1. 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

2. 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…
Global HIV Prevention Coalition

3. 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 new infections, equivalent to a 75% reduction since 2010

4. 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.

5. 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.

6. 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.

7. Global HIV Prevention Coalition
Leadership for HIV Primary Prevention
23 July 2018, 12:30 – 14:30
RAI Amsterdam Convention Centre - Elicium 2
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