Multi-site evaluation of an evidence-based HIV prevention intervention for men who have sex with men (MSM): Many man many voices (3MV)

Issue: The spread of HIV infection continues to be a challenge among MSM in the United States. 3MV is one of the first behavioral interventions shown efficacious in preventing HIV among black MSM in randomized trials, and the CDC has funded its implementation since 2004. Program monitoring can provide information on “real-world” implementation, including whether core elements were successfully implemented, and whether at-risk individuals from target populations were reached.

Description: Process monitoring of 3MV at three CBOs in NYC, New Orleans and Tampa was conducted. Out of 609 clients enrolled, the majority were black (69%) and 18-24 years old (77%). Unprotected sex was reported by 27%, while 12% reported multiple sex partners and unprotected sex at baseline. Contextual factors were explored for each CBO to determine common strengths and challenges. The implications for future evaluation and research studies are discussed.

Lessons learned: 1. CBOs were able to deliver the intervention to populations at high risk for HIV transmission. 2. Detailed monitoring of the intervention is necessary to evaluate intervention modifications, and to assess the potential impact on intervention effectiveness. 3. If established at the start of a project, a collaborative relationship between evaluation and program staff can support successful intervention monitoring.

Recommendations: Process monitoring of evidence-based interventions should be a routine component of program implementation as it gives an opportunity to monitor the quality of activities being conducted, and addresses challenges that may arise during the implementation process.