Introduction In India, the HIV epidemic is concentrated among Key Populations (KPs), such as men who have sex with men (MSM), who bear a disproportionate burden of HIV disease. Conventional targeted interventions (TI) mitigate HIV transmission among MSM by focusing on physical hotspots. As increasingly, there is a shift within India’s MSM community to connect with sex partners online, novel approaches are needed to map virtual platforms where sexual networks are formed. The objective of this study was to estimate the number of MSM in Delhi using virtual platforms to connect for sex and to describe patterns of their use. Methods The study was conducted in the state of Delhi among MSM over 18 years of age who used virtual platforms to look for sexual partners. Virtual platforms were identified through community consultations. Size estimation was carried out by enumerating the number of online users, accounting for duplication across sites and time and based on interviews with 565 MSM. Results 28,058 MSM (95% CI: range 26,455–29,817) use virtual sites to find sexual partners. We listed 14 MSM specific virtual sites, 14 general virtual sites, 19 social networking pages and 112 messenger groups, all used by MSM. Five virtual sites met feasibility criteria to be included in the virtual mapping. Of the MSM on these sites, 81% used them at night and 94% used them on Sundays, making these the peak time and day of use. Only 16% of users were aware of organizations providing HIV services and 7% were contacted by peer educators in the preceding three months. Two-fifths (42%) also visited a physical location to connect with sexual partners in the month prior to the study. Discussion TI programs that focus on physical hotspots do not reach the majority of MSM who use virtual sites. MSM active on virtual sites have a low awareness of HIV services. Virtual mapping and programmatic interventions to include them must be incorporated into current public health interventions to reach MSM at risk of HIV.
Introduction :Stress is experienced by adolescent in everyday life when they percieve situation which cannot be managed by them. Methodology : A cross sectional study has been conducted to measure the stress level and their coping mechanism to deal with such situations in Udupi Taluk.A total of 200 students were included in the study from private and government school. Result : The result shows that students likely to suffer from severe mental disorders are 3% in private school and 2 % in government school due to their academic burden, relationship with parents and friends. In both the schools majority of sudents talk to their parents, watching television, playing out with friends to cope up with these situations. Conclusion :Stress becomes unmanagable when students are not able to cope with undesirable situations and they beleive that the challenge is impossible to complete.
that support the rights of men who have sex with men and their access to HIV services do exist such as (GALZ) H.O.P/ PSI. Many are routinely punished and shutdown or have their members arrested. UNAIDS reported in 2017 that just one in seven men who have sex with men in Zimbabwe (14.1%) are aware of their status. International donors such as the Global Fund to Fight AIDS Malaria and Tuberculosis and PEPFAR have attempted to ensure some of their funding is directed towards men who have sex with men. Government restrictions mean this has not materialised. Disclosure No significant relationships.
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