Making it Count (MiC) is a collaborative planning framework to minimise the incidence of HIV infection during sex between men. It was written and compiled by Ford Hickson (Sigma Research) on behalf of, guided by and with assistance from all other CHAPS partners. Peter Weatherburn (Sigma Research) edited and proofed the printed document published in March 2011 and designed and oversaw the development of this website.
Parts of this website - most notably the blue-button main menu items MSM interventions; Structural targets and aims; and Structural interventions - were not part of the printed version of MiC 4 published in March 2011. They are based on updated content from The Fieldguide which was published in 2003 as a implementation action guide to accompany the third edition of MiC. Updating these sections was undertaken by Peter Weatherburn and Will Nutland (London School of Hygiene & Tropical Medicine) with the help of members of the CHAPS Sector Development & Leadership sub-group.
CHAPS was an England-wide, collaborative programme of HIV health promotion for men who have sex with men (MSM), delivered in conjunction with an integrated evaluation and development programme. It was funded by the Department of Health and co-ordinated by Terrence Higgins Trust from November 1997 to June 2012. The programme consisted of national interventions intended to benefit MSM across England. It included interventions targeted at men who may have sex with men (including national mass media and small media and online interventions) and interventions targeted at others who have influence over men who have sex (such as the sexual health workforce). HIV health promoters developed these interventions collaboratively as part of the CHAPS Partnership.
From April 2010 to June 202 the CHAPS Partnership included the following agencies:
- Terrence Higgins Trust
- Sigma Research @ London School of Hygiene & Tropical Medicine (Research & Development)
- Yorkshire & Humber: Yorkshire MESMAC
- North West: Lesbian & Gay Foundation
- West Midlands: Healthy Gay Life with Terrence Higgins Trust Midlands
- East Midlands: TRADE Sexual Health
- East of England: Terrence Higgins Trust East
- London: The Metro Centre with Terrence Higgins Trust London
- South East Coast: Terrence Higgins Trust South
- South Central: Terrence Higgins Trust South East
- South West: The Eddystone Trust with Terrence Higgins Trust West
These agencies had many years of experience working with MSM and a robust understanding of the lives of MSM. In addition we have drawn on research in the UK and internationally. This research covers the context of men’s sexual lives, the social and behavioural context in which transmission is occurring, the nature of HIV precaution needs and the extent to which they are met, and the performance of a range of interventions to meet these needs.
The framework has been developed in stages building on the first three editions of Making it Count, published in 1998, 2000 and 2003. We stated very broadly what we believe to be the case about HIV prevention and MSM. We then progressively expanded this statement, ensuring we were still in agreement with what was stated at each stage. The theoretical basis for Making it Count incorporates social marketing into our existing health promotion framework.
We have drawn on a number of formal theories and a wide range of sources of knowledge to plan our response to HIV. The framework links together a number of theories, including: the theory that the disease syndrome AIDS is caused by the virus HIV; the theory that HIV is being transmitted during sex between men; that sexual mixing and sexual behaviours are influenced by knowledge, will and power; and the theory that knowledge, will and power can be influenced through health promotion and other interventions. Our approach is therefore simultaneously focussed on health outcomes, behaviours, needs and interventions.
In addition to the many staff and volunteers of the CHAPS partner agencies who through participation in discussion groups contributed to the development of Making it Count, it has greatly benefited from the attention of: Keith Alcorn (NAM); Sarah Aston (The Eddystone Trust); Yusef Azad (National AIDS Trust); Michael Bell (MBARC); Marie-Claude Boily (Imperial College London); Chris Bonell (London School of Hygiene & Tropical Medicine); Adam Bourne (Sigma Research); Peter Boyle (Lesbian & Gay Foundation); Nigel Burbidge (Healthy Gay Life); Sima Chaudhury (Croydon Primary Care Trust); Sam Cunningham (Terrence Higgins Trust); Robbie Currie (Department of Health); Paul Dobb (Terrence Higgins Trust); Catherine Dodds (Sigma Research); Tom Doyle; (Yorkshire MESMAC); Justin Harbottle (Terrence Higgins Trust South); Ellen Hill (Yorkshire MESMAC); Ewan Jenkins (Westminster Primary Care Trust); Catherine Lowndes (Health Protection Agency); Scott Lupasko (The Metro Centre); Chris Morley (George House Trust); Gordon Mundie (Terrence Higgins Trust); Veronica Nall (TRADE Sexual Health); Simon Nelson (Terrence Higgins Trust West); Roger Pebody (NAM); Richard Scholey (Terrence Higgins Trust); Paul Steinberg (Lambeth Primary Care Trust); Patrick Stoakes (Terrence Higgins Trust South); Ian Watters (Bi-Furious); and Paul White (Armistead Project).