SUSA17 - Better Data, Better Programmes: How Implementation Science is Transforming the HIV Response for Key Populations Dr. Cameron Wolf, USAID Dr. Trista Bingham, CDC July 23, 2017

Implementation Science studies Focus of awards: Identify barriers/facilitators at each stage of HIV cascade Characterize current status of HIV services for KPs Compare programmatic strategies to reach and improve HIV services and outcomes at different stages of the cascade Determine costs of service delivery models Total of $15M awarded for KPIS + other centrally funded studies; ~$3M for amfAR’s GMT Initiative studies Multi-year awards at different stages of implementation

Features of Key Populations Implementation Science Country KP Type Qual Methods HIV Cascade Outcomes* Compare Service Delivery Strategies Cost Analysis Brazil MSM X R, T, L Burma MSM, TG R, T, L, S Ghana FSW, MSM R, T, L, T Guatemala Tx, S Kenya FSW T, L, Tx Kyrgyz Republic PWID T, L, Tx (via NSP) Peru TG Senegal MSM, FSW R, T, L, Tx, S South Africa Tanzania Tx, S (via MAT) Thailand** Thailand Ukraine L, Tx, S * R=Reach; T=Test; L=Link; Tx=Treat; S=Suppress; ** Joint USAID/CDC

amfAR CDC USAID All Ukraine Kyrgyzstan Burma Senegal Guatemala Ghana South Africa Kenya Tanzania Kyrgyzstan Guatemala Ukraine Thailand Brazil Ghana Peru Senegal Burma amfAR CDC USAID All

Putting KPs in the center of their response Key Themes Structural Barriers and the importance of addressing stigma and discrimination Putting KPs in the center of their response Options (who, what, where, when) for HIV services Community/peer-led services, PrEP, integrating with gender-affirming care, self-testing, online services to maximize technology and privacy Partnerships

Acknowledgements Trista Bingham, CDC Michael Cowing, amfAR Hally Mahler, FHI360 / LINKAGES Rose Wilcher, FHI360 / LINKAGES Alison Cheng, USAID Juan Flores, USAID Aisha Yansaneh, USAID

14:45 Opening Remarks Cameron Wolf, USAID 14:53 HIV Prevention 2.0 (HP2): Achieving an AIDS-Free Generation in Senegal Stefan Baral, Johns Hopkins University 15:03 Leveraging Adaptive Implementation Strategies to Achieve Universal Coverage of ART in Senegal (“TnS Senegal”) Daouda Diouf, Enda Sante 15:13 Leveraging Community and Peer-Based Approaches to Impact the HIV Treatment Cascade among Men Who Have Sex with Men (MSM) in South Africa (Khanyisa) Refilwe Phaswana-Mafuya, Human Sciences Research Council 15:25 A Hora É Agora ("The time is now"): Comprehensive Approach to HIV Testing and Linkage to Care for Men Who Have Sex with Men in Curitiba, Brazil Raquel De Boni, Brazil National AIDS Department 15:37 Community-based and Online Strategies for Testing, Treatment and PrEP among MSM and Transgender Persons in Thailand Nittaya Phanuphak, Thai Red Cross AIDS Research Center 15:57 Gender Affirmative Transgender Care to Improve the HIV Treatment Cascade in Peru Javier Lama, Asociacion Civil Impacta Salud y Educacion 16:09 Moderated discussion Hally Mahler, FHI 360/LINKAGES 16:37 Closing Remarks Greg Millett, amfAR