3. HIM HEALTH A Social Franchise for Key Affected Populations in low to middle income countries

4. ASTRA STUDY: UK "The majority of these men would not consider or self-refer to traditional harm reduction services. Our findings highlight the need for cross-agency collaboration between HIV treatment and drug support organizations to provide tailored services for HIV-positive MSM who use recreational drugs, and with national HIV and STI prevention programmes to address recreational drug use." - Lancet HIV Population Fund/PEPFAR Study in Kaduna, Nigeria Interventions for MSM should address risks associated with both sexual behaviors and recreational drug and alcohol use. MSM-friendly clinics can be an effective way to reach a high number of MSM and provide risk reduction services. Soweto Study 50% of MSM also sleeps with women. Thailand study 61% of transgender (male to female) received money or gifts in exchange for sex PWUD High proportion of young recreational drug users engage in transactional sex to obtain drugs – especially young straight (heterosexual) men. Poor Health Seeking Behavior Among men in General and specifically men in Key Affected Population Groups The poorer you are the more likely you are to engage in high risk behavior and less likely you are to seek help from health services

6. Improved Health Seeking Behavior of Key Populations and men in general in low and middle income countries Reduction in HIV acquisition and high risk behavior among key population groups and subsequently the general population Harm Reduction for PWUD or PWID Reduction in stigma and discrimination experienced by key pops from especially HCW Measure success based on SF4Health metrics – cost effectiveness, quality of services, equity, impact and user uptake. Sustainable program that is scalable to be rolled out Nationally and across borders THANK YOU