S14.1 Testing For Syphilis in Pregnancy and Associated Adverse Outcomes in Mozambique

Abstract

Introduction MSM in the European Union and European Economic Area (EU/EEA) are disproportionately affected by STI: 39% of all HIV diagnoses, 33% of gonorrhoea and 55% of syphilis cases were reported among MSM in 2011. Methods Analyses of surveillance data and information from countries responses for Dublin Declaration monitoring were combined with a review of existing national prevention intervention programmes targeted at MSM. Characteristics of 118 prevention interventions studies were included in the repository. Results Outbreaks of syphilis, hepatitis C and lymphogranuloma venereum and increasing trends of gonorrhoea and HIV among MSM, observed between 1995-2011, were reported to be associated with high levels of risk behaviour, sexual networking and socioeconomic and cultural factors. The national responses included: strenghtening of surveillance, prevention and care; enhanced partner notification; and development of a range of prevention intervention programmes. The majority of prevention interventions used media campaigns, education and counselling followed by harm reduction strategies like condom distribution and HIV/STI testing alone or combined with other activities. Nearly half of the behavioural interventions studies reported proper outcome evaluation.In 2012, HIV/STI prevention programmes targeted to MSM were implemented in 22/30 EU/EEA countries, with non-governmental organisations playing a key role in programme implementation through campaigns, outreach work, information provision and condom distribution. Reported coverage of HIV prevention programmes for MSM ranged from 43% to 76% across countries. Rates of HIV testing among MSM during the last 12 month ranged from 12% to 74% and rates of condom use at last anal intercourse from 42% to 64%. Conclusion Diversity across EU/EEA in the design and implementation of prevention intervention strategies reflects various characteristics of MSM populations and the changing epidemiology of STI/HIV. A common need exists for improving the effectiveness of prevention intervention programmes, for targeting young, migrant and ethnic-minority MSM and for ensuring adequate funding. Regarding empirical evidence gay men are facing several health problems which can arise from the mastering of living in homonegative environment. We can e.g. find high levels of substance use, mental health problems, and risky behaviour. What Do GayThe presentation will raise the question on how these different and interacting health matters work together and how they can be tackled in campaigns focused on gay men and other MSM. What is the experience of the national German campaign "I KNOW WHAT I'M DOING"; what can be done in future work from the MSM community perspective; who are the necessary co-operative partners, what has to be requested from different policy sectors?S.14 -New strategies and implementation of best practises for dual elimination of mother-to-child transmission of syphilis and HIV (organised by WHO) expectations, reduced significantly in many countries. Indeed, the n...