APCOM Policy Brief: Addressing the Needs of Young Men Who Have Sex with Men

In Asia and the Pacific region, there is significant economic variance within and between countries – each requiring specific and unique approaches, especially in response to HIV. The age at first male to male sexual encounter is often young, in the teens or younger for many men. Furthermore, receptive anal sex – a practice carrying a high risk of HIV transmission when performed without a condom – is a common experience for young men, including as the first sexual experience.

The region needs to find more effective ways to respond to the high and rising prevalence of HIV among MSM. The epidemic situations at country level require the development of programmes that respond to specific local circumstances where young men are practicing male to male sex.

Emphasis should be placed on peer-based programmes, where young men are able to shape programmes and services addressing their specific local needs. Greater political will and leader-ship is required to remove the barriers of criminalisation, discrimination and stigma currently inhibiting the resourcing and implementation of effective local programs.