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Denis Efremov , Tsentr 'SIBALT', CBO, Omsk, Siberia 21.07.2014, Melbourne, Australia

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, Siberia 21.07.2014, Melbourne, Australia. Power of Evidence. Awareness Norms Access. Siberian federal district. Omsk :

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Denis Efremov , Tsentr 'SIBALT', CBO, Omsk, Siberia 21.07.2014, Melbourne, Australia

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  1. 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, Siberia 21.07.2014, Melbourne, Australia

  2. Power of Evidence Awareness Norms Access

  3. Siberian federal district Omsk: First HIV case: 1996 HIV prevalence:0,4% GMT population: 10,000 (estim.) HIV prevalence among GMT: 3,2% (2013)

  4. Main Beneficiaries • GMT who visit LGBT social places at least once per month

  5. 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)

  6. 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

  7. Evaluation • Base- and end-line study as part of the amfAR’s "Evidence in Action" program N = 139 (2012) N = 143 (2013)

  8. Lessons learned • Awareness (HIV transmission routes, ways of prevention)

  9. Lessons learned • Level of condom use

  10. Lessons learned • Permanent partnership

  11. Lessons learned • Access to HIV testing and counseling 76,9%

  12. Challenge • Russian anti-gay “propaganda law“

  13. Marginalization • 33.1% (every third) keeps their sexuality as a top-secret

  14. 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.

  15. Acknowledgment

  16. Thank you! Contacts: Denis Efremov E-mail: efremov@sibalt.org Skype: denisfrmv Tsentr SIBALT www.sibalt.org www.pulsarrussia.ru Welcome to Siberia!

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