We describe as structural any intervention targeted at the people with an inﬂuence over the lives of gay men, bisexual men and other MSM, rather than directly at the men themselves. Targets for structural interventions include organisations and their staff; policy makers and other key decision-makers; service commissioners;and researchers and research funders.
Community development is about commitment to equality through the establishment of sustainable networks of social, physical and emotional support.
Influencing policy can occur at a local, regional or a national level. This framework advocates the approach that if you feel something would be better if it were changed, you need to commit to being a positive force to ensure that change occurs.