MSM life skills camp by Fasiroong

[From an attachment to posting by Rob Sutherland on msm-asia Google Group, 18 September 2008]

To: Ms Prateep Ungsongtham Hata
Secretary General, Duang Prateep Foundation

Date: 17 September 2008

Subject: 28th MSM Life Skills Camp; HIV Prevention Skills and other life skill, 6-7 September 2008, 'Rim Korb Fah Camp' in Samuth Prakarn province.

I am writing in reference to the abovementioned workshop which I attended at the invitation of staff at the Rainbow Sky Association of Thailand (Fasiroong). I was wishing to convey my congratulations and support to the Duang Prateep Foundation for its funding of this initiative.

This workshop is a positive example of best practice HIV community education and development for young men who have sex with men (MSM), executed under the broad framework of ‘life skills’. The precise type of program that should qualify for scale up in national responses. I would like to share three key insights from my involvement with the workshop:

HIV skills and knowledge development

The workshop delivers accurate, culturally appropriate and practical HIV knowledge and skills to participants in a manner which is understanding of the context that HIV has in the lives of many MSM. Examining the barriers and facilitating factors to the practice of consistent safe sex in a method that is engaging, effective and undeniably real. One activity in particular ‘Fluid Changing’ is a highly innovative way of demonstrating how quickly, efficiently and covertly HIV can spread through MSM sexual networks. The outcome of such activities is an acutely increased awareness around HIV risk and sexual responsibilities. Practical advice on how to act upon this awareness is succinctly provided, including where to access condoms and lubricant, MSM friendly VCT services and other forms of support.

Addressing broader issues of vulnerability

Addressing HIV under the broad framework of ‘Life Skills’ for MSM is consistent with best practice HIV programming for this population. It generates an interest from a broad array of MSM who may not be interested in attending a workshop that is narrowly focused on HIV. This is particularly so for younger MSM who may not perceive HIV as a key priority in their life. A high proportion of the participants were indeed young sexually active MSM, a key priority population as outlined in the Report on the Commission of AIDS in Asia, 2008.

Perhaps more importantly however it addresses the associated risk factors and vulnerabilities that place MSM at greater risk of HIV infection. The curriculum covers issues of sexuality and self acceptance, developing sexual negotiation skills and sensitizing participants to people living with HIV (PLH) thereby reducing discrimination and stigma. All this is woven effectively throughout the curriculum to give a strong sense of community and enhanced confidence, empowering participants to make healthier and more informed decisions.

Peer leadership development

The workshop offers the opportunity of participants to become peer leaders themselves and play a role in the development and implementation of future workshops. This is a unique opportunity that capitalizes on the skills, knowledge and motivation that participants gain and is a key ingredient in the success of this model. It also adheres to the principles of true peer education, as participants become facilitators and facilitators become mentors to new participants. The peer facilitators are not only highly skilled in their role but are also clearly respected. What develops is a strong network of volunteers and young MSM peer leaders whom have a sense of ownership over the workshop, ensuring that many will stay engaged and thereby supporting sustainability of the program.

Given the ongoing and alarmingly high rates of HIV among MSM in Bangkok (30.7%, 2008); this is a timely and invaluable program. Again I congratulate the Foundation on supporting such an innovative program and hope that it can grow and expand in the future.

Yours sincerely,

Rob Sutherland
Capacity Development Officer
UNAIDS Regional Support Team, Asia and Pacific