Final summary presentation 6th conference day 3 take home

MILES, MISSES AND POLICY RECOMMENDATIONS

Final Summary 6th Conference

Presentation Outline

Track 1: Miles, Misses and Policy

Recommendations

Track 2:Miles,Misses and Policy

Recommendations

Track 3:Miles,Misses and Policy

Recommendations

Track 1:Miles& Misses in HIV Prevention, Treatment & Support

MilesARV treatment uptake impressiveCost of ARV reduced= improved accessConference’s focus on workplaces-part of KNASP III Strategic Area and critical area for intervention towards ZeroConference contributions to the framework under development by NACCFirst Lady’s support to MNCH and Zero Campaign

Track 1:Miles& Misses in HIV Prevention, Treatment & Support

MilesNew Research and innovation-HIV Vaccine, PrEP, Male Circumcision Devices, Biometrics & mobiotrics in managing health dataOngoing Peer Education in schools-passage of accurate informationExistence of AIDS tribunal set to deal with AIDS related casesTargeted funding: GOK contributing 2 million USD to Global Fund to support AIDS/TB for the year 2014-2016

Track 1:Miles& Misses in HIV Prevention, Treatment & Support

MissesReduced funding in HIV Prevention vs. Zero AIDS Now! CampaignPEPFAR is financially constrained and cannot sustain funding for HIV prevention but shifted more focus to the populations that drive the epidemicPoor access of treatment among young people due to high stigma in Uganda and TanzaniaHigh prevalence of NCDs resulting in focus shiftHigh stigma=poor adherence and services uptakeLimited funding to support establishment of referral

Track 1:Miles& Misses in HIV Prevention, Treatment & Support

Policy RecommendationsDonors and government consideration on reversal of budget cuts on behavioral interventions-HIV Prevention among youth and key populationsAdvocate for increase of budget reallocation to support HIV services-CS, Health commitmentDesign targeted messages and programs focusing on younger SWs and Married SWs and SWs with no other sources of income to encourage them to make return visits for services

Track 1:Miles& Misses in HIV Prevention, Treatment & Support

Policy RecommendationsNeed to develop strategies to help the children of sex workers who are presenting with withdrawal symptoms from drugs in Coast RegionEstablish causes of GBV in Western and Nyanza and develop policies to curbCounty governments need to entrench CHS in their respective strategic plans for sustainabilityReview School Health Policy to include sex education

Track 2:Evidence Informed Behavioral Interventions

MilesKPs’ friendly services available resulting in high uptake of services due to sensitization of service providersIncreased male involvement in MNCH towards eMTCTTraining of truck drivers as peer educators for increased ownershipEstablishment of truck drivers Resource Centres at the trucks stop overs-entry point for health care

Track 2:Evidence Informed Behavioral Interventions

MilesAdoption of relevant EBIs among different Key PopulationsDevolution enhancing youth decision-making at county level

Track 2:Evidence Informed Behavioral Interventions

MissesLack of peer educators stipend streamlining in organisations=divided allegiance among PEs Poor mapping and coordination resulting into organizations’ duplication of efforts & negligence of some areas/countiesPoor data collection and documentation of implementers effortsLack of tracking of male involvement indicators in eMTCT

Track 2:Evidence Informed Behavioral Interventions

MissesMisconception that douching is preventive measure against HIV among FSWMany partners targeting key populations-Long Distance Truck Drivers and IDUsGetting exact population size of MSM-stipends make some pretend to be to benefitPoor recruitment process of peer educators without community involvement

Track 2:Evidence Informed Behavioral Interventions

Policy RecommendationsStrengthen mandate of the health service bill which is to provide health services for all regardless their orientation Ensure support of PrEP demonstration project by lvcthealth and enaction of laws to avoid misuseCommunity health workers need to be linked to schools to support paediatric adherenceTeachers’ training on handling children to bridge the current existing gaps for the children and adolescence living positively in schools

Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy

MilesHolistic involvement of all partners from public and private sector in HIV ProgrammingParadigm shift of health systems strengthening from change to transformationSpecial focus on large scale horticultural workplacesThere is democratic ways of engagement of students in School Health CommitteesExisting interventions/efforts in ASRHRUse of students as agents of change in learning institutions

Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy

MissesLack of information on county budget allocations and utilizationLack of public participation in prioritizing health issuesLow voice in determination of budget allocations in different sub-categoriesIntegration of ASRH programs at the community levelParticipation of key players in enhancing ASRH is inadequateCohort analysis and tracking-reach of new clients only

Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy

Policy RecommendationsStrengthen CSOs engagement in county budgets tracking and enhanced accountabilityStrengthening the structural determinants of health-health systems softwareHarmonization of guidelines across East Africa regionInclusion of the PWD in national planningPush for the implementation HIV&AIDS in higher learning institutions