Background Usage of the web for finding intimate companions is certainly increasing particularly among men who’ve sex with men (MSM). and element MET use features and HIV-related knowledge manners and attitudes among MSM connected with conference sex companions online. Methods MSM had been enrolled right into a cross-sectional research across two sites in Lesotho (N=530) and one in Swaziland (N=322) using respondent-driven sampling. Individuals completed a HIV and study tests. Data were examined using bivariate and multivariable logistic regression versions to determine which elements were connected with utilising the web to meet up sex companions among MSM. Outcomes The prevalence of online sex-seeking was high with 39.4% (209/530) of MSM in Lesotho and 43.8% (141/322) of MSM in Swaziland reporting meeting a fresh man sexual partner online. In the multivariable evaluation younger age group (adjusted odds percentage [aOR] 0.37 95 confidence period [CI] 0.27-0.50 per 5 years in Lesotho; aOR 0.68 95 CI 0.49-0.93 in Swaziland) having greater than a senior high school education (aOR 18.2 95 CI 7.09-46.62 in Lesotho; aOR 4.23 95 CI 2.07-8.63 in Swaziland) feeling scared to walk around in public areas (aOR 1.89 95 CI 1.00-3.56 in Lesotho; aOR 2.06 95 CI 1.23-3.46 in Swaziland) and higher amounts of male anal intercourse companions within days gone by a year (aOR 1.27 95 CI 1.01-1.59 per 5 companions in Lesotho; aOR 2.98 95 CI 1.51-5.89 in Swaziland) were significantly connected with meeting sex companions online in both countries. Extra country-specific organizations included increasing understanding of HIV transmission sense afraid to get health care solutions thinking that family gossiped and creating a common HIV disease among MSM in Lesotho. Conclusions General a high percentage of MSM in Lesotho and Swaziland reported conference male sex companions online as with other parts from the world. The info in this research may be used to tailor interventions or even to suggest settings of delivery of HIV avoidance messaging to these MSM who stand for a and extremely stigmatized group. These data claim that additional research KU-60019 evaluating the feasibility and acceptability of on-line interventions will become increasingly important to dealing with the HIV epidemic among MSM across sub-Saharan Africa.