Table 1.

District-level intended Avahan coverage and intervention in Maharashtra for high-risk men who have sex with men and transgendered persons (HR-MSM/TG)

Districts	District population1(thousands)	Estimated size of HR-MSM/TG in districts2	Avahan intended coverage3	History/type of intervention coverage*	IBBA samplea
					Round 1	Round 2
Ahmednagar	4,088	534	100%	First and solo
Beed	2,161	791	84%	First and solo
Jalgaon	3,679	594	100%	First and solo
Kolhapur	3,515	596	100%	First and solo
Latur	2,080	256	48%	First and solo
Mumbai	13,830	14,266	21%	Not first and minor	400+	373+
Thane	8,131	800	12%	No Avahan intervention
Nandurbar	1,309	41	100%	First and solo
Nashik	4,993	172	100%	First and solo
Parbhani	1,527	202	100%	First and solo
Pune	9,924	3,200	100%	Not first but solo	253	279
Sangli	2,583	400	54%	Not first but solo
Satara	2,796	185	37%	First and solo
Solapur	3,849	1,001	50%	Not first and only clinical services
Yavatmal	2,460	204	100%	First and solo

Sources: 1) Census 2001; 2) District mapping data; 3) Avahan’s computerized monitoring and information system (CMIS) 2009.

*First and solo: 1) Prior to Avahan (i.e., 2003), when there was no intervention for MSM/TG; 2) Avahan was the only intervention in the district.

Not first but major: Prior to Avahan (i.e., 2003), when MSM interventions existed; currently Avahan covers more than 50% of the mapped HR-MSM/TG population in the district.

Not first but equal: Prior to Avahan (i.e., 2003), when MSM interventions existed; currently Avahan covers 30–50% of the mapped MSM population in the district.

Not first and only clinical services: Prior to Avahan (i.e., 2003), when MSM interventions existed; Avahan provides only clinical services in the district.

+Mumbai and Thane were together considered one domain for sampling.

^aIBBA: Integrated behavioral and biological assessment.