Male engagement in HIV testing, treatment and prevention in eastern and southern Africa — A framework for action

Male engagement

2022 | UNAIDS

Reaching the Sustainable Development Goal target to end AIDS as a public health threat by 2030 requires focusing on and prioritizing people who are not yet accessing lifesaving HIV services. Women are still disproportionately affected than men by HIV, especially in terms of HIV transmission, but men in Eastern and Southern Africa are less likely to access services. They use HIV testing services less, and are less likely to initiate antiretroviral therapy and to remain engaged in care than their female counterparts. Men who are in antiretroviral therapy programmes are 70% more likely to die than women because of their poor health seeking behaviour. This framework categorizes existing research, knowledge and best practices and outlines the necessary building blocks for planning, implementing, and monitoring improvement in the HIV response among men and boys within a broader gender equality framework. The framework is an evidence-based action road map to guide the development of national strategies; when contextualized to local and national contexts and epidemiological situations, the framework provides a foundation for country-led movements to achieve the globally agreed HIV goals in the Global AIDS Strategy 2021–2026 and work towards achieving gender equality.

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