The MSM Services Self-Assessment A tool to help you achieve health equity for gay, bisexual, and other men who have sex with men*. The MSM Services Self-Assessment is a voluntary, self-administered questionnaire to help achieve MSM health equity within state/city/local public health jurisdictions. This five-minute self-assessment is meant to gauge how far along your health department is in reaching health equity for gay/bi men and MSM. The assessment is also meant to encourage collaboration and connect you with peers in other jurisdictions to learn about the work they are doing in the different areas. The assessment was created with the input of NCSD members who participate in the MSM Advisory Committee. Recognizing that MSM health equity can often be difficult and challenging to quantify and measure, the purpose of this tool is to act as a vehicle to prompt health departments to conduct their own self-assessments. What you do with your results is up to you. Perhaps share the good news with internal and external partners. Or alternately, use your grade as an opportunity to facilitate internal and/or external conversations regarding gaps and weaknesses in MSM health equity that results in policy development, systems changes, redistribution of funding, and other programmatic improvements. Although the bar has been set high, your willingness in completing the tool demonstrates an important first step in addressing MSM health equity. Have questions? Want to be added to the contact list? Contact Neil Rana at NCSD. We welcome your feedback! *For the purpose of this document "MSM" includes all men who have sex with other men regardless of how they self-identify.Enhancing Health Department Data EnvironmentsDoes your jurisdiction use local sexual orientation and gender identity data from the Youth Risk Behavioral Survey (YRBS)? We collect, but we do not monitor or evaluate these data We use these data to guide programmatic decision making We do not collect these data We collect, monitor and evaluate these data Does your jurisdiction use local sexual orientation and gender identity data from the Behavioral Risk Factor Surveillance System (BRFSS)? We do not collect these data We use these data to guide programmatic decision making We collect, monitor and evaluate these data We collect, but we do not monitor or evaluate these data Does your jurisdiction evaluate syphilis partner services outcomes for MSM? We do not evaluate partner services outcomes by gender of sex partners We do evaluate partner services outcomes by gender of sex partners We use these outcomes to guide programmatic decision making We monitor and evaluate these outcomes over time Does your jurisdiction collect gender of sex partners for reported syphilis cases? We attempt to collect this information on case report forms Yes we collect this information on all case reports We do not collect this information We only collect this information on interviewed cases We also collect this information on field records Does your jurisdiction collect gender of sex partners for reported chlamydia and gonorrhea cases? Yes we collect this information on all case reports We attempt to collect this information on case report forms We do not collect this information We also collect this information on field records We only collect this information on interviewed cases Do you calculate syphilis incidence rates among MSM? We calculate these rates based on locally derived MSM population estimates We do not calculate these rates We calculate these rates based on published MSM population estimates We calculate these rates and use them for resource allocation Do you calculate chlamydia and gonorrhea incidence rates among MSM? We calculate these rates based on locally derived MSM population estimates We calculate these rates and use them for resource allocation We calculate these rates based on published MSM population estimates We do not calculate these rates Does your jurisdiction collect site of chlamydial and gonorrhea infections (urogenital, pharyngeal, and rectal)? We use this information to guide programmatic decision making We do not collect this information We collect, monitor and evaluate this information We collect, but we do not monitor and evaluate this information Providing Relevant Health InformationDoes your jurisdiction's health department website include culturally competent information for MSM related to HIV/STD transmission, PrEP/PEP, testing sites, treatment options, condom use, drug/alcohol use, and anal/oral sex? No information specifically for MSM/no website We have a website that addresses 1 of these things Our jurisdiction has a web page designated specifically for MSM that includes all of this information We have a website that addreses 4-5 of these things We have a website that addresses 2-3 of these things Does your jurisdiction keep and distribute an updated list of LGBTQ-friendly health providers in the area? We keep a list, distribute it to partners, and continually assess providers We keep a list in our office and distribute it to partners We keep and share a list of providers, have evaluated each of them and know the services they offer We do keep a list in our office We do not do this Does your jurisdiction have LGBTQ safety net STD testing options? We can provide or link to these services for STDs and includes extragenital STD screening We can provide or link to these services for STDs, including syphilis screening We can provide or link to these services for HIV We can provide or link to these services for STDs We do not Does your jurisdiction use online dating/hook-up apps/websites/social media for your STD partner services program? We do not currently, but are actively trying to train our staff to do so We use one or more of these platforms to perform outreach We do not use either platforms We use one or more of these platforms to provide partner services We use one or more of these platforms primarily for education purposes Providing Relevant ServicesHow does your jurisdiction encourage extragenital testing for MSM? It's done through our direct services We provide education and outreach for our partners to conduct it We monitor and evaluate extragenital screening among our Ryan White providers We do not encourage it Are PrEP providers in your jurisdiction practicing appropriate preventive medicine? They are routinely doing STD testing, including exposed extragenital sites We don't know They are routinely doing STD testing, including exposed extragenital sites, and providing appropriate immunizations (HPV, hepatitis B, hepatitis A, etc.) They are routinely doing STD testing What degree of cultural competency regarding MSM health and well-being training does your jurisdiction require? My jurisdiction does not conduct cultural competency training My jurisdiction conducts voluntary cultural competency training that includes MSM health and well-being My jurisdciton conducts regular or/and required cultural competency training that includes MSM health and well-being My jurisdiction conducts competency training that does not include MSM health and well-being My jurisdiction conducts irregular cultural competency training that includes MSM health and well-being Do you have a MSM subject matter expert on staff? We do not Our staff subject matter expert provides technical assistance for outside organizations We have a subject matter expert on staff We use an outside subject matter expert Does your health department solicit input from the MSM community related to the quality of your MSM programming? We routinely do it and use the feedback to improve our services We do not We routinely do it We have done it once Do the internal policies in place at your health department protect staff based on sexual orientation and gender identity? We are currently working on instituting these policies We have instituted policies that protect staff based on sexual orientation We do not have these policies in place We have instituted policies that protect staff based on sexual orientation AND gender identity Among MSM STD cases assigned to partner services, are DIS referring for PrEP? All DIS promote PrEP for all MSM STD cases, link them to PrEP providers, and capture this electronically Some DIS actively promote PrEP for all MSM STD Cases All DIS promote PrEP for all MSM STD cases No they are not Δ