Most MSM do not want to go for treatment for HIV because confidentiality is broken so often by doctors, nurses and hospital staff. It’s worse with sexual minorities – health care professionals will disclose openly who is MSM and who is HIV-positive. Most people will just keep things to themselves until they are too weak and sick to go on without care.

Communities of lesbian, gay, bisexual, and transgender (LGBT) people exist in every country around the world, whether they are easily visible or not. In many places, they are engaged in a struggle to secure basic human rights and access to healthcare. Members of LGBT communities often face extreme stigma, discrimination, and violence at the individual, community, and structural level. Not only does this result in human rights violations against LGBT people, it also impedes our access to live-saving HIV services.
Nearly 80 countries currently criminalize homosexuality, with 7 countries including the death sentence for such acts;
Recent research has estimated that HIV prevalence among gay men and other MSM is as high as 15% in South Asia, 18% in sub-Saharan Africa, 15% in Latin America, 25% in the Caribbean, and 6.6% in Eastern Europe and Central Asia;
Due to stigma, discrimination, and criminalization, the HIV epidemic among MSM continues to go largely unaddressed in many countries. As of December 2011, 93 countries had failed to report any data on HIV prevalence among MSM over the previous 5 years, and reports indicate that less than 2% of global HIV prevention funding is directed toward MSM. 
Despite an urgent need for intervention, research indicates that less than 10% of gay men and other MSM around the world have access to HIV prevention services. Findings from the 2012 Global Men’s Health and Rights Study (GMHR), a multilingual online survey of over 6,000 men who have sex with men (MSM) from more than 160 countries, show that structural barriers like homophobia, violence, and criminalization of homosexuality play a significant role in blocking access to HIV services for MSM;
Transgender populations around the world face HIV prevalence rates of between 8% and 68%; very little data exists on access to HIV services among these groups.
Bridging the Gaps – Working with and for Lesbian, Gay, Bisexual, and Transgender Communities by 
Organizing community empowerment activities;
Providing services that meet the specific needs of LGBT;
Lobbying and advocating for the protection of LGBT rights to ensure full access to public health care.