Inability of MSM to access health services leads to increase in the prevalence of HIV infections among MSM. Training of health care service provider will bring about change in attitude of service providers, reduce stigma and discrimination and offer specific health provider-led strategies for increasing access and quality health care services such as creating an enabling clinical environment, taking a good sexual history and effectively managing HIV and other STIs among MSMs.
The failure of the public health facilities to create an enabling environment for the access of healthcare services via the poor attitude of healthcare service providers towards MSMs accessing healthcare services. This stigma and discrimination by health care providers makes MSMs have a feeling of discomfort with such healthcare providers for fear of being ridiculed, harassed, arrested or denied care altogether. The MSMs would benefit immensely through increased access to healthcare services.
In order to fulfil their ethical obligation of serving and meeting the health rights of all people seeking care, providers must receive specific training on MSMs sexual health needs, sensitivity and the need to change their attitude in order to promote the health of MSMs in their communities. MSM sensitivity training will be conducted for healthcare providers to understand same-sex sexuality and help them gain a broad understanding of the contexts on how to take care of their health care needs.
Decrease HIV/STI acquisition and transmission among MSMs There will be a strong advocacy strategy for influencing policy and better provision of services in the health sector Increased number of MSM accessing HIV/AIDS care treatment and support Improved health service delivery outcomes Increased involvement of health workers in the creation of an enabling environment for delivery of services to MSMs