Advancing resiliency through simplified, decentralized, and integrated HIV and primary health care services.
Although 2020 saw the global community miss UNAIDS’ Fast-Track targets, 2021 marks a foundational moment reflect on where we currently are in the epidemic and look towards new 2025 interim targets to get us back on track to ending AIDS by 2030. While COVID-19 disrupted HIV programming and dampened progress towards epidemic control targets, it also inspired creativity in decentralized and integrated service delivery—pushing towards services that are person-driven, self-initiated, community-delivered, simplified, and integrated—which improved the availability and accessibility of essential HIV and health services and are requisite for propelling us towards universal health coverage.
The 11th IAS Conference on HIV Science (IAS2021) signals a crucial moment to take stock of the gains made in diversifying HIV service delivery to ensure that people who need HIV services are able to access these services when, where, and how they want it. During the conference, PATH will be highlighting innovations we have supported to advance the quality, convenience, and choice of HIV services, ranging from creating an ecosystem of differentiated PrEP options in Vietnam, including understanding the acceptability of long-acting injectable PrEP; extending the reach of HIV testing services in the Democratic Republic of the Congo (DRC) and Ukraine by offering HIV self-testing services at pharmacies, households, and community settings; and integrating HIV with other health services, such as non-communicable diseases in the DRC, viral hepatitis in Vietnam, and tuberculosis in Zambia.
See below for a full schedule of PATH’s satellite symposia, oral presentations, and posters at the virtual conference.
Follow the conversation online at #IAS2021 or via @PATHtweets.
SA34: HIV Self-Testing, What’s next?
Live session: Sunday, July 18; 7:00-8:30 PM CEST (Channel 4)
HIV self-testing (HIVST) has shifted the paradigm for HIV testing, the first step in the care continuum. The Unitaid-funded HIV Self-Testing Africa (STAR) Initiative and the Atlas project implemented in West-Africa, have demonstrated a critical role for HIVST in reaching populations poorly served by traditional testing modalities, including men, adolescents and key populations. During COVID-19, HIV testing and treatment services have been affected globally with substantial declines in HIV diagnoses and ART initiations. HIV self-testing has been highlighted as critical tool that could address growing gaps. We will be demonstrating how STAR and Atlas have identified new entry points for HIVST to increase access to health care, how HIVST has been leveraged to maintain HIV testing services in the context of the COVID-19 pandemic and how digital and mhealth solutions were designed to increase HIV self-testing access, support effective use and facilitate follow-up and linkage to care and prevention services. We will also be discussing the HIV Self-testing road map and the different steps towards creating an enabling environment for scale and long-term sustainability and how this road map could be applied for other self-diagnostics and self-care options.
This satellite session is co-sponsored by Unitaid and Population Services International, and will feature a presentation by Kimberly Green highlighting PATH’s work in the Vietnam, Kenya, the Democratic Republic of the Congo (DRC), and under the STAR-project to engage the private sector and virtual platforms to increase access to and effective use of HIVST.
SA20: Paving the road for new PrEP products: The promise of differentiated, simplified, and decentralized delivery to maximize the potential of new PrEP products.
Live session: Monday, July 19; 8:30-9:30 AM CEST (Channel 2)
The world missed the 2020 UNAIDS target of 3 million people accessing pre-exposure prophylaxis (PrEP). Despite missing this target, PrEP uptake has increased 113% since 2019, largely due to efforts to differentiate, simplify, and demedicalize PrEP delivery. PrEP delivery has shifted from clinic-only models to mobile, pharmacy, and virtual ones that have led to increased uptake and effective use of PrEP. As new PrEP products come to market, including long-acting injectables, antiretroviral-containing vaginal rings, and the dual prevention pill, the world is poised for continued PrEP scale-up. However, there is a critical need to simplify delivery of these products in order to optimize their availability and acceptability to benefit all populations. This session will convene implementers, advocates, and researchers to share viewpoints on what can be done to differentiate access points and models to define a pathway for inclusive, client-responsive delivery of these new PrEP tools.
Satellite session is co-sponsored by PATH, AVAC, and IAS, and will feature Kimberly Green as a session co-chair and co-moderator, and Davina Canagasabey as a session co-chair and presenter.
SY06: Pivoting HIV prevention during a parallel pandemic.
Symposium: Sunday, July 18; 2:00-2:50 PM CEST (Channel 4)
The COVID-19 pandemic has changed the world, including how HIV prevention services are managed. This session will explore how the COVID-19 pandemic has impacted HIV prevention services, while also examining some of the potential positive changes to services that have occurred due to the pandemic.
The symposium will be moderated by AVAC and the University of Nairobi, and Kimberly Green will be highlighting how COVID-19 has spurred an acceleration towards differentiating PrEP service delivery in order to maintain access to HIV prevention services.
Using multi-disease health screening campaigns to increase uptake of health and HIV testing services (HTS) in the Democratic Republic of the Congo (DRC).
Oral abstract session: OALD08 – Building bigger and better together: Lessons in service delivery integration
Live session: Wednesday, July 21; 12:00-12:50 PM CEST (Channel 2)
Presenter: Stella Muyano Kamena; Cyprien Tendo-Bugondo
Acceptability of and willingness to pay for long-acting injectable pre-exposure prophylaxis among men who have sex with men, transgender women, female sex workers, and people who inject drugs in Vietnam.
On-demand e-poster: PEC297
Presenter: Kimberly Green
Integrating viral hepatitis and PrEP services through KP-led clinics in Vietnam: an opportunity to achieve dual elimination of HIV and viral hepatitis by 2030.
On-demand e-poster: PECLB28
Presenter: Bao Vu Ngoc
Extending reach of HIV testing services (HTS) through private-sector outlets: feasibility of offering HIV self-testing (HIVST) at pharmacies and alternative medicine centers (AMC) in the Democratic Republic of the Congo (DRC).
On-demand e-poster: PED409
Presenter: Raphael Mwamba
Finding the missing cases: Integrating lay-provider HIV testing services (HTS) for people with presumptive tuberculosis (TB) during household TB screening campaigns in the Democratic Republic of the Congo (DRC).
On-demand e-poster: PED480
Presenter: Charlie Mungamulongoy
Impact of virtual follow-up and six-month dispensing on viral suppression and loss to follow-up (LTFU) during COVID-19 in the Democratic Republic of the Congo (DRC).
On-demand e-poster: PED474
Presenter: Raphael Mwamba
Enhanced early TB diagnosis through integrated sputum sample courier with HIV programs in six provinces in Zambia.
On-demand e-poster: PED477
Presenter: Lutinala Mulenga
TB/HIV one-stop clinic reduces nonmedical cost of staying in care at Makululu Urban clinic and Kabwe Women, Newborn & Children’s Hospital (KWNCH) in Kabwe District, Zambia.
On-demand e-poster: PED478
Presenter: Given Chisanga
Advancing efficient HIV case-finding through expansion of index case testing (ICT) and partner notification services (PNS) among people in penal and probation settings in Ukraine.
On-demand e-poster: PED625
Presenter: Svitlana Leontieva
Implementation of innovative HIV case finding approaches among communities of people who inject drugs (PWID) in Ukraine.
On-demand e-poster: PED626
Presenter: Svitlana Leontieva
Poor concordance between objective and reported measures of pre-exposure prophylaxis (PrEP) adherence and factors associated with over-reported adherence among adolescent girls and young women (AGYW) in Kenya.
On-demand e-poster: PED618
Presenter: Jean de Dieu Tapsoda (co-authored by PATH’s Jane Cover and Chris Obong’o)