The successes of the HIV response are worth recalling to put in perspective both what has been gained and what could be lost. The past decades have brought life-prolonging antiretroviral therapy (ART) and essential supportive services to millions of persons living with HIV. However, there remain significant challenges to prevent new infections and deliver quality treatment effectively.
The Joep Lange Institute (JLI) believes there is a constant need to innovate the HIV response if we want to end AIDS completely. The project “Ensuring Efforts to Scale up, Strengthen and Sustain HIV Responses” was initiated in 2017 as a series of seven round-table meetings to address and discuss the most pressing issues in the HIV response. David Barr, a long time New York HIV treatment advocate, has coordinated this project on behalf of its three chairs: Mark Dybul, Lillian Mworeko and Nduku Kilonzo.
This project served as input for the Joep Lange Institute preconference at AIDS2018 titled “Meeting the 90-90-90 targets: faster and better” that will take place on Sunday July 22nd. For those who wish to attend this meeting, please register here.
These meetings are inspired by two similar sets of conventions on HIV/AIDS that Prof. Joep Lange and JLI board member Peter van Rooijen held in 2001 and 2002. They brought together people from policy, pharma, HIV communities and science to collectively address the lack of treatment options in many countries around the world.
As in the early 2000s, the current set of meetings brought together a group of people with diverse backgrounds. The premise of the recent gatherings is that the Fast-Track initiative is not sufficient on its own to end the epidemic. Together, the participants aimed to identify realistic, evidence-based options and solutions to combat challenges in the current HIV response. The reports below are the result of the conversations. We hope they inspire you, and all others that cooperate globally to end AIDS, to keep looking for new ways to prevent new infections and bring lifelong, quality health services for those in need. Presentations can be provided upon request per email.
- The Impact of Reduced Funding for the HIV Response – 6-7 September 2017
This meeting report examines challenges to the global HIV response, including the growing threats of HIV drug resistance, drug stock-outs, who is missing from service delivery, and gaps in the HIV prevention response. The report describes the current state of HIV resource mobilization and future resource needs, how countries set funding priorities if funding is insufficient to support a comprehensive set of treatment, prevention and support services, as well as the consequences of eliminating components of HIV treatment and prevention on overall health outcomes.
- Incidence Reduction and Differentiated Service Delivery – 11-12 October 2017
This meeting report examines current and future needs to meet HIV prevention goals with a focus on key populations, adolescents and young adults. The report identifies the need for improved data on population sample sizes and incidence at local levels and within key populations. The report also examines the use of differentiated service delivery approaches for treatment and the role that such approaches could play in primary prevention.
- Measuring HIV Incidence – 30-31 January 2018
This meeting report describes the need for more and different sustainable HIV financing options in an environment where donor funding is flat and countries are scaling up their HIV responses. The report examines the need for integration of HIV services within scale-up of universal health coverage (UHC) and all its structures and systems, and factors regarding UHC development and implementation that are relevant for HIV programming. The report also discusses other financing approaches that can serve to cover current and future gaps in HIV responses, such as many prevention services and community-based approaches to service delivery.
Read the report here.
- Innovative Finance Approaches – 20-21 February 2018
This meeting report describes the need for improved data on HIV incidence among key and vulnerable populations, the challenges in obtaining such data, current efforts to measure incidence among key and vulnerable populations, and innovative methods to further improve this research.
- Community-based Service Delivery in Kenya – 22-23 February 2018
This meeting report describes the value of community-based HIV services and the need and methods to develop more standardized reporting mechanisms to describe the health outcomes from these services and the performance of service providers. Although this meeting focused on Kenya, it is hoped that the outcomes from this meeting and the Kenya experience overall will be useful and instructive in other countries where resourcing for vital HIV services provided by civil society and communities remains uncertain and constrained by structural, political and other barriers
- HIV Drug Resistance – 19-20 March 2018
Read the agenda, list of participants and report here.
- Prevention through Differentiated Service Delivery – 10-11 April 2018
This meeting report discusses the need for scale up of HIV prevention resources and services to address the needs of key populations, adolescents and young adults and describes a framework for the use of differentiated service delivery approaches for improved prevention outcomes.