ResearchProjects

To optimize equity in PrEP coverage, Black men who have sex with men (MSM) must have access to service options that reduce their exposure to stigmas.

Many Men Many Voices (3MV) is a group-level behavioral intervention that has demonstrated efficacy for increasing healthcare seeking behaviors among Black MSM. Client-centered care coordination (C4) addresses social stigma through a service model that trains staff to deliver autonomy-supportive care and addresses structural stigma via an integrated online platform to improve the continuity of coordination between service providers.

The study will combine two evidence-based interventions into a multi-level integrated strategy that directly addresses interpersonal stigma via 3MV, extends 3MV effects into service-delivery settings by training staff on key concepts, and then addresses structural stigma by linking men to a network of services via the online client-centered care coordination platform.

The findings will enhance scale-up potential by identifying the key elements of the integrated strategy that contributes most to PrEP adherence, and thus, should be strengthened. Elements that contribute least and can be streamlined, as well as the market economic, social, and political variables that must be manipulated to accelerate its implementation at scale and achieve equitable PrEP impact.