(CNS): "Foundation of HIV prevention is infact HIV testing" said Dr Anthony Fauci of National Institutes of Health at the opening plenary (via video link) of the HIV Research for Prevention (HIVR4P). But mobilizing people to go for voluntary and repeated counselling and testing for HIV has indeed been a challenge. It is even a steeper challenge to mobilize key populations such as men who have sex with men (MSM) to go for HIV testing repeatedly.
There are two case studies from Thailand: first case study looked at very innovative ways to mobilize people, particularly MSM, to opt for testing and repeat test regularly. The other case study looked at a large number of MSM people over a period of many years on whether regular HIV counselling and testing had an impact on HIV risk reduction?
Asia Pacific Coalition on Male Sexual Health (APCOM) has recently launched the second phase of their innovative City-Based HIV testing campaign, TestBKK, which encourages gay men in particular to get tested every three to six months. Using TestBKK the highly engaging tagline: "Suck F*#K Test Repeat." It aims to normalise HIV testing among young gay men and make it a regular part of their health routine. The campaign emphasizes the importance of knowing one's HIV status, and the TestBKK.org website reads, "casual disregard for HIV does not make the disease go away."
Test BKK uses light-hearted, often humorous videos, with the message: "There are more awkward things than getting tested." and "Afraid of things you have done in your past? Knowing is better than not knowing." The first, which shows a young man masturbating to a sex video, before his family bursts into the room yelling "Surprise, happy birthday," much to the young man's horror, has received more than half a million YouTube views.
"TestBKK is designed to direct MSM to supportive clinics called 'Premium Testing Services', and to send the message, "Don't be afraid," said Midnight Poonkasetwattana, Executive Director, APCOM. "The campaign encourages young men to attend testing sites that will be respectful and sensitive to their lifestyles and orientation," he said. APCOM's TestBKK plans to roll out the campaign in other Asian cities, including Ho Chi Minh City, Jakarta and Manila.
MoPH-CDC Thai study
Study results from Thailand emphasize the need to continuously encourage people to practice safe sex and regularly access the comprehensive HIV testing services in order to prevent HIV acquisition. Dr Wipas Wimonsate from Ministry of Public Health and Centers for Disease Control and Prevention (CDC) Collaboration in Thailand presented the study results at the HIV Research for Prevention (HIVR4P) conference in Cape Town. He said that multiple HIV counselling sessions to encourage safe sex practices helped men who have sex with men (MSM) in Bangkok stay HIV-uninfected.
1260 MSM were enrolled in April 2006 for this study and followed up until March 2014 at the Silom Community Clinic @TropMed. This follow up is still ongoing. Most of the study participants were between 22-29 years old at the time of enrollment. They had a maximum of 16 study visits with a mean of 11 and a standard deviation of 5. Among 1260 MSM participants, 239 of them acquired HIV.