A South Asia multi-country Global Fund Project Round 9 Title : Reducing the impact of HIV on men who have sex with men and transgender populations in South Asia BHUTAN BHUTAN

Need for HIV/AIDS Program addressing MSM & TG in South Asia The Asian Epidemic Model estimates that without improved HIV prevention successes the number of MSM becoming infected with HIV will increase greatly within the next ten years, and that the number of MSM becoming infected with HIV will increase greatly within the next ten years, and that MSM will form the highest proportion of people being infected with HIV ( the 2008 report by the Commission for AIDS in Asia) MSM will form the highest proportion of people being infected with HIV ( the 2008 report by the Commission for AIDS in Asia) NATIONAL STI & HIV/AIDS CONTROL PROGRAM

Partners Principal Recipient(PR) – PSI,Nepal – Grant Management Sub-Recipient(SR) – NFI, India (Naz Foundation International) – Regional level and country level technical assistance and support UNDP – Regional partner – support on advocacy and policy development Sub-sub- Recipient(SSR) – Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan, Sri-Lanka NATIONAL STI & HIV/AIDS CONTROL PROGRAM

GAPS Limited evidence or information on MSM and Transgender Limited evidence or information on MSM and Transgender No targeted interventions for MSM and Transgender No targeted interventions for MSM and Transgender No capacity to work with MARPS group No capacity to work with MARPS group The general population survey 2006 showed that 1.7% of all men in urban areas reported same-sex activity in the past year. The rapid assessment on SBN in Thimphu 2 found that 2% of men reported that their first sexual partner was of the same sex. The general population survey 2006 showed that 1.7% of all men in urban areas reported same-sex activity in the past year. The rapid assessment on SBN in Thimphu 2 found that 2% of men reported that their first sexual partner was of the same sex. R10 proposal on MARPS submitted

Goal To reduce the impact of HIV and AIDS on men who have sex with men (MSM) and transgender populations (TG) in South Asia This includes reducing vulnerability, and minimizing the risk for further spread of HIV among MSM and TG in South Asia6 This includes reducing vulnerability, and minimizing the risk for further spread of HIV among MSM and TG in South Asia6 NATIONAL STI & HIV/AIDS CONTROL PROGRAM

Objectives To increase capacity and improve the delivery of HIV-related services for MSM and TG in South Asian countries To increase capacity and improve the delivery of HIV-related services for MSM and TG in South Asian countries To improve the policy environment with regard to MSM, TG, and HIV related- issues in South Asian countries To improve the policy environment with regard to MSM, TG, and HIV related- issues in South Asian countries To improve strategic knowledge on MSM, TG, and HIV-related issues in South Asian countries7 To improve strategic knowledge on MSM, TG, and HIV-related issues in South Asian countries7

NATIONAL STI & HIV/AIDS CONTROL PROGRAM

CCM involvement - The Country CCM does not have the oversight role for this project. The Global Fund Secretariat is the sole body that has the oversight role for the regional project - A regional Steering committee will be formed comprising of one/two CCM members from each of the participating countries. Four meetings of the Steering committee will be called, two in person meetings and two through electronic communications. The PR will inform and update the steering committee on the progress of the regional project. NATIONAL STI & HIV/AIDS CONTROL PROGRAM

Thank You

Activities NFI 1.1.2a -Training by TA in Bhutan NFI 1.1.2a -Training by TA in Bhutan NFI 1.1.2a Site visits by TA NFI 1.1.2a Site visits by TA BHU Production of BCC materials BHU Production of BCC materials BHU In country training programmes for government/NGO sector providers BHU In country training programmes for government/NGO sector providers BHU Support a national working group on MSM, TG and HIV related issues(Y2) BHU Support a national working group on MSM, TG and HIV related issues(Y2) BHU Regional exposure trips to visit MSM, TG, and HIV related organizations BHU Regional exposure trips to visit MSM, TG, and HIV related organizations BHU Participation in a range of national and regional meetings on HIV and AIDS to advocate on MSM and HIV issues BHU Participation in a range of national and regional meetings on HIV and AIDS to advocate on MSM and HIV issues

BHU Participation in regional and global AIDS conferences/meetings (World AIDS Congress, PEPFAR conference, Global Health Conference, ICAAP etc.) BHU Participation in regional and global AIDS conferences/meetings (World AIDS Congress, PEPFAR conference, Global Health Conference, ICAAP etc.) BHU Convene a national consultation meeting on MSM, TG, HIV, and sexual health for the government and NGO sectors BHU Convene a national consultation meeting on MSM, TG, HIV, and sexual health for the government and NGO sectors

Bhutan - UNDP UNDP UNDP Advocate at a national and local levels on MSM, TG and HIV related issues UNDP UNDP Advocate at a national and local levels on MSM, TG and HIV related issues UNDP UNDP Commission of study on stigma/discrimination and barriers to access, as well as private practitioners on MSM UNDP UNDP Commission of study on stigma/discrimination and barriers to access, as well as private practitioners on MSM UNDP UNDP Supporting UNGASS reporting on MSM and TG per outcome and impact indicators Assessment UNDP UNDP Supporting UNGASS reporting on MSM and TG per outcome and impact indicators Assessment

Indicators Impact % of men who have sex with men who are HIV infected Outcome % of men reporting the use of condom the last time they had anal sex with a male partner