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Description:However, access varies greatly between regions and within countries. In 13 countries including Iran, Sudan, Saudi Arabia, Yemen and parts of Nigeria and Somalia, homosexuality is punishable by the death penalty. In recognition of this, in , a group of international agencies and non-governmental organisations NGOs released a tool for use by public health officials, HIV and STI programmes officials, NGOs both international and community-based and health workers. Condoms and lubricants One of the most important prevention responses is to make high-quality condoms, along with water-based lubricants, available and accessible to men who have sex with men. The Blue Sky Club is a civil society group in Vietnam that provides 'edutainment' events in local bars and clubs, combining HIV education and condom distribution with entertainment, which are well received by local men who have sex with men. This can make it harder to cope with aspects of HIV such as adherence to medication.