Neftaly: Reducing the Risks, Vulnerability, and Impact of HIV and AIDS Among MSM and Transgender Communities in the ISEAN Region
Overview
Despite progress in the regional HIV response, men who have sex with men (MSM) and transgender people in the Islands of Southeast Asia Nations (ISEAN) continue to face disproportionately high risks of HIV infection. Stigma, criminalization, limited access to tailored services, and socio-economic exclusion drive vulnerability and hinder access to care. Neftaly is dedicated to changing this reality through inclusive, community-centered, and rights-based approaches that reduce HIV-related risks, vulnerability, and impact for MSM and transgender populations across the region.
Goal
To reduce new HIV infections and improve health outcomes among MSM and transgender communities in ISEAN by addressing structural barriers, strengthening community systems, and expanding access to comprehensive HIV services.
Strategic Objectives
1. Enhance Access to Comprehensive HIV Services
- Expand coverage of MSM- and trans-friendly HIV services, including testing, PrEP, treatment, STI screening, mental health, and gender-affirming care.
- Promote differentiated service delivery models, including community-based, mobile, and digital platforms.
- Support integrated health packages that address co-occurring needs such as hepatitis, TB, and sexual health.
2. Strengthen Community Empowerment and Leadership
- Support MSM and transgender-led organizations in service delivery, peer outreach, and advocacy.
- Build capacity for community-based monitoring, research, and data collection to inform programs and influence policy.
- Provide platforms for meaningful participation of MSM and transgender voices in national and regional HIV decision-making.
3. Address Legal and Structural Barriers
- Advocate for the decriminalization of same-sex behavior and gender expression across ISEAN countries.
- Support legal literacy and human rights education among key populations and their allies.
- Promote protective policies and frameworks to reduce stigma, discrimination, and gender-based violence.
4. Expand Public Awareness and Social Inclusion
- Launch behavior change communication campaigns that normalize HIV testing, PrEP use, and early treatment among MSM and transgender individuals.
- Promote visibility and inclusion of MSM and transgender identities through media, arts, and public discourse.
- Partner with influencers, community leaders, and institutions to foster acceptance and reduce prejudice.
5. Improve Strategic Information and Program Monitoring
- Strengthen national and regional data systems to collect disaggregated information on MSM and transgender health outcomes.
- Use real-time data to guide programming, track service uptake, and monitor HIV trends within these populations.
- Support research on emerging risks and intervention effectiveness tailored to local cultural and social contexts.
Expected Results
- Increased uptake of HIV prevention, testing, and treatment services among MSM and transgender people across ISEAN.
- Reduced stigma and discrimination in health care, legal, and community settings.
- Strengthened and sustainable community-led responses that are embedded within national HIV strategies.
- More inclusive policy environments that uphold the rights and dignity of MSM and transgender individuals.
Conclusion
Neftaly envisions a future where MSM and transgender people in ISEAN can live healthy, empowered, and dignified lives, free from the burden of HIV-related stigma and exclusion. By supporting communities, transforming systems, and advocating for rights-based responses, we are working to close the gaps and build an inclusive HIV response that leaves no one behind.