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1. bcn c heckpoint H I V-A I D S ▪ S T I ▪ S E X U A L I T Y ▪ M E N ▪ H E A L T H. How a Community-Based Testing Center for MSM h elps detection of HIV recent infections. Ferran Pujol Projecte dels NOMS- Hispanosida
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H I V-A I D S ▪ S T I▪S E X U A L I T Y▪M E N▪H E A L T H
How a Community-Based Testing Center for MSM
helps detection of HIV recent infections
Creative strategies for provision of and increasing access to services for PLHIV
XIX International AIDS Conference
Washington DC, 25th July 2012
Kevin De CockCDC Kenya, Nairobi. CROI 2010
Stefan Baral et al.
Elevated Risk for HIV Infection among Men Who Have Sex with Men
in Low- and Middle-Income Countries 2000–2006: A Systematic Review
PLoS Medicine, Vol. 4, No. 12. (1 December 2007), e339.
Le Vu S., et al.
Population-based HIV Incidence in France, 2003 to 2008.
Lancet Infect Dis. 2010 Oct; 10 (10): 682-7. Epub 2010 Sep9
risk- taking can result in very high transmission rates
“HIV is increasing among MSM not because of greater risk-taking behavior, but simply because HIV is so prevalent among their sex partners that even one or two slip-ups can have devastating consequences.”
FDA AdvisoryCommittee forPrEPapproval
10th May 2012
In the health-care area, many LGBT people fear stigma and prejudice from health-care providers
The EU Fundamental Rights Agency (FRA).
“Homophobia and DiscriminationonGrounds of
Sexual Orientation and GenderIdentity in the EU”
The Social Situation”, April 1. 2009
The main barriers to HIV prevention among MSM!
Source: CEEISCAT. Departament de Salut – Generalitat de Catalunya
Problems for HTC in a non-clinical setting:
“Only Healthcare Professionals can perform diagnostic tests”
“The ultimate goal is not simply to increase access to and uptake of HTC, but to support HIV prevention and provide treatment (including ART), care and support to all who need it.”
Scaling up HIV testing and counseling
in the WHO European Region
(Published: 5th May 2010)
* False positives excluded
Proportion of HIV Cases reported in MSM in Catalonia
* www.ceescat.org - June 30th 2011
Results – Early HIV detection
* Cases with negative test within the last 1,5 year