The Desmond Tutu HIV Foundation has released a manual to help African health care workers and counsellors engage with men who have sex with men (MSM).

The foundation said that MSM “have been identified as being disproportionately affected by HIV, yet few South African programmes cater to their needs”.

The manual is described as a “helpful guide to communicating with this often hard to reach group, and will increase understanding of their needs and challenges”.

It is dedicated to “all the Africans who have been persecuted on the basis of their sexuality or their sexual behaviour and to those who have been denied the services and help that they need”.

The guide includes information on subjects such as homophobia; sexual identity and coming out; anal sex; and condom and lubricant use.

The MSM: An introductory Guide for Health Workers in Africa can be

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