1. A structural intervention promoting safer sex at Public Sex Venues in Amsterdam starting in 2000 International partner meeting Mexico Background Rising STIs figures amongst MSM in Amsterdam > syfilis > gonorrhea Evidence for more Unprotected Anal Intercourse (UAI) Reports of patrons about changing safer-sex norms at PSVs Limited availibility of condoms and lube at PSVs > having to pay for it > having to ask for it

4. Results & further planning International partner meeting Mexico Results: Agreements between Schorer and various PSVs Participating PSVs implemented & financed free condom & lube distribution on their premesis Several PSVs improved their hygiene and sanitary facilities Development of a “Safe Sex Zone” logo, written material & dispensers for condoms and lube Planning : Monitoring implementation agreements Seeking participation of more PSVs Programmed outreach & peer-led interventions >> social norms Facilitating / stimulation more public financing of condoms and/or lowering the costs for PSVs

5. Lessons learned International partner meeting Mexico Community-based structural interventions depend heavily on the involvement of partners Lobbying of partners is time-consuming and (a) essential (skill) for health promoters Starting top-down initiatives are sometimes necessary for starting up bottom-up development Free condom distribution improves condom use at PSVs (posterpresention)