We believe that the end of AIDS is possible if there is more focus on key populations. Our project in Vietnam addresses barriers faced by the LGBT community related to their sexual and reproductive health and rights. Driven by community champions, we work to realize a strong alliance between transgender, MSM and LGB organisations; and access to high quality friendly HIV-related services.
Many LGBT people are not reached by prevention programmes
Vietnam is a middle-income country of 90.5 million people. There are 227,154 people living with HIV in Vietnam. The HIV prevalence among the general population is low. The HIV prevalence among MSM increased somewhat between 2011 to 2014 (11.2% to 16.7%, but subsequently decreased to 5.2% in 2015. Although the number of new HIV infections in Vietnam has declined in recent years, a significant number of key populations (40%) were not reached by prevention programmes. For example, in 2015, almost 70% of MSM were not reached by prevention programmes. Data also suggests that 63% of MSM do not use condoms frequently.
LGBT people claim a right-based HIV and SRHR response
Bridging the Gaps works with a Theory of Change approach. A Theory of Change is a description of a list of events that is expected to lead to a particular desired outcome. It is a visualization how change is believed to happen. In 2016, representatives of the LGBT community developed a Theory of Change that consists of short-,medium, and long term outcomes. The specified Theory of Change of the LGBT people project describes how we plan to realize a strong alliance between transgender, MSM and LGB organisations; and access to high quality friendly HIV-related services.
Through innovation and by building on previous work, we will strengthen civil society organisations’ ability to:
1. We facilitate community development
- Hosting a planning meeting to develop a long-term strategy, draft advocacy strategy, and assign responsibilities to each partner based on the Vietnam Theory of Change document;
- Developing a research protocol on health and human rights of LGBT people.
3. We deliver inclusive, rights-based and gender sensitive services
- Identifying and meeting with key stakeholders and decision makers within healthcare clinics, the Ministry of Health, Global Fund, USAID, and others to support the project;
- Developing and implementing an assessment on stigma and discrimination related to sexual orientation and gender identity faced by MSM and TG at healthcare centres;
- Mapping the number of healthcare centres (public and private) providing HIV and healthcare services
- to MSM and TG in order to learn about the level of quality of services;
- Conducting desk research to collect information on stigma and discrimination faced by MSM and TG
- clients at health centers in Hanoi and Ho Chi Minh City to understand factors to address in future
- guidelines and trainings;
- Identifying high-quality healthcare service models for MSM and TG in the region through desk research;
- Identifying and selecting three healthcare centres (one in Hanoi and two in Ho Chi Minh City) that will
- participate in the sensitisation trainings and implementation of normative guidelines.
4. We foster global and in-country process and partnerships that reinforce results
- Building of a MSM Advocacy Network.
Our project builds on the strong advocacy work of our partners GLINK, Lighthouse, MSM-TG and G3VN to put LGBT people’s health issues on the political agenda and to provide rights-based health services. Their work is internationally supported by COC and MPact.
Our other project in Vietnam
Bridging the Gaps also has a sex workers project in Vietnam.