Male-Only Vertical Clinics and Wellness Clinics

Description/Activities:  These are male only clinics operated by male only staff that offer adaptable services in order to increase medical male circumcision, HIV testing, ART initiation and retention in care, TB screening and early diagnosis, and STI management in sexually active men. Philandoda Male Wellness clinic was set up at the main taxi rank in Eshowe, with extended working hours from 8am-5pm on Saturdays. In Khayelitsha, Site B male was opened very close to a taxi rank and Kuyasa male clinic is situated very close to a bus and train station with the aim of reaching men who are reluctant to access conventional health services currently offered by DoH. Both Khayelitsha clinics are run by CoCT with support from MSF.  1 month refills are offered for new/unstable clients, whereas 2 month refills are offered for stable clients.

What Makes the Intervention Unique/Different:  takes a comprehensive approach to integration of other health needs into direct service delivery models – combining interventions such as after-hour clinics with community outreach, targeted testing, and congregate testing.

Impact Data:  In Khayelitsha, STI screening is the most common reason for men to access male services and the best opportunity to test them for HIV and offer other health related services. In Eshowe, based on self-reported answers, the main reason for men to attend the clinic was related to HIV testing and care.