Action must be informed by evidence. There is clear evidence that men who
have sex with men and transgender people are disproportionately at risk of HIV
infection. It is also clear that combinations of HIV-related interventions, including
individual-level, community-level and structural interventions, of sufficient breadth,
quality, intensity, duration and scale, can reduce the incidence of HIV among men
who have sex with men and transgender people. Current data show that enhanced
and improved responses are imperative and urgent. At the same time, the process
of refining and deepening the evidence base, and tracking the evolution of HIV
epidemics and risk for men who have sex with men and transgender people must
continue so that interventions can evolve appropriately along with the evolution and
locational specificity of the epidemic.
Action is required by a broad range of partners, simultaneously addressing both shortand
long-term needs and opportunities. The most effective and sustainable responses
to HIV among men who have sex with men and transgender people are built on
synergies between many actors, including affected communities, allies, governments,
the private sector and the UN family. UNAIDS and its ten Cosponsors have a unique
mandate and the ability to work with partners to achieve a more enabling environment
for HIV prevention, treatment, care and support in the long term, while taking advantage
of multiple entry points and opportunities for impact in the short term. Yet far
more can be done within a broader context, by developing and strengthening partnerships
as an essential aspect of global, regional and national AIDS responses.
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