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Asia Pacific Coalition on Male Sexual Health (APCOM)
One of the key felt needs as expressed in the Risks and Responsibilities Asia Pacific consultation meeting (URL: www.nfi.net/risksandresponsibilities/ ..) 23-26 September 2006, New Delhi, India was the development of a tripartite Asia Pacific Coalition on Male Sexual Health, involving the governments of the region (including the donors and funding support agencies), the communities in the region, and technical experts (both within the UN system and otherwise) to address the deep concerns felt at the meeting on the growing HIV prevalence among males who have sex with males in the region. During the meeting it was clearly recognised that this is a consequence of low levels of investment in MSM and HIV programming (often less than 4%-5% of national investment), low service coverage (less than 10% of those MSM who are vulnerable and at-risk), poor knowledge on the epidemiology, behaviours and sociocultural framework of male-male sex and sexualities, and the very high levels of stigma, discrimination, violence and social exclusion.

At its first Governing Board meeting of APCOM was held between 26-27 July 2007 in Bangkok , Thailand where a constitution was adopted, a Secretariat was establish, goals and objectives were developed, and a 3 year work plan agreed.

 

Structure of APCOM
Sector Sub-region
MSM communities China
  Developed Asia
  Greater Mekong sub-region
  India
  Pacific Region
  South Asia (excluding India )
  S.E Asia (excluding GMS)
  Australasia
Transgender representatives 2 representatives from transgender networks
HIV +ve representatives Representative from the APN+ MSM network
Government 2 representatives nominated by UNAIDS
Funding support agencies 2 representatives nominated by UNAIDS and donors
UN system technical experts UNAIDS, UNDP, UNESCO nominated by UNAIDS
Chairperson Board nomination
Secretariat Ex-officio

Coordinator/Executive Director

Recruited by the Board

Executive management consultant

Recruited by the Board

Communications Advisor

Nominated and appointed by the Board

 

Sub-region

Countries

China

China

Developed Asia

Japan, Hong Kong, Macau, Singapore, South Korea, Taiwan, and Australia *

Greater Mekong

Cambodia, Lao PDR, Myanmar, Thailand, Vietnam

India India
Pacific Region

Cook Islands, Easter Islands, Federated States of Mirconesia, Fiji, French Polynesia, Guam, Kiribati, Marshall Islands, New Caledonia, Niue, Palau, Papua New Guinea, Pitcairn, Samoa, Solomon Islands, Tongo, Tuvalu, Vanuata, and New Zealand*

South Asia (excluding India)

Afghanistan, Bangladesh, Bhutan, Maldives, Mongolia, Nepal, Pakistan, Sri Lanka

South East Asia (excluding GMS)

Brunei, East Timor, Indonesia, Malaysia, Philippines

* In regard to the positioning of Australia and New Zealand in the above configurations, it is proposed to create a permanent Observer sub-region called Australasia , which will consist of these two countries.

 
Guiding Principles
The work of the Asia Pacific Coalition on Male Sexual Health will be guided by the following principles, which have been adapted from the Guiding Principles of the Global Forum on MSM and HIV/AIDS (see URL: www.nfi.net/GlobalForum ...)
  • Enabling environment. The inter-related co-factors for HIV risk, vulnerability, and disparities in access to care, treatment and prevention education, coupled with social discrimination and individual rights issues, have a common basis in the significant lack of services and coverage faced by MSM. We believe that an enabling environment is the key to the health and well being of MSM and their families.
  • Evidence informed: MSM HIV prevention, care and support, and treatment programs and policy should be guided by a nuanced
    understanding based on evidenced scientific information.
  • Strength-based. Programmatic and policy responses often frame the HIV and AIDS problem in negative ways and stigmatise MSM and transgenders; we believe that effective responses to the HIV and AIDS epidemic directed at MSM must acknowledge and build
    upon the strengths, competencies, and resources that such persons possess .
  • Affirming sexualities and acknowledging sexual behaviours at risk. We believe that the reality of sexualities, gender expression, and the risks involved in certain sexual behaviours need open acknowledgement. All MSM have the right to healthy and fulfilling sex lives and to access community driven HIV interventions - prevention, care and support, and treatment - free from judgement and persecution. There needs to be a   healthy and productive relationship between the community and governments, based on mutuality of respect, positive involvement and honest flow of information.
  • Community driven interventions. Self-organising and open participation in the provision of appropriate HIV prevention, care and support, and treatment services for MSM is important in our work to end HIV and AIDS. We believe in supporting and respecting self-determination and self-initiated HIV and AIDS programmatic and policy responses.
  • Involvement. There must be greater involvement of MSM including HIV positive MSM and HIV positive transgender people, in programme planning and policy development arenas. There must also be equal support and participation by governments, funders, and technical experts. We believe that HIV and AIDS programme and policy responses are strengthened by ensuring inclusion, parity and representation.
  • Resources. There is an urgent need to significantly increase investment, funding, capacity, and technical support for HIV programming directed at MSM and transgenders. At a minimum, we believe that funding should be at a level commensurate with the impact left by HIV and AIDS on these groups as compared to the general population.
Areas of emphasis
The Coalition will devote itself to fostering, supporting and sharing information about:
  • Country-level, sub-regional and regional action which raises awareness of MSM issues, and ensures that national, sub-regional and regional plans and strategies incorporate activities for MSM, guarantees MSM and transgender representatives having a voice at policy setting forums, and mobilises expertise and financial resources.
  • Evidence-based research and policy development to address critical knowledge gaps and to develop more responsive programme and policy recommendations.
  • Advocacy through the establishment of effective partnerships with civil society organisations, government bodies, HIV and AIDS organisations, academia and research organisations, and UN agencies.

To download key APCOM documents, click on

During the 8 th International Congress on AIDS in Asia and the Pacific (19-23 August 2007), APCOM was officially launched, as well as hosting a major symposium on The missing piece: MSM and national responses to AIDS in Asia and the Pacific, co-chaired by Mr JVR Prasada Rao, Director, Asia Pacific Regional Support Team, UNAIDS, and Shivananda Khan, Naz Foundation International.

for more details please visit: www.msmasia.org

 
 

Over the past few years it has become increasingly clear that scaling up services to most-at-risk populations (MARPs) around the world, particularly in concentrated epidemics, has to be prioritized if universal access to HIV prevention and care is to be achieved. An important challenge to reaching MARPs is that they are often marginalized, stigmatized and discriminated against. Partly as a result of this, and partly as a result of self-segregation, there is often a lack of information about these groups. If active efforts to significantly increase prevention, care and treatment service coverage for these vulnerable populations are to be made, we need to get to know their characteristics, including an estimation of the number of people that need these services. 

When planning for scaling up services for MSM/TG populations, one of the key problems is that they are often presumed to be a homogeneous group, whereas in reality they represent a range of diverse identities and differing levels and forms of social and sexual association. These differences are important in terms of their implications for HIV risk and vulnerability, and should be taken into consideration where resources are scarce, ensuring that those with the highest need are covered first. Programming sensitively for MSM/TG therefore implies recognizing and understanding their diversity, and identifying the needs of specific sub-groups. Sensitive programming then consists of the use of an appropriate combination of strategies and approaches and prioritization of those groups most in need, without neglecting the others, in order to effectively reach universal access.

The Asia Pacific Coalition on Male Sexual Health (APCOM) has produced a Policy Brief on developing size estimations for MSM and TG populations addressing these key issues with key recommendations on how MSM/TG diversity, population sizes and risk levels of MSM/TG sub-groups can and should be taken into account for sensitive programming in Asia and the Pacific.

click here for more details

 
 
 
 
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