Meeting the sexual health needs of men who have sex with men in Senegal

Research conducted in many countries has highlighted the vulnerability of men who have sex with men (MSM) to HIV and other sexually transmitted infections (STIs). Yet in Africa they receive little attention in HIV/AIDS programming and service delivery because of widespread denial and stigmatization of homosexual behavior. In Dakar Senegal a study conducted by researchers from the National AIDS Control Council (CNLS) Cheikh Anta Diop University and the Horizons Program used ethnographic and survey methods to elicit information about the needs behaviors knowledge and attitudes of MSM. In the ethnographic phase the researchers conducted group discussions and interviews with MSM and people who interact with them such as bartenders female sex workers and taxi drivers. In the second phase the researchers surveyed a convenience sample of 250 MSM ranging in age from 18 to 53 years. The research team recruited informants by visiting areas frequented by MSM and by making contact and building trust with MSM and MSM leaders. As part of the research process the research team spent a lot of time examining their own preconceived notions about sexuality working through prejudices and taboos and stressing the importance of maintaining the confidentiality of informants. All interviews were anonymous and informants were asked to provide oral informed consent. Upon consent informants received a small stipend (2500 F CFA) to cover travel costs information on STIs and HIV/AIDS and a referral for a free medical consultation and treatment. (excerpt)