Programmatic responses

Programmatic responses and models of service delivery
In many countries, care is delivered through the model of an integrated service, where clients can receive all
needed services at one stop. Even countries such as Thailand, which owe their early success in stopping a rapidly
developing HIV epidemic to the existence of a large network of STI clinics and the surveillance data they generated,
have adopted the integrated model and now provide, or attempt to provide, a variety of services under one roof.
However, although integrated services are appealing, attempting to deliver this model in many settings is beset
with barriers, not least a shortage of the required resources, especially human resources to run the clinics. Providing
targeted services for particular population groups (such as MSM and transgender people) may be particularly
challenging in these circumstances.
The Consultation heard examples from a number of countries detailing how the health sector addresses the
specific issues faced by MSM and transgender people.