined HIV prevention among
Siberian GMT comes up against the Russian anti-gay "propaganda law"
Denis Efremov, Tsentr 'SIBALT', CBO, Omsk, Siberia21.07.2014, Melbourne, Australia
www.aids2014.org
Power of Evidence
AwarenessNorms
Access
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Omsk:First HIV case: 1996
HIV prevalence: 0,4%
GMT population: 10,000 (estim.)
HIV prevalence among GMT: 3,2% (2013)
Siberian federal district
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Main Beneficiaries
• GMT who visit LGBT social places at least once per month
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Key interventions
• Education (community members and leaders)
• Outreaching• Involving health care providers• Male latex condoms and water-based
lubricants• HIV testing (direct)• STI treatment (referral)
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Coverage and intensity
• GMT reached: 755 per year (incl. 6 TG)• Number of contacts: 5949• Average number of contacts: 7.4 per 1 person• 182 group events• 65 outreach visits• 806 consultations• 1331 informal conversations• 200 rapid HIV tests• 30 STI treatment referrals
www.pulssystem.ru
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Evaluation
• Base- and end-line study as part of the amfAR’s "Evidence in Action" program
N = 139 (2012)
N = 143 (2013)
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Lessons learned
• Awareness (HIV transmission routes, ways of prevention)
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Lessons learned
• Level of condom use
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Lessons learned
• Permanent partnership
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Lessons learned
• Access to HIV testing and counseling
76,9%
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Challenge
• Russian anti-gay “propaganda law“
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Marginalization
• 33.1% (every third) keeps their sexuality as a top-secret
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Conclusions
• Serosorting and monogamy strategies as a result of combination “education + broad testing/treatment access”
• The best way is to promote a complex of preventive strategies (not only condoms)
• The main hindrance is the Russian anti-gay legislation.
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Acknowledgment
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Thank you!
Contacts:
Denis Efremov
E-mail: [email protected]
Skype: denisfrmv
Tsentr SIBALT
www.sibalt.org
www.pulsarrussia.ru
Welcome to Siberia!