A growing group of innovative programs based on insights men shared
1, 2, 3. Screen. Know. Act. A young man learns about self-testing through the STAR program.
"It’s critical that we speak and engage men in a trustworthy way that encourages HIV testing and treatment—and meets them where they are. The Elton John AIDS Foundation is proud to be a part of the MenStar Coalition. Through Chukua Selfie in Kenya, we created an insight-driven, engaging, and cool consumer campaign that makes it incredibly easy for men to access self-testing kits in pharmacies, community centers, high-risk social spaces and workplaces."
CEO, Elton John AIDS Foundation
Implementing Partner: Youth Health Africa Description/Activities: Reorganization of filing systems to ensure ease and efficiency of finding and maintaining patient charts; developed a user-friendly process for organizing patient files What Makes the Intervention Unique/Different: It is a cost saving intervention that shares the cost between Youth Health Africa (YHA) and multiple DSPs; YHA covers monthly
USAID DISCOVER-Health addressed some of the health system barriers the men face to make HIV services more accessible, and increased the availability of credible HIV/health information.
Male-only spaces/corners, specific male-only hours, male providers; male friendly clinics leverage existing infrastructure to provide a separate space, or in some cases dedicated times, to allow only men to access primary health care services
A cluster-randomized controlled trial which found that offering facility-based HIVST in outpatient departments at high-volume health facilities increased the proportion of outpatients tested for HIV compared with standard and optimized PITC.
Training for primary counselors on interpersonal communication, counseling, gender norms, and stigma; intensive monitoring of index testing results in weekly dashboard and mentoring visits to high volume sites; Holiday logbook to pre-book contacts who live in other countries but visit during holidays; offering index testing to virally unsuppressed ART clients; strengthened IPV screening (3% documented risk); harmonized index testing register for facility and community index; active collaboration with community index testing IPs for tracking elicited contacts outside facilities; weekly line listing and analysis of HTS_POS who have not been initiated
A differentiated service delivery model was designed and implemented in referral hospitals in rural settings. Male-friendly clinics provide integrated HIV, reproductive health, and NCD services during times that are more suitable for men; in this case, on Saturdays from 7:30 am-2:00 pm.
These are male only clinics operated by male only staff that offer adaptable services in order to increase medical male circumcision, HIV testing, ART initiation and retention in care, TB screening and early diagnosis, and STI management in sexually active men. Philandoda Male Wellness clinic was set up at the main taxi rank in Eshowe, with extended working hours from 8am-5pm on Saturdays. In Khayelitsha, Site B male was opened very close to a taxi rank and Kuyasa male clinic is situated very close to a bus and train station with the aim of reaching men who are reluctant to access conventional health services currently offered by DoH. Both Khayelitsha clinics are run by CoCT with support from MSF. 1 month refills are offered for new/unstable clients, whereas 2 month refills are offered for stable clients.
MSF introduced a comprehensive “welcome back” service at an ART facility, starting on the day of re-engagement. MSF is also using a social media campaign (WhatsApp and Facebook) to reach out to clients who may have disengaged from care.
This randomized control trial recruited ~1,000 people (43% men) to receive a CBHS intervention (monthly support groups and community delivery of ART) at 10 sites in Tanzania (across 4 regions). We compared outcome results to ~1,000 people receiving the standard of care at 10 matched sites in the same regions. The intervention was implemented for over a 12-month period, and HIV outcome measures were compared.
Transition to TLD: Support national ART guidance revision to reflect the current WHO guidelines for rapid and safe transition to TLD regimen; transition completely out of Nevirapine-based regimen for all adults. Malawi Male viral load suppression increased throughout the year from 53% to as high as 96% after DTG transition as compared to 46% to
Self-testing: updating national HIV testing service guidance, including the strategy for self-testing.