In collaboration with various community-based organizations, APN+ conducted a peer-led mixed method research project in six Asian countries to document the range of services available for MSM and transgender people living with HIV and to identify barriers to access and use of these services. Findings from peer-led Focus group discussions are analyzed and remain the main thrust of this report. The primary objective of this report is to explore the dynamic interplay between structural barriers and local socio-cultural environments, and how together these factors influence treatment access for MSM.