Know Your Epidemic, Know Your Response  SUSAT28

Non-Commercial Satellite Back
Venue: SR 10 (950)
Interpretation: None
Time: 13:30 - 15:30, 03.08.2008
Code: SUSAT28
Chairpersons: Deborah Rugg, Switzerland
Debrework Zewdie, United States

Prevention strategies must be adapted to changing patterns of HIV risk if they are to succeed in controlling the HIV epidemic and reaching those most in need. It is therefore important to first know your epidemic, that is, to understand the current distribution of new infections by risk group and thereby understand the drivers of the epidemic. Then it is also paramount to know your response, so that countries and regions are able to understand gaps in HIV prevention programmes, policies and strategic information. Different partners have recognized that "Know your Epidemic and Know your Response" is of paramount importance, and have implemented different analytical tools to know a country's HIV epidemic and know its prevention response so as to focus, redirect and make appropriate policy choices about HIV prevention. The UNAIDS Reference Group on Estimates, Modelling and Projection has developed a model to calculate the short term incidence of HIV infections among the adult population by mode of transmission, using the current HIV prevalence, number of individuals in particular risk groups, and the risk of exposure. UNAIDS and the World Bank have supported National AIDS Commissions and local epidemiologists in 5 countries (Kenya, Lesotho, Mozambique, Swaziland and Uganda) to assess their prevention responses and further investigate the modes of HIV transmission using data from this incidence model, an epidemiological review, HIV prevention review and an assessment of HIV prevention resource use. The aim of this study was to address the following key questions:  Where are new infections occurring?  What does the behavioural data say about which priority groups we should be targeting?  Where should we be reaching these target groups?  What are we doing at the moment, where and with what resources?  Is there a mismatch in resource allocation?  What are the interventions that are going to make a difference? These country teams have derived implications for prevention programming and resource allocation and presented these together with findings from the analysis in national synthesis reports. The World Bank has been conducting HIV Epidemic, Response and Policy Syntheses (ERPS) in different regions in the world, in partnership with UNAIDS, governments, and tertiary education institutions. ERPS uses all existing epidemiological and behavioral data to gain new insights into the epidemic in a country or region, and examines data on the response to draw out policy and program implications. This provides a strong basis for tailoring national responses carefully to the country's epidemic -- the starting point for effective HIV prevention, treatment, care and mitigation. This non abstract driven session will present findings from different "Know your epidemic, Know your response" studies around the world, share common implementation experiences, and present different tools and methodologies.

United Nations Joint Programme on HIV/AIDS (UNAIDS)/World Bank Global Monitoring & Evaluation Team (GAMET)

Presentations in this session:

Synthesis of multiple public health data sets: recent experiences with data triangulation
George Rutherford, United States

Review of the UNAIDS / GAMET Modes of Transmission Process in Five Countries
Mark Steven Ernest Colvin, South Africa

Modes of Transmission Study, Kenya National Synthesis Results and Policy & Programme Implications
Girmay Haile, Kenya

Modes of Transmission Study, Lesotho National Synthesis Results and Policy & Programme Implications
Motlalepula Khobotlo, Lesotho

Modes of Transmission Study, Mozambique National Synthesis Results and Policy & Programme Implications
Diogo Milagre, Mozambique

Modes of Transmission Study, Swaziland National Synthesis Results and Policy & Programme Implications
Khanya Mabuza, Swaziland

Modes of Transmission Study, Uganda National Synthesis Results and Policy & Programme Implications
Fred Wabwire Mangen, Uganda

Modes of Transmission Study. Regional Lessons and Implications for Prevention
Eleanor Gouws, Switzerland

Characterizing the HIV Epidemic in the Middle East
Laith Abu-Radad, United States

Understanding the dynamics of West Africa's HIV Epidemic
Juliana Victor-Ahuchogu, United States

Characterizing the HIV Epidemic in Asia
David Wilson, United States



    The organizers reserve the right to amend the programme.

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