Adaptation of m2m’s Peer Model for service delivery among MSM – gay men and other MSM – and their families
Inspite of substantial policies, dedicated/focused healthcare services and notable advocacy efforts for comprehensive healthcare access for men who have sex with men (MSM), progress and uptake of these services by MSM has remained low. MSM face distinct obstacles to their health because of social, economic, and environmental disadvantages related directly to their sexual orientation, sexual practice, sexual behaviour and/or gender identity. In South Africa, MSM and other lesbian, gay, bisexual, transgender, and intersex (LGBTI) communities continue to experience marginalization, homophobic violence and abuse, poor mental health, and numerous barriers to accessing healthcare services. As a result, (MSM), amongst other key populations bear a disproportionate burden of the ongoing HIV epidemic. In the context of HIV/AIDS, MSMs are a key population on account of both their vulnerability to infection and propensity to spread infection by virtue of sexual practices and sexual behaviours they engage in. In South Africa, some of the important issues believed to be driving the HIV epidemic among MSM include high risk-taking behaviours; limited knowledge about HIV; restricted availability and access to HIV prevention and treatment services; low levels of condom usage; high levels of alcohol and use; transactional sex; human rights abuses, sexual concurrency and persisting homonegativity. Addressing factors that restrict or limit their access to healthcare services is therefore critical in terms of the national response to the pandemic.
In its commitment to the SDG 3 principle of leaving no one behind, and its effort to complement and support the response to The South Africa National LGBTI HIV Plan 2017-2022, which calls for interventions “tailored to local contexts, and delivered by peers from the local community”, Project AMPLIFY (Activating MSM Peers for Life and FamilY) will adapt m2m’s evidence-based Peer Mentor Model to improve MSM’s health, psychosocial wellbeing, and mental health in South Africa and beyond. Through Project AMPLIFY, m2m is adapting its proven, high-impact model for the MSM community to build peer-led support networks around MSM, their families and social networks, in an effort to promote HIV prevention, initiation and retention in HIV care and treatment. Through direct service delivery and via local implementing partners, we will aim to reach more than 95,000 MSM in South Africa with life-changing peer-to-peer interventions in the first three years of implementation, and take the model to scale in year four. m2m recognizes that addressing health inequities and social determinants of health is therefore critical for many MSM, and this includes their environment, education, economic stability, health and health care, and their social and community contexts. Each of these determinants independently influences health outcomes, and mutually reinforce one another.
This Scope of Work outlines a request for the services of a consultant to support mothers2mothers’ Department of Programmes & Technical Support (DPTS) in the adaptation of m2m’s evidence-based Peer Mentor Model to improve the health, psychosocial wellbeing, and mental health of MSM in South Africa and beyond.
The approach will be informed by recent success in adapting the m2m model for key populations (including orphans and other vulnerable children, adolescents, and HIV-positive men and women). The end result will be a refined adaptation of the m2m Peer Model for service delivery among MSM. The key target groups are MSMs and their social circles, inclusive of family members. Local government officials, healthcare workers, community leaders and peers will also be oriented on the model.
Scope of Activities and Deliverables
The consultant will, in close collaboration with the Senior Project Director AMPLIFY (Activating MSM Peers for Life and FamilY), and the Programmes Team in the Department of Programmes & Technical Support (DPTS) at m2m’s Head Office in Cape Town and other resource partners, play a technical leadership and service delivery role in:
1. Adapting the m2m Peer Model for service delivery among MSM, their families and social networks. More specifically, this entails: Refining the AMPLIFY project design as follows;
Task 1: AMPLIFY Project Design (Direct Service Delivery and Technical Assistance
Task 2: AMPLIFY Project Training Materials Development (Life Mentors and Family Mentors)
Task 3: Participate in training for DSD and LIP Mentors
Task 4: General Consultations
Task 5: Participate in project meetings and workshops in the fulfilment of the above SOW