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Strategies for the Scale-up of MC Services PEPFAR’s Perspective: Implementation for Impact. PSI/FHI Satellite on Male Circumcision 2010 International AIDS Conference, Vienna Jason Reed, MD, MPH PEPFAR/CDC. Objective & Goal. Objective : circumcise ~30 million males by 2015
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Strategies for the Scale-up of MC ServicesPEPFAR’s Perspective: Implementation for Impact PSI/FHI Satellite on Male Circumcision 2010 International AIDS Conference, Vienna Jason Reed, MD, MPH PEPFAR/CDC
Objective & Goal • Objective: circumcise ~30 million males by 2015 • Goal: reduce HIV incidence The way in which the objective is accomplished impacts the achievement of the goal
The Importance of Pace • implementation time = impact on HIV incidence
Indirect Benefits for Women # Infections Averted (annually) Year Swaziland 1-year scale-up scenario, DMPPT model
Indirect Benefits for Women % Infections Averted (annually) Year
Rapid Saturation • Scale + Pace Consistent with PEPFAR’s two pronged approach to implementation assistance: Programs to build local capacity for sustainable neonatal services that will be required indefinitely • ‘Catch-up’ programs intended to quickly reach large numbers of adult males with services for a limited period of time; not intended to be sustainable
Lessons to be Learned & Shared • Identifying and sustaining human resources • Mobilizing demand and matching with service supply • Managing commodities • Fostering political will • Accelerating funding • Demonstrating impact
Thank you! Q & A Jason Reed +1 404 643 6677 jreed1@cdc.gov