Open AccessAn application of the ADAPT-ITT model to an evidence-based behavioral HIV prevention intervention for men who have sex with men in Ghana
Author(s) -
Gamji M’Rabiu Abubakari,
DeAnne Turner,
LaRon E. Nelson,
Apondi J. Odhiambo,
Francis Boakye,
Adom Manu,
Kwasi Torpey,
Leo Wilton
Publication year - 2021
Publication title -
international health trends and perspectives
Language(s) - English
Resource type - Journals
ISSN - 2563-9269
DOI - 10.32920/ihtp.v1i1.1412
Subject(s) - men who have sex with men , transactional sex , condom , population , psychological intervention , context (archaeology) , human sexuality , treatment as prevention , stigma (botany) , homosexuality , gerontology , medicine , psychology , demography , environmental health , human immunodeficiency virus (hiv) , sociology , family medicine , geography , gender studies , syphilis , viral load , antiretroviral therapy , psychiatry , archaeology , research methodology
Despite constituting only about 1% of Ghana’s population, men who have sex with men (MSM) carry a disproportionate burden of HIV infections, constituting 18% of the population of people living with HIV in the country. Scholars have associated the disproportionate infection rates of HIV among MSM with existing structural factors (such as criminalization and stigma against MSM), and individual-level factors (such as sex without a condom, and transactional sex). Nonetheless, limited scholars consider intervention as an approach to reducing HIV and STI risk among MSM in the country. As such, in collaboration with community partners, we engaged MSM through the use of the ADAPT-ITT model to adapt the Many Men Many Voices (3MV) to address the needs of MSM. We addressed HIV/STD risk factors and ways to reduce HIV/STD infections. In this paper, we describe the use of the ADAPT-ITT model in the adoption and adaptation of the 3MV with MSM in Ghana. Whereas the 3MV was a good fit for our target population, we made modifications to fit the Ghanaian cultural setting by examining HIV and STD risk in the context of bisexuality, emphasizing on secrecy in location choice, and incorporating historical colonial setting in contextualizing sexuality and stigma in the Ghanaian sociocultural context. Our implementation process shows the efficacy of collaboration with community partners to implement culturally relevant interventions in HIV and STD prevention efforts in highly stigmatized environments.