Group 1: HIV PREVENTION

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Group 1 HIV PREVENTION

• Facilitators Ms Mai Harper
• Dr Stephen Kusasira

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PREVENTION Gaps, best practices, emerging
situations

• -Overall focus on evidence based prevention
  practices and gaps therein.
• -The group recognizes the great role prevention
  has played and continues to play in the fight
  against. However there is a gap between knowledge
  and practice

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Prevention

• Best practices
• Political will
• Multi-sectoral approach
• Involvement of the PHAs GIPA

4
PREVENTION Gaps, best practices, emerging
situations

• GAPS-
• A. Inadequate funding on Prevention activities
  compared to treatment. Need to refocus.
• B. Ineffective communication
• Less community involvement in prevention
  strategies. There is dependence on generic IEC
  materials from MOH- They cant work.
• No uniform comprehensive communication strategy.
  There is need to harmonize the information.

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Prevention cont

• 3. Use of local arts drama , songs in local
  languages to communicate needs emphasis.
• 4. Need to integrate the whole component of ABC
  as one. The artificial division should be
  dispensed of in action and not only in word.
• 5. Need to have messages that target the whole
  family.
• 6. Prevention messages have been static dont
  keep in pace with changing epidemic challenges eg
  no messages to combat complacency
• 7. Should have evidence based messages i.e. best
  practices for different groups, geographical
  region
• Therefore theres need to do pre and post
  intervention research .
• Need to set up a technical committee to
  periodically review intervention strategies

6
Prevention cont

• Prevention for positives is not adequately
  addressed. Messages dont target this group.
  Treatment not being appropriately promoted as a
  preventive tool.
• Limited involvement of Faith based organizations
  at grass roots
• Glaring Lack of life skills development in
  preventive strategies.

7
Prevention cont

• SECONDARY PREVENTION
• Practical Strategies to involve Male involvement
  in PMTCT should be developed
• Target hindrances to hospital deliveries
• PMTCT plus not emphasized. Aggressive follow up
  necessary
• Incorporation of family planning in preventive
  activities
• Need to improve the infrastructure human
  resource in health units to strengthen the
  secondary prevention e.g VCT PMTCT

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Prevention cont

• Practical, locally developed infant feeding
  options eg local foods should be developed
• HBCT and VCT should be rolled out and must be
  cost free to the users.
• Reactivate campaign on testing before marriage

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Prevention cont

• Emerging issues
• More knowledge/messages about circumcision,
  microbicides vaccines coz these are the
  emerging strategies of prevention. Advance
  information needed if they are to be used in
  future.
• Alcohol and drug abuse
• -Law enforcement on alcohol abuse- time, place
• -Specific target to bars, lodges
• -messages about substance abuse
• -Support recreation activities especially for the
  youth
• Inappropriate media exposure eg pornography
  ?Strengthen laws
• Are we seeing emergence of homosexuality in
  schools? Need for programs to address it before
  it gets out of hand.

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Prevention Cont

• Program management
• Sustainability outside donor support.
  Involvement of private sector for sustainability
  of the prevention strategies
• Mapping of services undertaken by UAC need to be
  disseminated to the end users through focal
  persons. Need to update UAC web site.

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Prevention cont

• Establishment of community based management
  information systems

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Conclusion Strategic priorities/approaches

• Comprehensive communication strategy
  Appropriately contextualized, and standardized
  for the different audiences
• Use of evidence based interventions
• Pursuance of new strategic approaches focusing
  on family, community, workplace and GIPA/MIPA .
• Emphasize and continue with the best practices
  that have worked.

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Conclusion Strategic priorities/approaches

• 5. Review of funding for prevention
• 6. Sustainability concerns