From Evidence to Implementation  WEAE05

Oral Abstract Session Back
Venue: SR 11 (1400)
Interpretation: None
Time: 16:30 - 18:00, 06.08.2008
Code: WEAE05
Co-Chairs: Marc Dixneuf, France
Fred Eboko, France

Presentations in this session:

The analysis and advocacy (A-Squared) project in Bangladesh, China, Thailand and Vietnam: successful evidence-based HIV policy development in varied policy environments
Presented by Jeremy Ross, Thailand
J. Ross1, T. Brown2, F. Young3
1Family Health International, Asia Pacific Regional Office, Bangkok, Thailand, 2East West Center, Honolulu, United States, 3RTI International, North Carolina, United States

HIV-prevention strategies in countries with a concentrated HIV-epidemic need to reach a new goal
Presented by Roger Staub, Switzerland
R. Staub1, L. Guggenbühl1, S. Derendinger1, P. Vernazza2
1Swiss Federal Office of Public Health, Communicable Diseases, Berne, Switzerland, 2Swiss National AIDS Comission, Berne, Switzerland

The analysis and advocacy (A2) project's role in translating Thailand's national AIDS strategy into provincial implementation plans
Presented by Wiput Phoolcharoen, Thailand
S. Pantuwatana1, S. Osiri2, W. Phoolcharoen3, W. Sittitrai4
1Burapha University, Chonburi, Thailand, 2Faculty of Medical Science, Burapha University, Chonburi, Thailand, 3Thailand A2 Team, Policy Research and Development Institute Foundation, Secretary General, Bangkok, Thailand, 4Thai Red Cross Society, Bangkok, Thailand

Regional antiretroviral guidelines: progress in standarization of care for Latin América and Caribbean (LAC)
Presented by Mónica Alonso, United States
O. Sued1, M. Alonso2
1Fundación Huésped, Área de Investigaciones Clínicas, Buenos Aires, Argentina, 2PAHO, HIV-Aids-STI Unit, Washington, United States

Utilizing evidence to guide program implementation: the use of routine lot quality assurance sampling (LQAS) surveys at household level
Presented by Samson Kironde, Uganda
S. Kironde, E. Ekochu, D. Businge, A. Nkwake, G. Kiracho
Uganda Program for Human and Holistic Development, Kampala, Uganda

Rapporteur report

Track E report by Mandeep Dhaliwal

Ross presented the A squared project, bringing together modelers, epidemiologists, advocacy specialists, economists and policy makers from 4 Asian countries to address the ‘evidence-policy divide’ and build local epidemic and response models. Despite changing policy environments and multiple sensitivities around data and ownership, it proved feasible to adapt planning models to local circumstances and develop local models.

Phoolcharoen presented an application of this model to strategic planning in Chonburi Province Thailand.  Behavioural targets were set for a range of key population groups, and specific multi-partner programs developed for populations with most current need. The impact of successful sex worker interventions had significantly reduced the proportion of new cases attributable to contact between sex workers and clients; and further infections between spouses. This left MSM as the population with highest incidence.  Planning involved reallocating responsibilities and resources to this population. New partnerships between NGOs and government agencies were fostered;  e.g  between NGOs and the Fishery Association to reach illegal migrant workers; other key populations targeted included serodiscordant couples and female sex workers. The resultant strategy places responsibility for prevention at the provincial level, and establishes partnerships and budgets to ensure a framework for action is clearly articulated.

Staub presented a proposal to cut incidence among heterosexuals in Switzerland by up to 50%; and among MSM by 25%. Drawing on data which showed that 61% of heterosexual women, 30% of heterosexual men and 24% of MSM attributed their HIV infection to a regular partner, it is proposed to offer all seroconverters in relationships voluntary counseling with their partner, to support disclosure, and ARV uptake to reduce viral load. It was stressed that this model is entirely voluntary and is not a partner notification model.

Kironde demonstrated the application of Lot Quality Assurance Sampling to the public health field, providing a cost effective means of measuring the coverage of programs and interventions.



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