1. International Treatment Preparedness Coalition 600 advocate members from >120 countries leading civil society coalition on treatment preparedness and access issues Recent report: ‘Missing the Target’: www.aidstreatmentaccess.org

2. ‘Missing the Target’: Russia 3,000 people on treatment now, out of 50,000 in need. Positive and optimistic - a new epidemic: with GFATM and government programmes aiming for 75,000 on treatment - new opportunity 13 interviews with representatives of government, activist, NGO, and PLWHA organisations in Dominican Republic, India, Russia, Kenya, Higeria, South Africa

3. ‘Missing the Target’: Barriers to treatment ･ Faulty drug procurement system ･ Lack of communication and collaboration among providers ･ No national treatment protocol ･ Stigma against IDUs ･ Lack of support for adherence ･ Limited connection between TB and HIV services ･ Ineffective CCM

4. ‘Missing the Target’: Recommendations ･ Develop treatment protocols ･ Build collaborations between civil society & govt. ･ Provide training and support for human resources ･ Promote treatment uptake - literacy material ･ Use PLWHA & community expertise ･ Use monitoring to improve programs ･ Advocate for appropriate services for IDUs ･ Provide adherence support - ‘Peer educators are particularly effective among groups facing dual stigma” ･ Improve drug procurement ･ Work against stigma

5. Booklet launched in Namibia AIDS Law Unit

6. The Namibian group didn’t just adapt the words…

7. Bulgarian Introduction to combination therapy, 2nd edition Plus and Minus

8. Training manual launched in Nepal with ‘Nava Kiran Plus’ “…advocacy and literacy are needed to fight HIV/AIDS…lack of human resources, deaths, burnout and limited financial support… have been constraints…”

9. ARVs in Our Lives Treatment Action Campaign, South Africa

10. Copyright and contracts are obstacles No copyright on material Information should be free and accessible to people who need it Material can be adapted to local and national situations

11. Next steps… Existing materials Make kits from booklets and manual with Word files of texts and illustrations and graphs separately. Include more educational exercises in training manual New booklets Women’s health; Hepatitis coinfection; TB coinfection Paediatrics New training modules Starting treatment; Changing treatment; Hepatitis/HIV coinfection; TB/HIV coinfection; Women’s health and Paediatrics