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Sensitising health facilities Gordon Khoza, Anova’s outreach ambassador, said that the MSM community is stigmatised and discriminated against in health facilities.

“The MSM community is stigmatised in a way that they cannot access the health services fully like other populations, but we have started sensitising the health facilities so they can be MSM friendly,” Khoza told an MSM forum in Johannesburg attended by representatives from southern and eastern African countries.

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Regarding education and awareness of HIV and AIDS, Lehohla said “a large number has not tested”. They say the woman [sexual partner] has tested on my behalf.

They say if the woman doesn’t have it [tests HIV negative], then we are okay,” said Lehohla.

This model provides direct health care services at two centres of excellence in MSM sexual health care, and also by building support networks of MSM competent sites.

“Overall, five per cent reported that they had two or more partners in the past 12 months, and 45 per cent had intercourse in the past 12 months with a person who was neither their spouse nor lived with them.

Among women who had two or more partners in the past 12 months, 58 percent reported using a condom during their last sexual encounter,” Lehohla read out part of the findings.

The Technical Working Group (TWG) in South Africa is working on implementation guidelines for Pr EP rollout through existing service delivery platforms to sex workers (SW), to be followed by guidelines for rollout to men who have sex with men (MSM), and has formed a sub-committee specifically focused on the possibility of Pr EP rollout in adolescent girls and young women.

As of November 2015, South Africa is expanding access to Pr EP as part of its participation in the PEPFAR DREAMS initiative.