Identifying violence against most-at-risk populations : a focus on MSM and transgenders -- training manual for health providers

The manual compiles the training methodology used to sensitize and train providers on how to screen for and respond to violence against men who have sex with men (MSM) and transgenders (TG) in an HIV service setting. Modules I through V -- Setting the Stage; Sexuality and Gender; Stigma and Discrimination and Gender-Based Violence; Gender-Based Violence; and Gender-Based Violence, Stigma and Discrimination, and HIV -- can also be used to sensitize health providers on these issues. This manual is based on the following three key concepts: participatory learning, the social construction of gender, and evidence-based practices in healthcare. As a facilitator, it is important to understand and feel comfortable with these concepts. The training begins with exercises that explore participants" perceptions regarding gender and sexuality. Thus, as key foundations to providing adequate and non-discriminatory services to MSM and TG, the exercises on gender and sexuality occupy the first day and a half of the agenda. The manual then moves on to knowledge-based exercises regarding prevalence and data on violence against MSM and TG and its link to HIV vulnerability. On the last day, the methodology uses skills-based exercises to allow participants to practice using the screening tool. Final sessions include action planning to identify how to integrate the tool into existing services and how to form referral networks to help provide a comprehensive response to clients facing gender-based violence. A sample agenda is provided based on a four-day workshop. Each session is organized by objective, materials needed for the activity, estimated time to carry out the activity, and step-by-step instructions. Facilitator resource sheets and handouts for participants are placed at the end of each session. PowerPoint presentations are available at www.healthpolicyinitiative.com. (Author abstract)