Related Resources from Other PEPFAR Partners

Identifying Violence Against MARPs: A Focus on MSM and Transgenders

Men who have sex with men (MSM) and transgenders (TG) often face stigma, discrimination, poverty, violation of human rights, and homophobia. Negative attitudes and violence toward MSM and TG are common worldwide and, in fact, are condoned by many societies. In this way, violence against MSM and TG is a form of gender-based violence (GBV). Researchers have only recently begun to explore the intersection between violence and HIV vulnerability in most-at-risk populations (MARPs). Nonetheless, strong evidence points to the importance of these linkages. Health professionals have the potential to play a key role in the promotion of sexual health, including the prevention of GBV associated with stigma and discrimination in most-at-risk populations for HIV. Screening for intimate partner violence against women in the healthcare setting, done in a sensitive and confidential manner, has been recommended by many experts as an opportunity to reach out to survivors of violence. Given the important opportunities and benefits of screening for gender-based violence, the Health Policy Initiative piloted HIV clinic-based screening for violence and other forms of S&D against MSM and TG in select sites in Mexico State and Puerto Vallarta, Mexico and in Pattaya, Thailand.