Global HIV Prevention Coalition Leadership for HIV Primary Prevention 23 July 2018, 12:30 – 14:30 RAI Amsterdam Convention Centre - Elicium 2 MODERATOR Mia Malan, Bhekisisa, South Africa PANEL 2 Peter Sands, The Global Fund Deborah Birx, PEPFAR Anders Nordström, Sweden Alvaro Bermejo, IPPF OPENING Michel Sidibé, UNAIDS Natalia Kanem, UNFPA PANEL 1 Aaron Motsoaledi, South Africa Nduku Kilonzo, Kenya Andriy Klepikov, Ukraine Maureen Luba, Malawi Richardo Baruch, Mexico WAYS FORWARD Sheila Tlou, Co-Chair Global HIV Prevention Coalition

Global HIV Prevention Coalition In October last year, Michel Sidibé and Natalia Kanem co-convened a new Global HIV Prevention Coalition of more than 40 key member states, civil society organizations and development partners to enhance the prevention agenda… https://hivpreventioncoalition.unaids.org/ Global HIV Prevention Coalition

New HIV infections among adults (15+ years), globally, 2010–2017 and 2020 target This followed recognition that new infections were not falling fast enough, and that treatment alone was not going to end the epidemic. Latest UNAIDS data from the new report shows that since 2010, new HIV infections among adults have declined by only 16%, from 1.9 million to 1.6 million in 2017, which is far away from reaching a 75% reduction by 2020. More efforts were to be made to strengthen primary prevention, alongside treatment, but many prevention programmes seemed weak or scattered and of insufficient scale… Source: UNAIDS Global AIDS Update, 2018. * The 2020 target is fewer than 500 000 new infections, equivalent to a 75% reduction since 2010

Four main reasons for insufficient scale-up Gaps in political leadership for prevention Policy barriers Gaps in HIV prevention financing Lack of systematic prevention implementation at scale In the roadmap that was then endorsed at the inaugural meeting, 4 main factors were identified that were holding us back: Lack of political commitment Policy and legal barriers Gaps in prevention financing and In many countries, a lack of systematic implementation of primary prevention programmes. In October, all coalition countries committed to implement a 10-point action plan, including a thorough assessment of existing gaps, (setting prevention programme targets to supplement 90:90:90 treatment targets that already existed) address legal and policy barriers define prevention services packages to be provided to key populations and AGYW strengthen social contracting and community-based services and strengthen prevention monitoring systems, among other actions.

First Progress Report In May this year, UNAIDS which hosts the Global Prevention Coalition Secretariat, published its first progress report, a very honest account, showing some progress with initial steps taken in the implementation of the road map, but also significant remaining gaps. Political mobilization has taken place in many countries, but systematic action on the other 3 factors that are holding us back is still lagging behind.  

Examples and Overview of Prevention Programmes Scores in Global Prevention Coalition Countries Very good VMMC in Eastern African Countries, PrEP preparedness and roll out in Brazil, Kenya, South Africa Good Key populations programmes in India PWID and sex worker programmes in Ukraine Sex worker programme in Cote d’Ivoire Condom programmes in Lesotho, Namibia, South Africa, Zimbabwe PrEP preparedness in Mexico and some other countries Moderate Sex worker and VMMC programmes in some countries Low Most programmes with adolescent girls programmes, Several VMMC programmes in Southern Africa Very low Most key population programmes Many condom programmes Insufficient Data Most programmes with men who have sex with men, Some condom programmes, Some adolescent girls and young women programmes The Coalition Secretariat also developed country score cards showing some countries scoring high in some programme areas, for instance: PrEP in Brazil or Kenya with rapid progress Large key population programmes in India and Ukraine, or Good progress in condom distribution in some Southern African countries VMMC in East Africa But many other scores remain quite low, with large gaps in coverage and service provision: Most key population programmes remain weak Similarly many condom programmes In many cases, there is insufficient data and countries actually do not know how many key populations and young people they need to reach So here we are: Some mobilisation for prevention has taken place, but a lot more remains to be done.

Global HIV Prevention Coalition Leadership for HIV Primary Prevention 23 July 2018, 12:30 – 14:30 RAI Amsterdam Convention Centre - Elicium 2 Want to know more? Visit us on https://hivpreventioncoalition.unaids.org/ Follow us via #GPC2020 Contact us at hivpc@unaids.org