Many Men, Many Voices (3MV) is a group-level intervention program held over 7 sessions to prevent HIV and sexually transmitted infections (STIs) among Black men who have sex with men (MSM) who may or may not identify themselves as gay. The intervention addresses factors that influence the behavior of Black MSM including cultural, social, and religious norms, interactions between HIV and other STIs, sexual relationship dynamics, and the social influences that racism and homophobia have on HIV risk behaviors.

3MV is designed to be facilitated by a peer with groups of 6-12 people. The 2- to 3-hour sessions aim to foster positive self-image, educate participants about their STI/HIV risks, and teach risk reduction, and partner communication skills. The sessions are hands-on, incorporating group exercises, behavioral skills practice, group discussions, and role plays. 3MV can be expanded into 12 sessions, up to 90 minutes for each or condensed into a weekend retreat, covering the 21-hour curriculum.

Outcomes

According to the Centers for Disease Control and Prevention's (CDC) Effective Intervention fact sheet, after implementation of the original intervention (12 sessions of 75-90 minutes each), 3MV participants reduced their frequency of unprotected anal intercourse and increased their use of condoms significantly more than men who did not participate.

Core Components

Site Activities

  • Enhance self-esteem related to racial identity and sexual behavior
  • Educate clients about HIV risk and relationship to personal behavior
  • Educate clients about interactions between HIV and STIs and relationship to personal behavior
  • Develop risk reduction strategies
  • Build a menu of behavioral options for HIV and STI risk reduction, including those that one can act on individually and those that require partner involvement
  • Train on risk reduction behavioral skills
  • Enhance self-efficacy related to behavioral skills
  • Train on partner communication and negotiation
  • Provide social support and relapse prevention

Participant Activities

  • Promote risk reduction strategies, such as testing and screening for HIV and STIs, and increasing condom use

Basic Training

Level 1 training should be attended by intervention facilitators. Supervisors, executive directors, and grant monitors who will not facilitate a session may attend a Level 2 training. They may also request an overview presentation of the intervention rather than attend the training.

Organizations can request free capacity building assistance (CBA) through the CBA Request Information System (CRIS). CBA is training, technical assistance (TA), and technology transfer to individuals, communities, community–based organizations, and health departments.

Implementation materials, including facilitator's guide and PowerPoint, handouts, M&E tools, retreat guidance, TA guide, materials, and, manual are available through CDC's Effective Intervention page and can be downloaded for free.

 

Page last updated: January 2018