Global implementation of PrEP as part of combination HIV prevention – Unsolved challenges

JIAS Volume 19, Supplement 6.pdf

The Journal of the International AIDS Society (JIAS) launched a special issue to coincide with the HIV Research for Prevention (R4P) meeting in Chicago, 17-20 October 2016.

STRIVE partner, Sinead Delaney-Moretlwe, co-authored two papers in the supplement, addressing questions of particular importance to the consortium: 

PrEP implementation research in Africa: what is new?

Preventing HIV among adolescents with oral PrEP: observations and challenges in the United States and South Africa

Organised by The Network for Multidisciplinary Studies on ARV-Based HIV Prevention (NEMUS) and UNAIDS, this issue follows a previous supplement on the use of oral pre-exposure prophylaxis (PrEP) ahead of clinical trials: antiretrovirals as a prevention methodology to protect HIV-negative people from HIV infection. This issue presents data on the implementation progression of PrEP in 2015-16, as well as the barriers and solutions for PrEP roll-out in mid-2016. This supplement also highlights populations and regions that were not reflected in the previous issue.

UNAIDS' 2016-21 strategy is designed to achieve the objectives of the political declaration on HIV/AIDS, signed on 8 June 2016 by the UN General Assembly. The target is, by 2020, to guarantee access to PrEP for three million members key populations, including:

  • sex workers
  • men who have sex with men
  • transgender people
  • people who use drugs
  • serodiscordant couples
  • young women living in the most affected regions

This JIAS supplement addresses the challenges of meeting this target. The papers add up-to-date research on sub-Saharan Africa. WHO estimates that at least 3 million people in Africa are likely to be eligible for PrEP. The question remains: how are we to identify them and ensure their access to PrEP?

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