The Bill & Melinda Gates Foundation commissioned the Global Forum on MSM & HIV (MSMGF) to identify barriers and facilitators of PrEP uptake among MSM globally. The MSMGF took this as an opportunity to strengthen understanding of the structural-, community-, and individual-level factors that influence access to services for MSM more broadly, placing challenges to access within the context of lived experiences and concerns of MSM. Toward this goal, the MSMGF developed a global multilingual online survey to examine barriers and facilitators to service access for MSM around the world.
This report first describes the methods and results of the online survey, followed by the methods and results of the focus group discussions. These sections are followed by a discussion section that explores the barriers and facilitators revealed by quantitative data in the survey, as well as the broader context of these barriers and facilitators as revealed in the focus group discussions. The report ends with a look forward at future directions.