ABSTRACT
It has been just over 10 years since the first large behavioral survey of men who have sex with men (MSM) was implemented in Senegal in 2001. Since then; behavioral and/or HIV prevalence surveys have been conducted in over 14 other countries in sub- Saharan Africa. Current available evidence and review have established that HIV prevalence among MSM in these countries are significantly higher than corresponding general populations; that MSM engage in sexual risk behaviors that place them and sexual partners at higher risk; and that issues of discrimination and stigmatization inhibit HIV interventions for MSM. This paper summarizes the existing knowledge; describes limitations of this evidence; and proposes new and enhanced research approaches to fulfill needed gaps to inform national HIV responses for MSM populations