Table 1. Summary of the Three Single-Level Interventions for the proposed study.

Intervention	Level	Modality	Sessions	Length (Mins)
Health Policy Plus (HP+)-Total Facility approach	Health Facility	Participatory Group Training using: Discussion Small group work Buzz groups Card storms Case Studies Role Plays/ Drama Rotational brainstorms Picture tools	1. Naming stigma through pictures 2. Stigma reflection 3. Confidentiality and stigma 4. Analyzing stigma in health facilities 5. Fears about non-sexual HIV transmission/ quantity, quality, and route of entry 6. Overcoming fear with standard precautions 7. Breaking the sex ice 8. Gender and sexual diversity (GSD) concepts 9. GSD terminology 10. How stigma impacts human rights 11. Panel discussion with people living with HIV 12. Challenge the stigma—be the change! 13. Writing a code of practice and action plan	60
				75
				60
				45
				60
				45
				20
				60
				30
				60
				60
				45
				120
Many Men, Many	Peer-	Group Sessions using: Brainstorms Role Play Small group activity Paired work Develop menu of prevention options Action planning	1. Ghanaian MSM and dual identity 2. HIV/STD prevention for Ghanaian MSM: the roles and risks for tops and bottoms 3. HIV/STD risk assessment and prevention options 4. Intentions to act and capacity for change 5. Relationship issues: Partner selection, communication, and negotiation of roles for Ghanaian MSM 6. Social support and problem solving to maintain change 7. Building bridges and community	140
Voices /3MV	Group			210
adaptation for Ghana-
Nyansapo				110
				170
				140
				125
				130
HIV Empathy,	Individual	One-on-one	Peer mentors reach out to MSM participants for	varies
Education &		phone-based	informal discussion on affirming identities,
Empowerment/HIVE3		contact, text or voice	information regarding HIV prevention and testing and offering emotional support