Its good that you have said that we imagine because in my country even thinking about homosexuality is a taboo. MSM are really stigmatized to the last dot. but back on the point to avoid this occurrence the community stakeholders , the CAB, the media they have to be involved from the word go. The religious leaders have to be informed as well because they also play a bigrolein research.the study team has to be prepared to provide regular pyscho social support to MSM becuse they gothrough alot of stigma and regular couselling is crucial.