HIV in the MDG framework and beyond Brian Lutz 10 August 2012
Jun 26, 2015
HIV in the MDG framework and beyond
Brian Lutz10 August 2012
Objectives
Take stock of progress on MDG 6/HIV1
Look ahead to 2015 and beyond2
Framing of HIV/health post 20153
Good progress in prevention globally …..
Target 6A – halt and reverse the spread of HIV
1
…But have we hit the mark?
…but progress is not uniform1
Monumental progress in treatment globally…1
Target 6B – universal treatment access…but where
should we be?15m?
Political and financial commitments have been key1
Technical and policy changes have mattered1
Human rights-based approaches remain integral1
Opportunities to 2015 and beyond (?)2
• Treatment as prevention – scale up of ART
• Vaginal and rectal microbicides
• Pre-exposure prophylaxis
• Safe male circumcision
Incre
asin
g tim
e to
scale
up
• Structural interventions (e.g., cash transfers?)
Opportunities: male circumcision2
• ~50% reduction in HIV risk
• 80% coverage could avert 22% of new HIV infections from 2011-2025
Sustainable AIDS financing is biggest risk on horizon2
Key populations will probably suffer most2
Increasing domestication of response is one option2
• Budget re-allocation
• Technical efficiencies
• Alternative revenues
So is improving allocative efficiency2
Another risk is too much remedicalization2
Biomedical
Behavioral
Structural
Emerging issues for post 20153
• AIDS out of isolation
• Vertical versus horizontal
• Universal health access
• One, many and/or mainstreamed
• Outcomes or inputs
Thank You