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This paper presents a synthesis of lessons learned from field experiences in HIV prevention, treatment and care services for men who have sex with men in the four contiguous West African countries of the Gambia, Guinea-Bissau, Guinea-Conakry and Senegal. Service provision for men who have sex with men in these countries is contextualised by the epidemiology of HIV, as well as the socio-political environment. These countries share notable commonalities in terms of social structures and culture, though past approaches to the needs of men who have sex with men have varied greatly. This synthesis includes three distinct components. The first focuses on what is known about HIV epidemiology among men who have sex with men in these countries and provides an overview of the data gaps affecting the quality of service provision. The second aspect describes the HIV prevention and treatment services currently available and how organisations and strategies have evolved in their approach to working with men who have sex with men. Finally, an examination of the political and cultural climate highlights socio-cultural factors that enable or impede HIV prevention and treatment efforts for men who have sex with men.
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Early in our relationship, I gave some thought to the question of whether I would ever be willing to marry a non-Mormon. Full respect and care. And occasionally I have queried the wisdom of that choice. To just see ourselves as support to our husband's "noble" ambitions. We can also save our errant children by our valiancy too. I am willing to add his religious observances to our worship as a couple and as a family, but should I also be willing to give up some of my participation in my own faith в for example by attending the temple or Sunday services slightly less often in order to spend more time as an entire family. Is it wrong not to. We've been together since he started medical school.
It is very difficult being a Doctors wife. Someday she may really regret everything, and miss you like crazy. I was the bishops' daughter who went to BYU but didn't go on a mission because I was already married with a 10 month old by my 21st birthday. This spotty attention from him makes me sure I want to end things sometime. He really was awful to women and should've come with a warning sticker. Is your spouse willing to give you up on Sundays, and half your weeknights.