Dissemination of the WHO Guidelines on HIV and STI Prevention and Treatment among MSM and Transgender people

Duration of previous Project/Study: 11 months
Start of previous Project/Study Year/Month: Start: 15 July 2014 End: : 15 June 2014

Men who have sex with men (MSM) and transgender people are considered to be part of the most at risk populations (MARPS) who are subject to stigma, discrimination, violence and other factors which perpetuate a high HIV transmission rate and poor access to health services, particularly in the public health sector. There is a critical need to sensitise health care workers in Africa and the world, to the particular vulnerability of these groups to HIV infection, raise awareness of the many barriers that these populations face when accessing health care, and empower health workers to address issues in their health facilities that contribute to making them sexual minority unfriendly.

The primary objective of the project was to design, implement and evaluate a training program for supporting the
dissemination of the WHO Guidelines for the prevention and treatment of STI and HIV among MSM and transgender populations in South Africa, Sudan, Kenya and Uganda.

The outcomes of the project included:

  • The building of capacity with facilitators in South Africa, Sudan, Kenya and Uganda trained in “STI and HIV prevention, treatment and care among MSM and transgender people;
  • The increased awareness and capacity among healthcare workers of issues and protocols relating to “STI and HIV prevention, treatment and care among MSM and transgender people”;
  • The increased capacity of the Eastern Southern African Knowledge hub (ESAKH) member organizations to jointly run regional capacity development programs including E-learning.

Milestones achieved:

  • The refinement of face-to-face training course material that underwent numerous rounds of adaptation throughout the project including after the ToT that took place in January 2014 in Durban, and most recently post the pilot training in South Africa, Uganda, and Sudan. Final versions of both manuals have been achieved.
  • An E-Tutor guide that forms part of the e-learning training package
  • An e-learning platform with excellent content and average functionality. E-learning which is a fairly new medium for learning in Africa has been established, but has faced numerous challenges, including difficulty in accessing technical expertise in establishing the platform, limited internet access for most health worker participants and even facilitators. The project was an ongoing learning experience for all partners and for the applicant that provided constant opportunities for growth and development as an organization and as the ESAKH network.
  • Twelve facilitators trained from South Africa, Sudan and Uganda. Kenya withdraw from the project thereby reducing the number of facilitators trained from the planned 16, to 12.
  • Multiple internal planning meetings and workshops conducted, including the planning workshop attended by all four countries in October 2013, and the master trainers planning workshop held prior to the Train the Trainer workshop held in Durban in January 2014.
  • Three pilot trainings conducted in three countries (South Africa, North Sudan, and Uganda) rather than four as originally planned
    59 participants health workers trained in the face-to-face pilot training course in South Africa, Sudan and Uganda
  • A marketing plan developed for the training package, which includes the development of a marketing flyer, amongst other items
  • The presentation of the project’s training package and methodology at a conference in Cape Town, South Africa in May 2014

Donors: The Backup Initiative

Download the Guideline Here