Preventing HIV Infection among MSM in South India

Dates

Start Date: 09/01/2011
End Date: 08/30/2016

The aim of this study is to characterize in-depth the nature of sexual identity, sexual practices, stigma and discrimination, health care access and health-seeking behaviors among MSM communities in Andhra Pradesh, Karnataka and Tamil Nadu (southern Indian states with high HIV burden). We will use a combination of ethnographic tools (focus groups and semi-structured interviews) to collect these data. This information will also be utilized to develop a quantitative survey and to refine approaches to sampling/ recruitment of MSM for epidemiological studies to be conducted in Aim 2. We will ascertain HIV/STI prevalence, prior VCT use, patterns of substance use, depressive symptoms, self, perceived and experienced stigma and health care needs among MSM across 12 sites (n=750 per site) in three southern Indian states through cross-sectional studies using RDS. Data gathered in this aim will also be used to identify 4 pairs of discrete communities in order to minimize 'contamination' when implementing a cluster-randomized trial and to ensure that community pairs are comparable in geographic size covered by MSM network and proportion of MSM accessing VCT services. Finally, we will evaluate the effectiveness of MSM-friendly Men's Wellness Centers on changes in risk behavior among MSM in southern India. To achieve this aim, we will conduct a cluster-randomized trial among 4 pair-matched communities (8 total). Communities will not be defined by geography but rather by the discrete networks of MSM identified in Aim 2. We will establish Men's Wellness Centers in 4 intervention communities and will disseminate information about the centers through networks of MSM identified in the baseline RDS. These centers will provide multiple services directed at MSM including VCT, syndromic STI management, risk reduction counseling and counseling for substance abuse and depressive symptoms. Through an evaluation RDS among the 8 communities (n=750 per site) 18 months after implementation of the clinics, we will evaluate the primary outcome of proportion of participants tested for HIV in the prior 6 months in intervention vs. control communities; secondary outcomes include: (1) proportion of unprotected sexual acts in the prior 6 months (2) number of non-main partners in the prior 6 months; (3) prevalence of HIV and HSV-2 and syphilis; (4) prevalence of substance abuse; (5) prevalence of depressive symptoms; and (6) stigma.

Bangalore, India
Chennai, India
Hyderabad, India

People

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...
«

November 2019

»
S
M
T
W
T
F
S
·
·
·
·
·
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Projects

Nutrition Innovation Lab

"Poshan", which means good nutrition in Nepali is ongoing research that involves two interlinked large-scale research studies...

Read More

Identification and Enumeration of Pathogens in Drinking...

CWH researchers are using polymerase chain reaction and mass spectrometry technologies to develop a microbial isolation and...

Read More

Building an Enabling Environment for Vaccines in India...

This project, now in its second phase, aims to create an enabling environment for vaccines in India and contribute to...

Read More

Mpilonhle

Mpilonhle brings multi-dimensional services to adolescents in rural South Africa. Its objective is to reduce the very high...

Read More