1 | MPact 2020 Annual Report 2 0 20 20 Annual ReportAnnual ii | MPact 2020 Annual Report Contents about our work our about more read to links these Click Contents page the to return to page any on link this Click Additional Publications Research Community-Based Campaigns Health Sexual Professionals Training Health Mobilization Demand PrEP US the in Programs Latinx Online HIV2020 COVID19 to Response Our Programs Led 5 Community ED Interim our from A Letter Outputs Media Outputs &Program Advocacy Mission Our 1 MPact About

10 10 12 13 4 2 3 11 1 9 6 8 7 Financials 2020 22 Tajikstan Vietnam Spotlights Country 18 Advocacy LevelHigh 14 Partners UN Fund Global PEPFAR

20 19 16 21 15 17 Donors You!Thank 23 Our Founder Staff Committee Steering Board Donate

24 25 23 23 23 23 Making an MPact in The Lives of Gay Men Around The World

MPact’s mission is to advocate for equitable access to effective sexual health services for gay and bisexual men, including those living with HIV.

We work with 120 community-based organizations across 62 countries who are fighting for the health and human rights of our communities. MPact 2020 Annual Report | 1 2 | MPact 2020 Annual Report with funding for sexual for with funding reached people LGBTI health services health 15,575 Advocacy &Program Outputs networks regional and 7

organizations community- supported based 37

professionals professionals Healthcare 794 trained $1.9M USD $1.9M and contracts and disbursed grants in Key Population Key Population Advocates 7776 trained

Technical assistance toTechnical countries 30 than more 3 | MPact 2020 Annual Report Media mpactglobal.org 137,554 73,694 page views on page 64,793 new videos total views total users 211 with by Outputs increase 230% increase 779% increase 147% from 2019 from increase 112%

new publications blog posts blog 72 6 announcements MPact &HIV2020 MPact 14,419 mentions in the press the in subscribers 42 hello! email 67

of

to 4 | MPact 2020 Annual Report Dr. Mohan Sundararaj Dr. Mohan Sincerely, support continued your ever with than direction, strategic and As leadership years. new the to over forward side looks our by MPact remained have who partners and friends our all to grateful are We to together worked world the around to HIV. response global the from reclaim advocates population key of thousands Online HIV2020 Conference, the At ways. innovative and powerful in presented being trainings and programs, assistance technical interventions, advocacy online numerous in resulted This worldwide. partners LGBTI our serving while digitally working of challenge new the to We adapted pandemic. COVID-19 and the navigating understanding for about gay In guidance timely issued 2020, communities MPact unheard go voices our let not we will However, just as with the AIDS activism of the 80s, we also remember that of disease. vectors as denigrated and virus of the spread the for blamed unjustly have been people LGBTI most. them need that communities the reach to yethave medicines Life-saving grief. advocates. as do friends, we our withandloss with our took has filled communities this new from our us, lovers, and our pandemic families AIDS that way same the In ways. everything to unfortunate many in are itself repeated has History epidemic. AIDS the of communities years early the our and COVID-19 between made been have comparisons important Many how of reminder a is struggle Every ExecutiveDirector Interim A Letter from Our . . we know we will remain stronger stronger remain will we know we no no matter the circumstances,

Community-Led Programs

Here at MPact we believe that the strategies that are most effective in the global response to HIV, sexual health, and human rights begin on a community level. In all our programs, we believe in local solutions. Our in-country partners take the lead in determining what services are appropriate, and we provide them the resources they need. MPact 2020 Annual Report | 5 Our Response to Though the international travel which remains essential to our work was inhibited this year, MPact quickly adapted by moving all our meetings, our COVID-19 internal processes, and our global programming online. For the safety of our staff, we also pivoted to becoming an entirely digital organization, LGBTI Advocates Responded Swifty to closing our Oakland offices and requiring our entire team to telecommute. the COVID-19 Pandemic Though this may have seemed a barrier to executing our work, it only The COVID-19 pandemic has shifted the way that MPact demanded that we expand our audience through our website and social and our global partners think about how we conduct our platforms and to move boldly into an increasingly global and digital world. advocacy. Gay men in every part of the world continue to face issues of economic instability, discrimination by law enforcement, substance abuse & mental health, and barriers in access to HIV & STI care and treatment because of this global virus.

As a result, MPact knew we had to respond quickly by providing up-to-date, sex-positive, and non-judgmental messaging around the issues that are most important to our communities including: • navigating sexual health • the role of health professionals • protecting human rights • tips for advocates

You can find all our resources and recordings of our webinars at www.mpactglobal.org/covid-19. MPact 2020 Annual Report | 6 7 | MPact 2020 Annual Report MPact organized MPact multiplesessions covering to topicsgay ofbisexual importance and worldwide. men Thisdiscussions included about response HIV global the playin and communities event’s role keypopulation leading original the objective to reaffirm Conference was HIV2020 the pandemic, in COVID-19 the place to due However, take City. Mexico to intended originally was Conference HIV2020 The International Network of People (INPUD), Who Use Drugs MPact. and The (NSWP), with Projects Work Sex Living of Network People Global (GNP+),The HIV of Network Global The including networks led The Response the Reclaimed Communities as well security as and culture issues regarding as safety kink and sexual satisfaction LIVE PARTICIPANTS was co-organized by key population- key by co-organized HIV2020 Online Conference was COUNTRIES 7,397 131 from re-imagined as a series of virtual sessions of a series virtual as re-imagined • recordings audio HIV2020 and video now Conference as are available the online from Online • All sessions

LANGUAGES SESSIONS available in 33 5

37,000 WATCHED Recordings more than more TIMES

that took place between months of the October. and July series The virtual retained the all recordings here WATCH

. key populations global in response the to &AIDS. HIV recommendations strategic their formulated and learned had they what shared experts and Day AIDS a with concluded conference virtual The in December where a panel of community members members community of panel a where December in for strengthening the leadership of leadership the strengthening for . celebration on World on celebration

bodyimage , 8 | MPact 2020 Annual Report Gay Men in the U.S. the in Gay Men Working Latinx with treatment Latinx gay among bisexual and men. and prevention, care, HIV in inequitiescontribute to transphobia and are addressing the many ways that racism, xenophobia, homophobia, States. As part of the U.S. government’s sexual health programming within the Latinx community in the United to Latinx in the United States United the in Programs MPact’s MPact’s the challenges and opportunities for for opportunities and challenges the voice critical a to conversations about End End the Epidemics Fíjate Fíjate Bien

program has added initiative, we FÍJATE 2020 BIEN Highlights: X X X X X X

Fresno County &STI HIV and testing region services in border U.S.-Mexico including sexualcommunity members education health at the Provided initiatives breakthrough grants small to support by California’sand Central Valley of Trainers VozOrganized La versions three virtual of Training Alzando the 2021–2025 Epidemic HIV the End to Roadmap Plan: Strategic National Services HIV the on Human Provided of and Health Department public comment to U.S. the Minority AIDS Council Co-facilitated focus groups for National the two spanish-language saving services health a national to policy agenda eliminate structural barriers to live- Summit Leadership Health Hispanic/Latinx Participated National in the from seekingfunding this initiative organizations local to support with approximately provided and participants 80 technical in Fresno, townCo-convened The Epidemics End hall an California where 150 together Latinx activists HIV came to create with thirty activists with from Texas, Southern thirty Rico, Puerto Latinx Constituent Advisory Panel

9 | MPact 2020 Annual Report • • • • • initiativesgay The home-grown in their regions. men included: Ukraine, Vietnam, and Zimbabwe nizations in MPact acted quickly and effectively in 2020 by partnering with orga prevention, up. are fast drying HIV for era particularlyinitiatives, HIV for resourcesinternational where an in true especially is This intervention. health sexual saving Prophylaxis—also known PrEP as We know that not everyone who should have access to Pre-Exposure Prevention Services Access and to HIV PrEP for Demand Generating to target keyDeveloping populations. campaigns media social advocacy on and skills, leaders queer Training materials educational Producing LGBTI-focused PrEP for demand awarenessSpreading generating and Mobilizing communities PrEP Mobilization Cameroon, Ghana, Indonesia, Jamaica, Kenya, Tanzania, Kenya, Jamaica, Tanzania, Indonesia, Ghana, Cameroon, Demand Demand around HIV prevention HIV around —for HIV can easily—for can HIV access this live- to make PrEP access a reality for all - with through their PrEP online messaging platforms. In Ukraine, PrEP Alliance Global reached over 2,000 gay over bisexual reached and men 2,000

Training Health Professionals

Sensitizing Healthcare Providers on the Needs of Communities

MPact and Johns Hopkins University partnered to roll-out an online training program for health professionals in , Kenya, Tanzania, and Zimbabwe on the essentials of gay and bisexual men’s health. In collaboration with John Hopkins’ Center for Public Health and Human Rights in the Department of Epidemiology, MPact taught healthcare providers how to offer sensitive and appropriate care to gay and bisexual service users.

Of the 158 participants who applied to be part of the program, 89 were selected to participate in the nine-week digital training. Mentors provided small group and individual support to participants to increase their knowledge about barriers to health for gay and bisexual men.

This new online training format builds upon a previous curriculum that MPact and Johns Hopkins developed together in 2014. This new virtual program was created in collaboration with community-based organizations including Bonela, Legabibo, and Men for Health in Botswana; Ishtar, MAAYGO, and PEMA in Kenya; CENTA in Tanzania; and GALZ, Sexual Rights Centre, and TIRZ in Zimbabwe. MPact 2020 Annual Report | 10 11 | MPact 2020 Annual Report u u Infirmary,James aims around breaksextaboos to & as: issues such other Francisco’s St. San with collaboration in developed campaign, This experts field and in the of sexualharm and reduction. health a series of six videos featuring discussions between drag performers into campaign This year, My Health About expanded MPact Anal our My Health About Anal times across Facebook, Twitter, Youtube. and Instagram The videos were shared widely on social media and viewed over 23,700 Sexual Sexual Drug Use Drug Overdose Prevention Health u u HIV Prevention HIV Living with HIV with Living Campaigns u u Anal Health Anal Sex Work as acomicas in 2021. book published and social media on released stories,toset be health artists seriescommissionedofa has MPact from around the world discussing their personal sexual personal their discussing world the around from comic strips by nine queer

Community-Based Research

The Global Men’s Health and Rights Study

Over 15,000 gay and bisexual men from across the world participated in the fourth iteration of MPact’s Global Men’s Health and Rights (GMHR) survey. In collaboration with the Sexual Health Advocacy for Gay Men Consortium, the survey was launched in ten languages in October of 2019 and was disseminated online through March of 2020.

The findings from the survey supported the importance of creating structural interventions that are designed to decriminalize homosexuality, reduce societal sexual stigma, sensitize healthcare providers, and support community engagement among gay and bisexual men.

The data was ultimately presented in a final publication as well as in the form of two abstracts presented as posters at AIDS2020 and a series ofinfographics for social media.

Our Action for Access! team from Vietnam and Kenya met throughout the year, both virtually and in-person when possible, for trainings and discussions on how to interpret data from the GMHR report. These partners developed country-level and regional reports in order to build an evidence base that supports their local programming and their policy and advocacy goals.

Read the full report: Structural Violence, Community,

MPact 2020 Annual Report and Access to HIV Services | 12 13 | MPact 2020 Annual Report Publications Additional u Key for Treatment STI Prevention Populations and and HIV Comprehensive for Guidance Normative Current Understanding normative guidance by key population communities from regions. different services advocacy. and also It provides examples of successful the of use normative guidance to effective implement design and STI and HIV using on recommendations highlight and tools, implementation current share This technical guidance, brief normative to seeks demystify provision of ofprovision health the in discrimination and approach using mystery stigma patients to document This study case highlights two examples of acommunity-led monitoring Study ACase Zimbabwe: and Cameroon in Patients Mystery Women Using Transgender and Men Bisexual Gay and for Care Access in Health HIV to Discrimination and Stigma Reducing their experiences facilities care at health select using standardized tools. gay months, bisexual and 10-12 transgender women and men documented Zimbabwe and in Cameroon are described. each In country, over aperiod of English

u Français

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health, or human rights. human or health, workingers in prevention, HIV sexual providers,healthcare policymak and organizations,cates, community-based willIt especially beneficial be advoto efforts PrEP existing strengthening anyone interested new or in leading intended tool instructional an as for studiesThe here are case offered u u u by Gay Men Initiatives Led Prophylaxis Pre-Exposure HIV Featuring Studies Case 7 Français Español English

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High Level Advocacy

Through monitoring national and international policy, we advocate for increased and sustained funding for programs that address the unique needs of gay and bisexual men. Our continued advocacy ensures that LGBTI people and other marginalized communities are involved at every level of human rights decision making. MPact 2020 Annual Report | 14 15 | MPact 2020 Annual Report AIDS Relief (PEPFAR). Plan for Emergency President’s U.S. the institutions such as international funding continually monitors MPact communities, of our needs secured for the is that funding order toIn ensure PEPFAR • • • • This year, MPact: Developed a plan to monitor the roll-out of the criminalizing contexts halting of this initiative among key populations until guidelines were developed to monitor its adverse in effects odme te .. urm Cuts eiin o pod PEPFAR’s uphold to decision requirement to receive funding Court’s Supreme U.S. the Condemned of investments by country, interviews with grant recipients, forum discussions and with activists Wrote a letter of concern to PEPFAR in response to its emphasis on in Eswatini, Cote Plans d’Ivoire, Operating Tanzania,Country Zimbabwe Kenya and Published a series of webinars, publications, and tips to prepare key population advocates for the Key Populations Investment Fund (KPIF) Fund Investment Populations Key index testing nipottto lyly oath loyalty anti-prostitution which resulted in an immediate immediate an in resulted which including a desk review 2020 PEPFAR as a 16 | MPact 2020 Annual Report . , and byaffected HIV, disproportionately populations most addressing key the focusfunding on programs and this institution’s ensures that Fund The Global advocacyOur at The Global Fund The Global

• • • • This year, MPact: Led a consortium of partners from partners of consortium a Led engagement of organizations community-based in the development of future funding requests for HIV, TB, and Malaria Provided in-depth technical assistance to advocates in , Belize, Madagascar and Mauritius to support the organizations interested how in understanding to access funding. and activists by times 200 than more downloaded been has This policies. and institution’sguidance latest the reflect development conceptnote the in were included gay men that including planning financing ensuring Released an updated version of the the of version updated an Released Fundin Global mechanisms of uptake the for support increased advocatefor toGeneva in meetings Attended in preparation for sustainability, transition, and co- and sustainability,transition, for preparation in regions 7 across countries 27 omnt Laesi ad cin Collaborative’s Action and Leadership Community community-based monitoringcommunity-based lbl ud Toolkit Fund Global for 2021-2023 for meaningful meaningful to to

17 | MPact 2020 Annual Report why this year MPact: community- ofglobal initiatives for HIV care and treatment. That’s importance up scaling and out rolling to approaches centered the to call to opportunity attention key a is Nations United The • • • of COVID-19 communities our on regarding Identity impact the Gender and Discrimination Sexual on based Orientation Protection on Expert Against Violence and Independent toSubmitted inputs U.N. the Forum Level High virtual the Political society to parallel submitted be reports to Republic Nigeria and to produce civil activists in Malawi,Supported Kyrgyz the implementation Goal Reviews National Voluntary the in populations of keyassistance to inclusion ensure the Organized awebinar provided and technical UN Partners UN (VNR) of Sustainable Development of (VNR) Sustainable young men. As part of our first first our in thisactions committee, MPact: of part As men. young facing issues on emphasis a special with men, bisexual and gay of rights and health the on toUNAIDS body advisory official an also now is Committee Steering MPact The • • development process to strategy UNAIDS the bisexual contribute can men how on gay of and guidance issuedaset and comments, provided discussions, Conducted focus group estimations. resource and needs impact, for 2025 target setting, services health other with of HIV integration the on Participated in consultations

Country Spotlights

Our grassroots partners are the backbone of our advocacy, because they are the ones who know best what their communities need. We work with local community-based organizations and help them grow their programs and expand their capacity to bring their innovative initiatives to life. MPact 2020 Annual Report | 18 19 | MPact 2020 Annual Report about the needs of young needs the about key populations. region their in policymakers inform to evidence base an create to and advocacy campaigns, develop to public health, sexual for programs tailor Vietnam’s interventions for in use their countries. of This exchangefuture multi-regional design will the all help three groups inform organizations in Ukraine users’ Kenya in drug young sex young with work with activists and webinars Lighthouse presented of online in aseries their findings in their region. others have than worked health sexual for better why interventions some about more learn to allowed them which data collected sex and including gay who people drugs, use workers men, between 24. Through of and ages aseries the 16 of interviews they focus and groups, This year, by began documenting sexual local Lighthouse’s Project” Free interventions health and “Young, Wild for young key populations programs for communities. our participatory in using community-based of research MPact to partner along-time been inform has better Enterprise Social Lighthouse Vietnam . The sharing sessions encouraged MPact partners in Kenya. The sharing sessions encouraged partners MPact Ukraine to and this use information and adapt, to adopt, Using Research to Improve Research Using for Youth Programs

20 | MPact 2020 Annual Report Creating Safe Spaces and HIV Services HIV Safe Spaces and Creating services to ensure their rights safety are protected. and outreach workers even referred to people other organizations for legal &STI prevention strategies HIV other and these on counselors peers are distributing these resources, their they also educate other known and cruising While trained saunas, the spots. parks, gardens, Peer-to-peer counselors education outreach do project. and in public ofgay their prevention HIV bisexual part as and in Dushanbe men to lubricants and condoms also distributes partner in-country Our sexualaccess other important and topics. health treatment, quality The group´s discussions living learn participants help about with HIV, how to anyone seekingto discuss build community and experiences. their personal by HIV affected and with living people as experiences their At to are participants able these meetings, share for gay bisexual and in their meetings region. men group support monthly in Tajikstan partner local our (who wishes to remain anonymous) hosts Initiative Gaps the of Bridging the part as from MPact the With support are scarcemen issues of and security are of utmost concern. acriminalizedIn setting Tajikistan, such as resources for gay bisexual and Tajikistan . This group provides asafe space for . In some instances, some instances, . In , 21 | MPact 2020 Annual Report with partners around the globe. the around with partners comprehensive social training media program which utilized be be can will continue 2021 throughout culminate and development in the of a fororganizations. nonprofit trainingsThe creation content for practices were best also developed and strategies to media discuss social additionIn to this personalized technical assistance, two trainings virtual per platform average an of 75.7% with growth platforms multiple followers across to these organizations, they have collectively over gained 1800 months began sinceassistancefour offering first MPact technical the howon they social use web and platforms for their advocacy work. In Voice and Voices Pride, of of Our Our House HealthPlus4Men, Hope, conducted individual MPact coaching aresult, As sessions with of Rock skills knowledge and of advocacy for purposes how to media social use organizationsbased in Eswatini indicated their interest to increase their Program Leadership and Empowerment Population toand mobilize of Key- the educate part and communities. As Social is apowerful media tool to generate for services health demand Eswatini . , four community- Community Mobilization through Social Media Social through Mobilization Community . 22 | MPact 2020 Annual Report 2020Financials 2020 REVENUE: $3,533,926 US $3,533,926 2020 REVENUE: Services $17,168 (1%) Services & Goods Contributed $2,395,047 Revenue Grant $81,396 (2%) $81,396 Revenue Other $1,040,315 Revenue Contributed Download our full 2020 Financial Report here Report 2020 Financial full our Download ( ( 29% 68% ) ) 2020 EXPENSES: $3,683,440 US $3,683,440 2020 EXPENSES: $1,415,104 Benefits and Wages Salaries, $145,568 ( $145,568 Travel &Training $109,554 &Overhead Rent $1,959,756 $1,959,756 & Subgrants Services Contracted ( $53,458 &Legal Accounting ( 2% 4% 3% ( ( 38% 53% ) ) ) ) )

23 | MPact 2020 Annual Report Senior Policy Advisor Policy Senior Leonelli Stephen Senior. Hicks Accountant Sherrie Advocacy Coordinator Fabian Angel &Operations Finance of Director Catanes May Lily Advisor Technical Senior Baños Omar Executive Ayala Director George Advisor Research Senior Arreola Sonya STAFF Mauritius Fokeerbux Ahmad Najeeb Jamaica Murray Glenroy Indonesia Sarbini Firmansyah Morocco Mellouk Othman Australia Baxter Don STEERING COMMITTEE USA Goldman Robyn Mauritius Fokeerbux Ahmad Najeeb Mexico León de García Carlos Australia Baxter Don BOARD DIRECTORS OF Foundation AIDS John Elton Gaps The Bridging AVAC APLA Health Aidsfonds FUNDERS MAJOR Without: WorkThe Possible Be Wouldn’t of MPact Thank You!Thank Lazy Bear Fund Bear Lazy Fund Global The Gilead AIDS Frontline FHI360

Jorge Saavedra Mexico Saavedra Jorge Thailand Rendon Inad Lebanon Ballan Elie Kyrgyzstan Orsekov Daniyar USA Hursey Devin Morocco Mellouk Othman Lebanon Kerboghossian Boghos Julian Tanzania Kashiha John USA Howell Sean Community Mobilization Manager Mobilization Tohme Community Johnny Officer Communications Senior Tartaglione Gregory Director Executive Interim & Programs Health Public of Director Sundararaj Mohan Policy of Director Rafif Nadia Manager &Contracts Operations McGraw Johanasies Robert Carr Fund Carr Robert PITCH PEPFAR Netherlands the of Affairs Foreign of Ministry Peter “Trevor” Mwaniki Njoroge Kenya Njoroge Mwaniki “Trevor” Peter Nigeria Odum John Yadav India Guatam Paraguay Lopez Sergio Lebanon Kerboghossian Boghos Julian USA Thompson Craig Mexico Saavedra Jorge USA Perkowski Peter Kyrgyzstan Orsekov Daniar

World Health Organization Health World Healthcare VIIV USAID UNAIDS

24 | MPact 2020 Annual Report new to approaches serve global gay the community. to take advocacy our to new to heights and identify steering and staff, board, committee are prepared executive of leadership Dr. Spieldenner Andrew moves MPact As into next our chapter the under greatestMPact’s successes. qualitiesare that outstanding have under-pinned persistence and perseverance goals achieving and in persistence unwavering power’,his to and truth ‘speaking advocacy fearless his determination, steely his vision, that it is today. clear-sighted George’s network influential the advocates of and experts akey been has George driver to in building MPact of2020. executiveposition MPact’s as director in September mission vision, Dr. and MPact’s Ayala George his left After over sixteen years of tireless dedication to Ayala of George Work The Celebrating , our , our

in his farewell his in message –Dr. Ayala ever!” as important vitally as remains MPact founding, since its a decade over After rights. human and health promote their workingmen to gay bisexual and movement of served aglobal toproud have privilegedand grateful, feel “I

25 | MPact 2020 Annual Report over 60 countries. work our in to continue allow us contributions Your world. the around gay men supporting youThank for Donate Now!Donate