Working with vulnerable males and HIV in Pakistan. A one day seminar Shivananda Khan Naz Foundation International. Assumption. That participants have knowledge on HIV and AIDS. That we understand dynamics and frameworks of male-male sex in Pakistan. Goals Process Level
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A one day seminar
Naz Foundation International
Institutionalise knowledge and understanding within NACP/PACP regarding male-to-male sexualities, masculinities, sexual behaviours, risk and vulnerabilities.
A deeper understanding of differing frameworks of male-to-male sex, risks and vulnerabilities in Pakistan, and towards developing knowledge-based interventions within a framework of agreed good practice principles in regard to HIV prevention, care and support programming amongst a range of highly vulnerable MSM sub-populations.
What distinguishes these men from each other?
A term used to think about men/males and how it is expected that they should behave.
The word MAN is a culturally loaded term, and carries significant beyond that of biological age and performance. It also is host to concepts of adulthood and personhood, social obligations and family duty.
A zenana does not define himself as a man.
An adolescent male is not defined as a man.
Males are easier to access –females are more socially policed and can be more difficult to access
access feminised-identifiedmales or boysfor anal/oral
sex . These males do not see themselves as “homosexuals”, or
even their behaviour as “homosexual”, since they take on the
“manly” penetrating role in male to male sex. Nor do their partners
see themselves as homosexuals because they either see
themselves as “not men”, or they are involved in play - not sex.
Most male-to-male sexual behaviours are invisible and not gay/homosexual/kathoey/apwint identified
Various types of self-identified zenanas
Real men who penetrate - called giryas by zenanas/hijras
Two male sex workers - chavas and one self-identified zenana who also sells sex
A malaisha who also sells sex to males and females - will penetrate and be penetrated
Legal and policy
Understanding and knowledge
– DON’T DO IT
– DO IT SAFELY
WHICH STRATEGY WOULD BE THE MOST EFFECTIVE?
What I believe
What I do
Desire to change
Will to change
Skills to change practice
Access to sexual health services and products
An enabling environment
Sexual health is the integration of the somatic, emotional, intellectual and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication and love.
To enable: Authorise, empower, supply with means to take action.
To provide with adequate power, means opportunity, or authority.
Equity: A system of justice founded on principles of natural justice and fair conduct.
Thus to develop an enabling environment means to create systems of empowerment, social justice, and equity for the most marginalised populations.
advocacy & technical support
These materials need to be appropriate to the issues and concerns of MSM in languages, terminologies and imagery that are meaningful and understandable to them.