Demonstrating Results of the "Responding to MARPs in the Middle East/North Africa Region" Project using the Most Significant Change Methodology


Prepared by the AIDSTAR-Two project, this report documents the main changes resulting from a regional prevention program designed to meet the sexual health and HIV prevention needs of men who have sex with men (MSM) in Algeria, Lebanon, Morocco and Tunisia. As part of this program, the “Most Significant Change” approach was used understand the changes generated by the program. This approach is a qualitative, participatory monitoring and evaluation method that aims to gather participants’ points of view (stories) and analyzes these stories to identify the key changes that occur during a project. 

The analysis presented here concluded that through the program:

  • MSM participants in the program have improved life skills, self-esteem and self-confidence
  • Access to prevention, care and support services has increased
  • Prevention-seeking behaviors have increased
  • Organizations working in HIV and AIDS have integrated MSM  into their staff, allowing them to transition from beneficiaries to full-fledged actors in the HIV response
  • Advocacy efforts to create an enabling environment are contributing to a greater awareness of MSM as a public health priority