Guest 1 on the line: Thulani Grenville Greyʼs is a Master Trainer for the Coach Mpilo Project with Matchboxology and Population Services International (PSI)
Social conversations: The Coach Mpilo programme: Men helping other men navigate life with HIV
In the forty years since the first case of HIV was detected in South Africa, the country has made tremendous progress in helping people to get tested and have access to treatment. At the same time, there are still an estimated 2.2 million people who have HIV but are not on treatment. Men have been particularly hard to reach—only 64% of men with HIV in South Africa are currently on treatment.
With funding from the Bill & Melinda Gates Foundation, the Mpilo Project has been working since 2017 to understand what it is that makes it particularly difficult for men to test for HIV and to start and stay on treatment if positive.
The project started by talking with more than 2000 men, with the aim of understanding the situation through their eyes. A key insight from the research with men is that their attitudes about HIV are far more dynamic and complex than we may realise, with myths and misperceptions abounding.
We found in particular that,
• We often assume men are unconcerned about HIV. The reality is that HIV leaves many men anxious and afraid, to the point of paralysis.
• We often assume men do not want support or are even incapable of accepting it. The reality is that most men are hungry for support in coping with an HIV diagnosis but see no sources of support that feel safe or relatable.
• We assume everyone knows that HIV is no longer a death sentence. The reality is that many men still do not believe it is possible to live a long, happy, healthy life with HIV.