front 1 global anti-HIV/AIDS efforts | back 1 US led non US led (but partially US financed) |
front 2 miami center for aids research (CFAR) international research | back 2 director - Dr. savita pahwa |
front 3 slide 3 | back 3 w/ american leadership, we are at unprecedented m,oment in global HIV/AIDS response. For 1st time in modern history, we have the opportunity to control a pandemic without a vaccine/cure. We have tools to do this, but the key will be a comprehensive implementation brought to scale to reach ppl already living with HIV and prevent new infections 15 yrs of leadership of US PEPFAR
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front 4 UNAIDS | back 4 joint united nations programme on HIV/AIDS
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front 5 WHO mission | back 5 seek to publish + disseminate scientifically rigorous public health information of international significance that enables policy-makers, researchers and practitioners to be more effective; it aims to improve health, particularly among disadvantaged populations conduit for healthcare-related issues between donor and recipient nations WHO cater to many diff types of ppl
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front 6 reproductive health in culture wars crossfire | back 6 in donald trump's 3rd day in office - ordered new abortion restrictions on US foreign aid worldwide reaction against policy immidiate 1) recognizing that unsafe abortion is a major health risk for women in poor countries - estimated by WHO 2) to result in 47,000 deaths + millions of injuries annually issues w/ donor countries, must keep them happy to continue operating (to continue their funding) |
front 7 covid has skewed HIV data | back 7 no data |
front 8 slide 10 | back 8 new HIV infection (red) deaths (gray) |
front 9 global HIV/AIDS picture (total infected + new infections) | back 9 no data |
front 10 global HIV/AIDS picture (drug coverage + deaths) | back 10 |
front 11 forest level vs tree level perspectives | back 11
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front 12 continuum of HIV services and retention cascade | back 12 do you see viral load suppression in ppl on treatment + retained on treatment? |
front 13 forest level vs tree level perspectives get idea of what this publication is | back 13 mission state: seeks to publish and disseminate scientifically rigorous public health information of international significance that enables policy makers, researchers, and practitioners to be more effective; it aims to improve health, particularly among disadvantaged populations |
front 14 focus on 1 country: south africa research data from 1 country | back 14 1st 90: 86% 2nd 90: 65% 3rd 90: 81% 3/4 years ago in south africa (PLWH = ppl living with AIDS)
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front 15 reaching the "unreachable" developing and testing "the treatment ambassador program" in south africa | back 15 her research in south africa |
front 16 new HIV care cascade and opportunities to become lost to care after moving to treatment for all | back 16 |
front 17 stage 3: how are we doing in early retention in care? | back 17
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front 18 Using TTI to develop multi-level socio-behavioral intervention | back 18 |
front 19 global anti-AIDS efforts look at parts of book written + scan thru table of contents | back 19 use of antiretroviral drugs for treating and preventing HIV infection, WHO 2016 Table of Contents through ‘Definition of Key Terms’ (v-xv) Recommendations (xxv-xliv) 4.1 Preparing people living with HIV for ART (p. 72) 5 Clinical Guidelines: Managing Common Coinfections and Comorbidities (pp. 192-195) Table 7.1 Ten global monitoring indicators of the health sector response to HIV (pp. 314-317 |
front 20 10 global monitoring indicators on the health sector response to HIV | back 20 number of ppl w/ HIV / population can be broken up into subpopulations, like pregnancies, etc.
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front 21 2. domestic HIV financing % contribution to HIV exposure
% contributing of domestic public expenditure to total HIV expeniture
prevention strategies include (besides pep/prep)
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front 22 3. prevention by key populations | back 22 reflects prevention interventions in key population groups and general population to control transmission risk and prevent new HIV infections condom use with non regular prevention strategies include (besides pep/prep)
indicator a) for sex workers, % reporting condom use w/ most recent client b) for men who have sex with men, % reporting condom use at last anal sex w/ male partner c) for ppl who inject drugs, needles, syringes distributed per person d) general population, % of women and men age 15-49 yrs who used a condom during last sexual intercourse |
front 23 4. and 5. | back 23 4. Ppl living w/ HIV diagnosed (ppl w/ HIV diagnosed) / (# ppl with HIV) - numerator known - denominator = ESTIMATE |
front 24 6. | back 24 # ppl w/ HIV receiving ART - portion of ppl w/ HIV who are on care - denominator = estimate |
front 25 7. and 8. | back 25 7. Keeping ppl in care - what % ppl in care for ___ (certain amount of time) / number pts initiate therapy who are lost 8. Viral suppression - ppl lvijg w/ HIV on retrotherapy + suppressed viral loads / # ppl on viral load measurements in past 12 ,months |
front 26 9. and 10. | back 26 |