STRIVE Roadmap to AIDS 2016

For STRIVE’s first event – IAS 2012 – we could fit all the relevant sessions onto a single four-page roadmap. In 2016 – happily – a great many of the presentations at AIDS 2016 in Durban address the social and structural factors that can hamper or support HIV prevention or treatment. This roadmap details STRIVE presentations along with key sessions that STRIVE partners recommend. View STRIVE videos and collect a brochure about our work at Soul City’s stand in the Global Village at NGO booth 539.

Download the STRIVE roadmap pdf here or click on the day for details of recommended sessions.

Download a roadmap to sessions on stigma and discrimination, produced by the Stigma Action Network (SAN), featuring STRIVE and others.

Friday 15 July

Monday 18 July

Tuesday 19 July

Wednesday 20 July

Thursday 21 July


Friday 15 July 2016

Cost analysis of violence reduction interventions for female sex workers in Karnataka, India

IAEN pre-conference

Colony Room, 15:30–15:45

This study assesses the incremental costs of violence reduction interventions for FSWs in Karnataka and provides empirical evidence from real study settings.

Presenter: Sudha Chandrashekar, LSHTM

STRIVE themes: Financing. Violence. Sex work.


Monday 18 July 2016

What Will it Take to Reach the Fast Track Prevention Targets: What, Who and How

Non-commercial sattelite

How do we invigorate HIV prevention? How do we translate concepts into practice? A summary of papers from the latest issue of Lancet HIV, on prevention priorities, costs and financing.

Session Room 5, 14:45

Presenters: Mitchell Warren, Shari Krishnaratne, Jennifer Smith, Karl Dehne, Nduku Kilonzo,

STRIVE themes: Development synergies. Co-financing . Biomedical prevention.


 

Adressing the HIV & GBV Dual Epidemics

Non-commercial sattelite

Across Africa, the key underlying factors that fuel HIV transmission include gender inequalities and roles and gender based-violence, among others. Due to a combination of stereotypical gender social norms and roles, gender inequalities and biological factors, young women and girls are at increased vulnerability to HIV infection. Gender-based violence including rape, domestic violence, trafficking and sexual exploitation, increase vulnerability to HIV among women and girls. The intersection of GBV with HIV is said to be a major obstacle to gender equality and equity thus perpetuating the mutually reinforcing negative effects of GBV and HIV remain pressing in the region. Sexual and reproductive health problems account for the leading cause of women’s ill health and death worldwide. Yet, almost all maternal deaths can be preventable.

Session Room 12, 10:15 - 12:15

Organiser: International Planned Parenthood Federation, Africa Region


Communicating Complex Science Clearly

Have you ever had difficulty explaining the information you learned at conferences or meetings to your coworkers, friends or community? This interactive workshop will provide capacity building strategies on how to break down difficult concepts and messages into the key information that needs to be shared with the community. This session is a can’t miss for community educators and advocates attending the conference!

Booth 606 Global Village, 10:00 - 11:00

Presenter: Deborah Baron


From general population to key populations: South Africa’s Global Fund Grant moves with the times

Non-commercial sattelite

A 21st-century partnership takes a modern approach to global health: to be effective it must be agile, responsive and committed to serving communities affected by HIV, TB and malaria. With a more modern outlook, countries now take the lead in determining where and how best to fight diseases, how to respond to broader development challenges, and how to coordinate work with international partners in global health.

The Global Fund has moved from funding activities around the general population to funding activities focused on key populations, improving quality of care, addressing human rights and critical enablers. More than 50% of the Global Fund’s contributions to South Africa are dedicated to key populations including a comprehensive package of integrated services to young women and girls, sex workers, men who have sex with men, transgender people, people who inject drugs, inmates, and people who live in informal settlements and peri-mining communities.

Session Room 11, 17:00

Presenters: Fareed Abdullah, South African National AIDS Commission (SANAC)

STRIVE themes: Financing. Development synergies. AGYW.


Tuesday 19 July 2016

A multi-sector approach to reducing mother to child transmission of HIV

Symposia session

Ending transmission of HIV from mother to child is the beginning of the end of AIDS. Innovative partnerships between the private sector, non-governmental and international organizations, governments and communities are successfully strengthening health systems to support effective delivery and scale up of prevention of mother to child transmission (PMTCT) services in geographically challenging states in Nigeria. To understand the factors behind this successful scale up, the panel will present the role of each partner and how PMTCT activities are being strengthened and leveraged across the health sector, explore implementation of the Global Fund’s New Funding Model, discuss future trends and draw upon lessons learned for replication. Session participants will develop an understanding of how innovative partnerships can be developed and leveraged to strengthen health systems and the delivery of prevention services.

Session Room 2, 11:00

Presenters: Eric Goosby, Mark Dybul, Huma Abbasi, Christian Loucq, Lilian Anomnachi-David

STRIVE theme: Development synergies.


Understanding HIV Prevention Research and Clinical Trial Processes

A foundational session on the basic of HIV research. This session covers the essential topics, from clinical trial design to understanding basic terms in research literacy. Participants new and old to HIV prevention research will build capacity around the essential knowledge of HIV research.

Booth 606 Global Village, 11:00-11:45

Organiser: WRHI


One size will not fit all: divergent preferences for new HIV prevention products across adults, adolescents and female sex workers in South Africa

Poster exhibition

We conducted a discrete choice experiment (DCE) to measure preferences for oral, topical (intravaginal ring or gel with/without a diaphragm) or injectable ART-based pre-exposure prophylaxis. These results suggest that stimulating demand for new HIV prevention products may require a more a nuanced approach than simply developing highly effective products. STI and pregnancy prevention, alongside frequency of use, appears to substantially impact demand. These results strengthen evidence calling for the development of multi-purpose technologies.

Poster Exhibition area, First Level (by the Arena Entrance), 12:30–14:30

Presenters: M. Quaife, R. Eakle, M. Cabrera, P. Vickerman, S. Delany-Moretlwe, F. Terris-Prestholt, Wits RHI and LSHTM

STRIVE theme: Biomedical prevention.


How might new HIV prevention products change financial incentives for risk in commercial sex work? Exploring the stated preferences of female sex workers in South Africa

Poster exhibition

This study used a repeated discrete choice experiment (DCE) to explore how introducing an effective HIV prevention product may affect female sex workers’ preferences for pricing, sex-act and client characteristics. We suggest that the price premium of unprotected sex would decrease with the introduction of a fully efficacious HIV prevention product, potentially increasing the number of unprotected sex acts supplied. With partial HIV, STI, or pregnancy prevention efficacy, product impact may be reduced.

Poster Exhibition area, First Level (by the Arena Entrance), 12:30–14:30

Presenters: M. Quaife, F. Terris-Prestholt, M. Cabrera, R. Eakle, S. Delany-Moretlwe, P. Vickerman, Wits RHI and LSHTM

STRIVE themes: Gender inequality. Sex work.


Analysing the effects of relationship level factors and perceived gender attitudes among female sex workers on experience of intimate partner violence in north Karnataka, south India

Poster exhibition

What is the effect of relationship-level factors and women’s gender attitudes on the experience of violence among female sex workers?

Poster Exhibition area, First Level (by the Arena Entrance), 12:30–14:30

STRIVE themes: Gender norms. Violence. Sex work.


Conceptualizing "transactional sex" in sub-Saharan Africa: A review and synthesis of the literature

Poster exhibition

A conceptual framework demonstrates the main perspectives on the nature and motivation of transactional sex (TS) as identified through a comprehensive review of the literature. The poster explores the implications for intervention with young women, especially accounting for perceived agency and the intimacy of these relationships.

Poster Exhibition Hall, A-792-0347-03338, 12:30–14:30

Presenter: Joyce Wamoyi

STRIVE theme: Transactional sex.


Removing human rights barriers to evidence-based HIV prevention, care and treatment: What do we know?

Oral poster discussion session

The poster details a systematic review of studies that assessed the effectiveness of human rights interventions on improving HIV-related outcomes.

Session Room 5, 13:00–14:00

Presenter: Anne Stangl

STRIVE theme: Stigma.


The New Normal: Sexual Identity, relationships and norms

Oral poster discussion session

This session includes at least two presentations of relevance to STRIVE: one on transactional sex and sex with casual partners in South Africa and one on the measurement of gender norms with young adolescents.

Session Room 9, 13:00–14:00

Presenters: Lung Vu, Population Council; Andrew Gibbs, HEARD

STRIVE themes: Transactional sex. Gender norms.


Current evidence and gaps on the impact of human rights programmes and legal interventions on HIV-related outcomes: Findings from a systematic review

Bridging session

One presentation during this session will present findings from a systematic review of studies that assessed the effectiveness of human rights interventions on improving HIV-related outcomes.

Session Room 12, 14:30–16:00

Presenter: Anne Stangl

STRIVE theme: Stigma.


Turning the tide for AGYW and young women: How realizing gender equality and securing women’s human rights are essential for reaching the end of AIDS

Symposia session

Following the new research findings from the CAPRISA consortium of researchers, this session will explore why, despite significant advances in the HIV response, AGYW and young women, particularly in sub-Saharan Africa, have been left behind. Increased biological susceptibility to the virus is only part of the story: entrenched gender inequalities, power imbalances, gender-based violence and poverty combine to make AGYW and young women particularly vulnerable to HIV infection and create barriers for younger women living with HIV. What must be done to change this story? Participants will learn how global commitments can be leveraged to influence change on the ground, including new strategies from UNAIDS, the Global Fund, PEPFAR and the Sustainable Development Goals that commit to achieving gender equality, improving the lives of people living with HIV and ending AIDS. The expert panel will highlight effective and innovative programmes that empower women and girls in the face of the HIV epidemic and that ensure they can enjoy healthy lives.

Session Room 1, 15:30–17:00

Presenter: Chair: Sisonke Msimang

STRIVE theme: Gender inequality.


Changing forms of HIV stigma along the HIV care and treatment cascade: findings from a multi-site qualitative study in Eastern and Southern Africa

Oral session

Despite expanding coverage of HIV care and treatment services, stigma remains pervasive for people living with HIV (PLHIV) in sub-Saharan Africa, undermining engagement in care. We aimed to explore the manifestation of stigma and discrimination at different stages of the HIV care cascade in seven health and demographic surveillance sites (HDSS) in Eastern and Southern Africa. Across all sites, different forms of anticipated stigma and discrimination were experienced at different points throughout the cascade. These findings suggest the need for context-specific interventions to address stigma and discrimination of PLHIV within the community and in health services, and greater reflection is required to ensure policies aiming to expand HIV treatment do not exacerbate stigma and result in negative HIV outcomes

Session room 5, 17.30–17.45

Presenters: Presenter: Joyce Wamoyi on behalf of co-authors (Bonnington O, Wamoyi J, Ddaaki W, Bukenya D, Odongo F, Skovdal M, McLean E, Nyamukapa C, Moshabela M, Wringe A)

STRIVE theme: Stigma


Financing South Africa’s HIV response

Non-commercial satellite

Together with UNAIDS, R4D and other partners, the South African Government will showcase the successes of its HIV program and highlight approaches to sustainably financing the epidemic response. Speakers will discuss evidence and policy initiatives on:

  • What to do: The South African Investment Case establishes a cost-effective mix of interventions for HIV and TB and proposes scale-up plans for prevention and treatment activities.
  • How much is spent: The Government, PEPFAR, and the Global Fund are jointly tracking and analysing their expenditure to facilitate a smooth transition of donor-supported programs.
  • Who pays in the future: The Government and partners are exploring different scenarios for more integrated HIV financing and their implications for the proposed NHI system.
  • Involving key constituencies: South Africa’s partners are seeking new ways to engage civil society to play a key role in the HIV response, as well as surveying new models for public-private partnerships.

Session room 12, 18:30

Presenters: Robert Hecht, Mia Malan, Aaron Motsoaledi, Deborah Birx, Mark Dybul, Pravin Gordhan, Michel Sidibe

STRIVE themes: Development synergies. Financing


Wednesday 20 July 2016

Prevention for women: The need for multidisciplinary approaches

Oral Poster Discussion

In the FACTS 001 phase III trial a peri-coital (before and after sex) vaginal application of tenofovir 1% gel did not prevent HIV-1 infection amongst young South African women. Given that sub-optimal adherence can dilute estimations of efficacy, understanding what shaped gel use in FACTS 001 is critical to comprehend these outcomes.

Room 8, 13:25

Presenter: Jonathan Stadler, Wits RHI

STRIVE themes: Biomedical prevention. AGYW.


Positive Health, Dignity and Prevention for Pregnant Women and Mothers Living with HIV

Community workshop

Recognition of the critical role communities play in ending vertical transmission of HIV is rising, yet investment in community interventions such as treatment literacy and peer support is falling. This workshop aims to mobilize community activists to use the latest guidelines to empower pregnant women and mothers living with HIV with the information they need to make choices about their health. Participants learn about the key messages from the latest prevention of mother to child transmission and infant-feeding guidelines, a new Treatment Literacy Tool developed by the Inter-Agency Task Team members and generate ideas to maximize the benefit of such tools. Participants also have the opportunity to share knowledge on how networks of people living with HIV are leading efforts to support pregnant women living with HIV and defending their rights.

Global Village Session Room 1, 11:00 – 12:30

Presenters: Aditi Sharma, Martha Tholanah, Eunice Sinyemu, Florence Anam, Jane Shepherd

STRIVE theme: Development synergies.


Biographies of HIV and cervical cancer: understanding treatment-seeking for cervical cancer amongst HIV-positive women in inner-city Johannesburg

Oral Abstract Session: Sex through the Ages

Cervical cancer is preventable, yet in South Africa it is the leading cause of cancer mortality amongst women living with HIV/AIDS (WLHA), due to low screening rates and poor uptake of treatment for CIN2. We explored the challenges facing WLHA diagnosed with CIN2 in the ‘HPV in Africa Research Partnership’ (HARP) study that screened, counselled and referred WLHA. We investigate why over a quarter (23/129, 26%) of women did not access surgical treatment.

Session Room 5, 17:15

Presenter: Jonathan Stadler, Wits RHI

STRIVE theme: Biomedical prevention


Thursday 21 July 2016

Transactional sex and risk for HIV infection in sub-Saharan Africa: A systematic review and meta-analysis

Poster exhibition

Transactional sex (TS) is distinct from sex work and can be defined as non-marital, non-commercial sexual relationships or encounters motivated by an implicit assumption that sex will be exchanged for material support or other benefits. Young women aged 15–24 in sub-Saharan Africa are disproportionately affected by HIV and studies have suggested that the practice of TS may in part explain women’s heightened risk. We systematically reviewed studies that assessed the relationship between TS and HIV among men and women in sub-Saharan Africa and summarised the findings through a meta-analysis. We found that TS is significantly associated with HIV prevalence for women, but not for men. Across eligible studies with women (of all ages), women who had ever practised TS were on average 50% more likely to be HIV positive than women who had never practiced TS. Our findings suggest a need for better measurement of the practice and additional longitudinal studies to establish causal pathways.

Poster Exhibition area, First Level (by the Arena Entrance), 12:30–14:30

Presenter: J. Wamoyi, on behalf of co-authors (T. Abramsky, K. Stoebenau, N. Bobrova, C. Watts)

STRIVE themes: Transactional sex. AGYW.


Womandla! – Can PrEP empower young women to stay HIV-negative?

Oral Poster Discussion Session

Pre Exposure Prophylaxis (PrEP) is a new innovative method that prevents HIV if used correctly and consistently. New WHO Guidelines recommend PrEP for people at substantial risk, including adolescent girls and young women (AGYW). It’s a critical time to engage in dialogues with potential PrEP users, particularly AGYW. We will bring together young women, and people who work with them to discuss how PrEP can be rolled out within integrated health services, and what adherence, programme support and messages do AGYW need to learn about PrEP and decide if it’s the right prevention tool for them.

Session Room 3 (Global Village Youth Pavilion), 13:00–14:30

Presenters: Deborah Baron, Sinazo Pato, Lethabo Ramskin, Wits RHI

STRIVE themes: AGYW. Gender inequality.


The PROUD Study – A Video Documentary

Screening the official, 25 minute video documentary on the PROUD Study on PrEP, followed by a Q&A with the audience. Learn about the study design, outcomes, ethics, community engagement and participants' personal experiences of one of the major PrEP studies with gay men.

Booth 606 Global Village, 17:00 - 18:00

Presenters: Nicholas Feustel, Mitzy Gafos, Sheena McCormack


Exploring the consequences of cash transfers for adolescent boys and girls in Inner-city Johannesburg

Oral abstract presentation

Khoza presentation: Cash transfers (CTs) are increasingly being explored as a structural approach for HIV prevention. While there is much interest in expanding CT programmes to leverage health-related (including HIV) outcomes, there are few available data on the potential social consequences of offering CTs to adolescent boys and girls. This paper explores the consequences of CTs on adolescent recipients.

Overall session:

Cash and Care: Economic Empowerment for HIV Prevention. Presenters: Andrew Gibbs, Audrey Pettifor, Sandra McCoy, Naroesha Jagessar, Nomhle Khoza, Elona Toska, Laura Gauer Bermudez

Session Room 11, 16:30–18:00

Presenter: Nomhle Khoza, Wits RHI

STRIVE themes: Gender inequality. Transactional sex. Financing.


The use of economic interventions to promote HIV prevention and treatment objectives

Bridging Session

Session 12, 14:30

Many countries around the world have used cash transfer programmes to alleviate poverty, address economic inequalities, and improve health outcomes. Aside from cash transfers, financial incentives have also been used to influence specific behaviours such as school enrolment and attendance, healthcare utilization, and medication adherence. This session presents the perspective of programme implementers, policymakers, researchers, and advocacy groups on the use of various forms of economic interventions in the response to HIV/AIDS. It discusses the use of economic interventions to prevent HIV transmissions and improve outcomes in the HIV prevention and treatment cascade, and recent evidence on the success or failure of such interventions. At the completion of the session participants will understand the difference between incentives programmes and more general cash transfer programmes, will be knowledgeable about their risks, sustainability, and broader consequences, and will be able to discuss the pros and cons of expanding the use of such programmes.

Presenters: David Wilson, Nancy Padian, Mark Bletcher, Lucie Cluver, Sebastian Linnemayr

STRIVE themes: Development synergies. Financing


Innovative Approaches for Sustainable Financing of AIDS Responses: Finding the 26 billion by 2020

Session room 7. 18:30 - 20:30

With 26 billion dollars needed annually to fulfill pledges for HIV treatment and prevention, member states have stressed in the High Level Meeting Declaration that the target should be reached through “domestic public and private sources, according to each country’s capacity, supplemented by public and private international assistance,” not the other way round.

Join UNDP and the World Bank for a discussion of the opportunities for innovative and sustainable domestic financing for HIV prevention, treatment and care. Financing that must address the political, institutional, social and structural barriers in middle and low income countries.

Presenters: Mandeep Dhaliwal, David Wilson and selected panellists; policy leaders from civil society, academia, government and development banks.

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