An application of the ADAPT-ITT model to an evidence-based behavioral HIV prevention intervention for men who have sex with men in Ghana

Despite constituting only about 1% of Ghana’s population, men who have sex with (MSM) carry a disproportionate burden HIV infections, 18% the population people living in country. Scholars associated infection rates among MSM existing structural factors (such as criminalization and stigma against MSM), individual-level without condom, transactional sex). Nonetheless, limited scholars consider intervention an approach to reducing STI risk As such, collaboration community partners, we engaged through use ADAPT-ITT model adapt Many Men Voices (3MV) address needs MSM. We addressed HIV/STD ways reduce infections. In this paper, describe adoption adaptation 3MV Ghana. Whereas was good fit for our target made modifications Ghanaian cultural setting by examining STD context bisexuality, emphasizing on secrecy location choice, incorporating historical colonial contextualizing sexuality sociocultural context. Our implementation process shows efficacy partners implement culturally relevant interventions prevention efforts highly stigmatized environments.