This book addresses the impact of HIV on populations of men who have sex with men in Africa and local responses to the issue. It documents the enduring existence of a rich variety of same-sex practices between men. More critically, it analyses how the denial and social rejection of same-sex sexuality, together with the legacy of criminalization by former colonial rulers, has not only fueled the transmission of HIV between men, but has also impeded an effective response. The book also documents some of the outstanding progress that has been made and acknowledges the differences between African countries. Through its focus on lived realities and grassroots activism in Africa, this book will appeal to researchers, policy makers and practitioners alike.

Chapter 1. Male Same-sex Sexuality and HIV in Sub-Saharan Africa

Chapter 2. Conducting HIV Research with Sexual and Gender Minorities in sub-Saharan Africa: Experiences from Malawi
Chapter 3. "Heavy Drinking" and HIV Vulnerability among African Male Sex Workers: Narratives from a Community-Based Participatory Study in Nairobi, Kenya
Chapter 4. Struggles for Inclusion. Incorporating Same-Sex Practising Men into National HIV Prevention and Surveillance in African Countries, 2000-2020
Chapter 5. Hardship, Public Health, Heshima, Lube and Problem Trees: Forces Shaping Grassroots Organizing Against HIV Among Same-Sex Attracted Men in Dar es Salaam
Chapter 6. Moral Panic and Other Unintended Consequences in Ghana's Paradigm Shift to Address HIV among Men who have Sex with Men.