An analysis of major HIV donor investments targeting men who have

G. Ayala, P. Hebert, J. Keatley

Men who have sex with men (MSM) and transgender women have recorded exponentially higher HIV prevalence rates in nearly every country where reliable data is available. In low- and middle-income countries, substantial resources for the AIDS response come from the largest bilateral, multilateral, and private philanthropic donors and from a country's contribution to addressing its own epidemic. There is no reliable indication of what overall proportion of these resources ultimately reaches MSM and transgender people. In order to begin filling this knowledge gap and to encourage more effective use of donor investments, the Global Forum on MSM & HIV (MSMGF) was commissioned by the Global Fund to Fight AIDS, Tuberculosis and Malaria to undertake a "big picture" mapping of major HIV investments targeted at MSM and transgender people in low- and middle-income countries. Our objective was to examine major donor investments targeted at these two groups in 2009, but we also recorded relevant information from other years (2008, 2010, and 2011) when available. We additionally reviewed national HIV spending data reported by countries in 2010 to better characterize the flow of domestic and international resources that ultimately reach MSM and transgender people in these contexts. The report indicates that most major bilateral, multilateral, private philanthropic and national government funders do not consistently track their investments targeting MSM and transgender people.