From Top to Bottom - A Sex-Positive Approach For Men Who Have Sex With Men

This manual draws on the experience of the Anova Health Institute’s Health4Men project that provides sexual health services for men who have sex with men (MSM) in South Africa. The manual is a resource to assist healthcare workers to provide appropriate and accessible psychosocial and medical care for MSM.

The Health4Men project was initiated in 2008 when the South African Department of Health started to focus on providing HIV- related services for MSM in accordance with the National Strategic Plan (NSP).

The Anova Health Institute supported this initiative by developing the sex-positive model for addressing MSM sexual health – with an emphasis on HIV – for implementation throughout South Africa. Health4Men provides a comprehensive package that includes combination HIV prevention linked to competent MSM sexual health and HIV services.

Health4Men now has services throughout the country. Two clinics have been awarded the title of Centres Of Excellence (COE) for their specialised HIV-related care and treatment – the Ivan Toms Centre for Men’s Health in Woodstock, Cape Town and the Yeoville clinic in Johannesburg.

MSM, competent services are integrated into public health facilities to maximise reach and sustainability. In addition to MSM services, Health4Men focuses on the health needs of other high-risk male populations, including displaced persons and refugees, prison populations, commercial sex workers and intravenous drug users.

The Anova Health Institute undertakes research and specialises in innovative projects that extend to hard-to-reach populations. The Health4Men project has significant expertise in preventative interventions specifically with diverse groupings of MSM.

Download the Top to Bottom Manual

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