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Leadership in the AIDS Response: Changing the Course for Women

Leadership in the AIDS Response: Changing the Course for Women. Dr. Debrework Zewdie Deputy General Manager and Head of Strategy, Investment and Impact Division The Global Fund. Outline. The burden of HIV among women What has been done

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Leadership in the AIDS Response: Changing the Course for Women

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  1. Leadership in the AIDS Response:Changing the Course for Women Dr. Debrework Zewdie Deputy General Manager and Head of Strategy, Investment and Impact Division The Global Fund

  2. Outline The burden of HIV among women What has been done What needs to happen to transform the AIDS response for women? How do we make it happen? Leadership for AIDS in the response for women

  3. The burden of HIV among women • 1.3 million women and girls were newly infected with HIV in 2011 • 63% of all young people (15-24) living with HIV are young women • In sub-Saharan Africa, women and girls comprise 60% of people living with HIV

  4. Every minute a young woman acquires HIV infection

  5. Sources: Demographic and Health Surveys and other, national population-based surveys with HIV testing.

  6. HIV prevalence among female sex workers in low and middle income countries Source: S. Baral et al., Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis (Lancet Infect Dis 2012; 12: 538-49)

  7. Women who use drugs • An estimated 35% of women in EECA acquire HIV through injecting drug use • An additional 50% of women living with HIV infected by partners who inject drugs

  8. What has been done? Treatment of STIs Male circumcision Microbicides for women Grosskurth H, Lancet 2000 Auvert B, PloS Med 2005 Gray R, Lancet 2007 Bailey R, Lancet 2007 Abdool Karim Q, Science 2010 Male & female condoms HIV PREVENTION combined interventions Structural / legal HIV Counselling and Testing Oral pre-exposure prophylaxis Coates T, Lancet 2000 Grant R, NEJM 2010 (MSM) Baeten J , NEJM 2012 (couples) Thigpen, NEJM, 2012 (Heterosexuals) Behavioural Intervention Post Exposure prophylaxis (PEP) Treatment for prevention Donnell D, Lancet 2010 Cohen M, NEJM 2011 Scheckter M, 2002

  9. What needs to happenAccess to ART for all eligible women In 2011 - • 620,000 pregnant women were eligible for ART for their own health, • Only 190,000 pregnant women living with HIV with a CD4 count less than or equal to 350 received ART. • Fewer than 45% of women known to be living with HIV in low- and middle-income countries were even assessed for their eligibility!

  10. How do we make it happen • The money • Strategic investment • Costed care programs for women

  11. Now on Leadership

  12. “Do not mainstream us…meet all of our needs…. We do not want to be 10 percent of what you do….. We need to change the game, because the game is broken…We don’t have another 30 years, we need to do it NOW” Linda Scruggs Making Women Count: A Comprehensive Agenda XIX International AIDS Conference

  13. Acknowledgement • DrJacqueline Bataringaya • DrAde Fakoya • Ms Motoko Seko

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