Making it count 4 is a strategic framework for working with gay, bisexual and all men who have sex with men (MSM) in England. Since 1998, there have been three previous versions, and this is the latest in a series of high quality, well researched and evidenced based strategic frameworks. It has been approved by the Department of Health and has been written collaboratively by CHAPS partners and is authored by Sigma research. This strategy was launched on March 8th 2011 at the annual CHAPS conference in Manchester and was introduced by Dr Ford Hickson of Sigma Research. Making it Count is the framework underpinning the CHAPS partnership and will be followed with more briefing sheets as well as an interactive field guide to Making it count, which is the absolute ‘how to’ guide for MSM health promotion.


Making it count 4 is a statement of our intent to positively work with men who have sex with men (MSM). We will increase the motivation and power that enable men to make precautionary choices about the sex they have. Making it count is also a statement of both intent and action for a host of highly reputable third sector agencies across England and Making it Count is a genuinely collaborative effort by these agencies. New to the strategy are the 10 choices which will enable health promotion providers a framework for managing risk, choice and sexual behaviour with MSM. Making it Count training for professionals will soon be coming to the South West and will be hosted jointly by The Eddystone Trust and Terrence Higgins Trust.

For details about this training, or for more information about CHAPS, please contact [email protected] or call 0800 328 3508

Choice 1 Have an STI check-up for sexually transmitted infections before the ext sexual partner (including HIV if you have not already been tested for this.) OR Take no action
Choice 2 (when men have diagnosed HIV infection) Take antiretroviral treatment. OR Not
Choice 3 (when men have an opportunity for a new partner) Decline or defer the next opportunity for sex with a new partner.  OR Have sex with new partner at next opportunity
Choice 4 Telling partners about HIV / STI status OR Saying nothing or misleading about HIV / STI status
Choice 5 (if men have a regular sexual partner) Monogamous relationship - only have sex with each other OR Sexually open ralationship, also have sex with other people
Choice 6 (if men have sex) Kissing, rubbing, masterbating, fallatio (i.e. sex other than anal intercourse) OR Have anal intercourse (as well as other kinds of sex)
Choice 7 (if men having anal intercourse) Using condom and lubricant for anal itercourse OR Not using a condom and lubricant for anal intercourse
Choice 8 (if men have anal intercourse or fallatio without a condom) Ejaculate outside the body OR Ejaculate inside the mouth or rectum
Choice 9 (if men have receptive anal intercourse) Avoiding poppers during receptive anal intercourse OR Using poppers during receptive anal intercourse
Choice 10 Swiftly seek post-exposure prophylaxis OR Do nothing