Steven Shoptaw, PhD UCLA Department of Family Medicine Center for Behavioral and Addiction Medicine A DRAFT PACKAGE OF INTERVENTIONS FOR ENSURING ACCESS TO HIV PREVENTION, TREATMENT, AND CARE FOR STIMULANT USERS

OVERVIEW OF DOCUMENT Introduction/rationale Background Intervention package for HIV prevention, treatment and care for people who use stimulant Target-setting process Annexes: Methodology for developing document Framework for setting indicators and targets

RIGHT OFF: Page 1: Stimulant users are a diverse group and importance of ensuring access to HIV prevention, treatment and care can be different across groups Type of stimulant used Route of administration Contexts of stimulant use Each of these factors introduce important and unique ways in which access is limited for stimulant users

CRITERIA APPLIED TO REVIEW OF INTERVENTIONS Must focus on HIV or AIDS Include an outcome evaluation Target stimulant users use within last 12 months crack/cocaine and or ATS as the primary drug in mixed samples: >50% report stimulant use, regardless of route of administration Report 1 or more HIV outcomes HIV-related sexual behaviours (# sex partners, condom use) HIV-related drug use behaviours (injection use, sex for drug) HIV biomarkers (VL, CD4, incidence or prevalence)

PACKAGE OF INTERVENTIONS 1.HIV testing and counselling 2.Antiretroviral therapy 3.Drug dependence treatment 4.Condom distribution programmes 5.Needle and syringe programmes for those who inject stimulants 6.Behavioural interventions aimed to reduce HIV transmission 7.Screening, prevention, and treatment of HCV, HBV, STIs, and TB 8.Targeted information, education, communication programmes 9.Voluntary medical male circumcision

NEXT STEPS Electronic consultation Revised draft of technical guidelines Circulate to advisors Review of feedback with integration of comments Preparation of document for distribution

PROJECT TIMELINE FebJanDecNovOctSept Conduct lit search Electronic consultation Integrate feedback Global Expert Meeting Compile & synthesize evidence and draft guide Integrate feedback Jan-endJuly Mar - Jun Nov-DecSep-Oct Document production & release Consensus, Guidance & approval Electronic consultation AIDS 2012 meeting Production and comments

Steve Shoptaw PhD COMMENTS/QUESTIONS