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Coming to terms with complexity: A Call to action for HIV prevention

Coming to terms with complexity: A Call to action for HIV prevention. Peter Piot, Michael Bartos, Heidi Larson, Debrework Zewdie, Purnima Mane. Fully implement combination HIV prevention. Know your epidemic and ACT on it – for today and for 10 years time

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Coming to terms with complexity: A Call to action for HIV prevention

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  1. Coming to terms with complexity: A Call to action for HIV prevention Peter Piot, Michael Bartos, Heidi Larson, Debrework Zewdie, Purnima Mane

  2. Fully implement combination HIV prevention • Know your epidemic and ACT on it – for today and for 10 years time • Scale up the optimal mix to optimal levels • Be specific, ambitious, and actionable • Generate systematic social change

  3. condom

  4. The Government of India and Avahan scaling up coverage of most at risk groups IDU 35,000 28,000 89,000 FSW 115,000 72,000 84,000 26,000 MSM 46,000 27,000 21,000 Source: Avahan and State AIDS Control Society program data

  5. Social change takes time

  6. A national cause in workplaces, schools, communities, and places of worship Clear accountability Political courage on sexuality, gender, drug use, harm reduction Predictable and sustained financing Pragmatism and science Sustained political and technical leadership

  7. Leadership

  8. Work together to build demand • Strengthen constituencies • HIV-prevention literacy • Bold advocates and public models • A coalition between prevention and people living with HIV • Build a broad coalition with entrepreneurs, rights activists, women’s, and youth activists

  9. Treatment Action Campaign South Africa Empowering young women Photo: TAC magazine Equal Treatment March in Cape Town at the World Conference on Lung Health in November, 2007 photo: Damien Schumann Over 10,000 people, mainly youths, took part in a march in the Eastern Cape on 15 June 2006 for improved HIV prevention measures, particularly condoms and sex-education in schools. Photo: TAC magazine Equal Treatment

  10. An agenda for operations research Novel interdisciplinary approaches to implementation science Coordinated search for an HIV vaccine and microbicide Research all potential HIV-prevention technologies Broaden the HIV-prevention research agenda

  11. Managerial, technical, and implementation capacity for national AIDS authorities Community sector capacity Develop a cadre of competent HIV-prevention personnel Invest in building HIV prevention capacities

  12. THE AVAHAN ORGANIZATION Capacity and scale December 2007 data

  13. A failure of confidence now in our collective capacity to deliver full-scale and effective HIV prevention would be devastating.

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