title: Low sustainability, poor governance, and other challenges encountered by grassroots non-governmental organizations targeting HIV prevention for men who have sex with men in China - a nation-wide study.
abstract: Grassroots non-governmental organizations (NGOs) played pivotal roles in HIV prevention among men who have sex with men (MSM) in China. Their governance and sustainability issues were under-studied. This nation-wide study surveyed leaders of 202 of the HIV related NGOs in China.58.4% of the leaders believed that their NGO would last for ≤5 years; which was negatively associated with perceived good relationship with CDC. 65.3% mentioned ≥3 non-sustainability issues; associated factors included perceived inadequacies in prevention skills, management skills, policy support, technical support, operational support, and CDC's support; a reverse association was found for frequent collaboration with organizations in China. 30.6% of the leaders mentioned ≥7 governance issues; a stepwise model found a positive association with having no office and negative associations with number of full-time staff and core volunteers. These problems would severely limit the effectiveness of HIV prevention among MSM. Related improvements and support are warranted.
authors.affiliation: a Centre for Health Behaviours Research , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong SAR , China.|b Shenzhen Research Institute, The Chinese University of Hong Kong , Shenzhen , China.|c Centre for Medical Anthropology and Behavioral Health , Sun Yat-sen University , Guangzhou , China.
authors.forename: Joseph T F
authors.initials: JTF
authors.lastname: Lau
authors.affiliation: a Centre for Health Behaviours Research , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong SAR , China.|b Shenzhen Research Institute, The Chinese University of Hong Kong , Shenzhen , China.
authors.forename: Zixin
authors.initials: Z
authors.lastname: Wang
authors.affiliation: a Centre for Health Behaviours Research , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong SAR , China.
authors.forename: Yoona
authors.initials: Y
authors.lastname: Kim
authors.affiliation: a Centre for Health Behaviours Research , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong SAR , China.
authors.forename: Jinghua
authors.initials: J
authors.lastname: Li
authors.affiliation: d School of Public Health , Sun Yat-sen University , Guangzhou , China.
authors.forename: Jing
authors.initials: J
authors.lastname: Gu
authors.affiliation: a Centre for Health Behaviours Research , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong SAR , China.
authors.forename: Phoenix K H
authors.initials: PKH
authors.lastname: Mo
authors.affiliation: e Chengdu Tongle Health Consulting Service Center , Chengdu , China.
authors.forename: Xiaodong
authors.initials: X
authors.lastname: Wang
mesh_terms: D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D002681:China; D003695:Delivery of Health Care / Q000458:organization & administration*; D017598:Efficiency, Organizational; D015658:HIV Infections / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009938:Organizations; D012309:Risk-Taking; D000072339:Sexual and Gender Minorities
keywords: Grassroots non-governmental organization; HIV prevention; governance; men who have sex with men; sustainability