Ready, Set, Rectal Microbicides –A Multinational Update onRectal Microbicide Research and AdvocacyAround the World with IR...
Today• Who is IRMA and what does she do?• Advocacy  –Priorities, Opportunities, Challenges  –Activities• Be a Rectal Rock ...
Who is IRMA?               3
IRMA, b.20054 people, 4 agencies, 2 countries                                    4
1100+   Mission: supportadvocates, scientists,    development offunders, policymakersafe, effective, acceptas from 6 conti...
Balls (and rectums) are fragile…                   -Betty White, American television star
This is what a complete prevention toolkit looks like   Prior to exposure      Point of transmission            Treatment ...
8
Advocacy
Advocacy priorities             o Increase and diversify funding             o Increase research activities               ...
It’s about the money, honey
It’s about the money, honey
It’s about the money, honey     2010 rectal microbicide specific     funding - approx. $7.1 million     www.hivresourcetra...
It’s about the money, honeyIncrease and diversify funding          Source: From Promise to Product: Advancing Rectal Micro...
It’s about the money, honeyProjected funding needs         Source: From Promise to Product: Advancing Rectal Microbicide R...
Advocacy priorities• Recruit researchers, advocates• Recognise anal intercourse as  important driver in HIV epidemic  amon...
Anal intercourse is a human behaviour.
20
Activities
Highly active                           moderated listserv                                                           Websi...
Highly active               moderated                 listserv                           You haven’t                      ...
Survey in English, Spanish, French, Russian,          Chinese, Portuguese, German and Thai                      TAKE IT. P...
Special initiatives
Special initiativeso Project ARMo IRMA-ALCo “The Rectal Revolution is Here”o Lube Safety
27
28
29
• Issues/context  – Stigma, criminalization, denial, homophobia  – Until recently, vaginal-centric, hetero-centric  – Afri...
at ICASA 2011• Centerpiece activity  – Working/strategy meeting    before ICASA 2011  – Addis, Ababa, Ethiopia    December...
at ICASA 2011– Invited: RSA, Malawi, Kenya, Uganda, Nigeria,  Ethiopia, Zimbabwe, Canada, USA– Scholarship program to supp...
33
34
35
IRMA-ALC – South America                           36
MTN 017 Consult – Lima                         37
MTN 017 Consult – Bangkok                            38
MTN 017 Consult – Chiang Mai                               39
MTN 017 Consult – Cape Town                              40
IRMA oughta be in pictures
IRMA oughta be in pictures“The Rectal Revolution is Here: An Introduction to            Rectal Microbicide Trials” Collab...
IRMA oughta be in pictures                             43
IRMA oughta be in pictures                             44
IRMA oughta be in pictures                             45
IRMA oughta be in pictures                             46
47
Be a Rectal Rock Star                   48
What you can do in 5 minutes         • WEAR YOUR STICKER         • Take the douche survey         • Join IRMA - sign up fo...
What you can do in 30 - 60 minutes• Join one of IRMA’s regular free  teleconferences featuring world leaders  in RM resear...
Want to do more?            • Become your community’s rectal          microbicide expert and spokesperson                 ...
Or how about…           Join a trial                          52
53
http://irma- rectalmicrobicides.blogspot.com/2009/04/putt          ing-my-ass-on-        lineliterally.html
Special thanks to IRMA supporters                                    55
And, thank YOU                 56
“IF YOU THINK YOU’RE TOO SMALLTO MAKE A DIFFERENCE, YOU’VENEVER SPENT THE NIGHT WITH AMOSQUITO.”
Questions?             58
Don’t be a stranger.jpickett@aidschicago.org                           59
Around the World with IRMA - Global Rectal Microbicide Advocacy Priorities, Opportunities and Challenges
Around the World with IRMA - Global Rectal Microbicide Advocacy Priorities, Opportunities and Challenges
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Around the World with IRMA - Global Rectal Microbicide Advocacy Priorities, Opportunities and Challenges

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Jim Pickett presented on global advocacy at the Microbicides 2012 session called "Ready, Set, Rectal Microbicides –
A Multinational Update on
Rectal Microbicide Research and Advocacy"

Published in: Health & Medicine
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  • Here is one way to think about what an expanded toolkit of HIV prevention and treatment options would look like. A comprehensive approach to HIV prevention should have many elements.Having a complete HIV prevention toolkit would mean we would have access to all these different strategies – both tools we have currently and new ones that are still being developed. No single tool or strategy will be the silver bullet. Ideally we will use these different tools and strategies in various combinations with one another.We can think about prevention in a similar way we do with HIV/AIDS treatment. People who have HIV/AIDS take a number of different medications – Combination Therapy. In the same way, we should think of prevention as Combination Prevention. Right now, we have many tools that people can use before exposure, right at the point of HIV transmission, and after being infected. We already agree that we need to improve people’s access to the existing tools, shown here in black.Advocates and researchers around the world are also working to see what new options could be added to this toolkit in the near future. These are shown here in red.As we will see, antiretroviral (ARV)-based prevention options could exist at all of these points.
  • Now we’re going to talk more specifically about rectal microbicides. First, we need to acknowledge that anal intercourse is a common, human behavior, practiced by gay men, men who have sex with men, and between men and women. Following are some statistics.
  • Around the World with IRMA - Global Rectal Microbicide Advocacy Priorities, Opportunities and Challenges

    1. 1. Ready, Set, Rectal Microbicides –A Multinational Update onRectal Microbicide Research and AdvocacyAround the World with IRMAGlobal Rectal MicrobicideAdvocacy Priorities,Opportunities, and Challenges Jim Pickett, IRMA chair Sydney, Australia – 16.4.12
    2. 2. Today• Who is IRMA and what does she do?• Advocacy –Priorities, Opportunities, Challenges –Activities• Be a Rectal Rock Star
    3. 3. Who is IRMA? 3
    4. 4. IRMA, b.20054 people, 4 agencies, 2 countries 4
    5. 5. 1100+ Mission: supportadvocates, scientists, development offunders, policymakersafe, effective, acceptas from 6 continents – ble, and accessible S. America/Latin rectal microbicides America and Nigeriafor all chapters them that need 5
    6. 6. Balls (and rectums) are fragile… -Betty White, American television star
    7. 7. This is what a complete prevention toolkit looks like Prior to exposure Point of transmission Treatment •Rights-focused •Male and female • Improved, expanded ARV behaviour change condoms and lube therapy •Voluntary counselling •ARV treatment to • Treatment for and testing prevent vertical opportunistic infections •STI screening and transmission (PMTCT) • Basic care/nutrition treatment •Clean injecting •Male medical equipment • Prevention for positives circumcision •Post-exposure • Education & rights-focused •Preventive Vaccines prophylaxis (PEP) behaviour change •Pre-exposure •Vaginal and rectal • Therapeutic vaccines prophylaxis (PrEP) microbicides ARV = antiretroviral
    8. 8. 8
    9. 9. Advocacy
    10. 10. Advocacy priorities o Increase and diversify funding o Increase research activities o RM research, expand pipeline o Lubricant safety o Increase knowledge o Heterosexual anal sex o Anal sex behaviours and practices in general
    11. 11. It’s about the money, honey
    12. 12. It’s about the money, honey
    13. 13. It’s about the money, honey 2010 rectal microbicide specific funding - approx. $7.1 million www.hivresourcetracking.org
    14. 14. It’s about the money, honeyIncrease and diversify funding Source: From Promise to Product: Advancing Rectal Microbicide Research and Advocacy
    15. 15. It’s about the money, honeyProjected funding needs Source: From Promise to Product: Advancing Rectal Microbicide Research and Advocacy
    16. 16. Advocacy priorities• Recruit researchers, advocates• Recognise anal intercourse as important driver in HIV epidemic among gay men, MSM, and heterosexuals• Address burden of HIV among gay/MSM• Promote anal health
    17. 17. Anal intercourse is a human behaviour.
    18. 18. 20
    19. 19. Activities
    20. 20. Highly active moderated listserv Website • Tons of resourcesMaterials Blog, Facebook, Twitter• Fact sheets, reports Global teleconferences • Recorded, materials posted 22
    21. 21. Highly active moderated listserv You haven’t lived if you’re not on the IRMA list.Linda-Gail Bekker, Desmond Tutu HIV Foundation 23
    22. 22. Survey in English, Spanish, French, Russian, Chinese, Portuguese, German and Thai TAKE IT. PASS THE LINK ALONG!rectalmicrobicides.org 24
    23. 23. Special initiatives
    24. 24. Special initiativeso Project ARMo IRMA-ALCo “The Rectal Revolution is Here”o Lube Safety
    25. 25. 27
    26. 26. 28
    27. 27. 29
    28. 28. • Issues/context – Stigma, criminalization, denial, homophobia – Until recently, vaginal-centric, hetero-centric – Africa needs RM research and advocacy strategy specific to the continent – Anal health, LGBT rights, current prevention gaps, other contextual issues – Organizing, capacity building – Need for educational, communication tools 30
    29. 29. at ICASA 2011• Centerpiece activity – Working/strategy meeting before ICASA 2011 – Addis, Ababa, Ethiopia December 2 – 3, 2011 – 45 individuals: Africans/allies 31
    30. 30. at ICASA 2011– Invited: RSA, Malawi, Kenya, Uganda, Nigeria, Ethiopia, Zimbabwe, Canada, USA– Scholarship program to support additional 16 Africans to attend • 145 Africans submitted scholarship applications • Represented: gay/MSM, female, trans, openly HIV+, researchers, advocates, NGOs • Cameroon, Uganda, Zimbabwe, Zambia, RSA, Kenya, Nigeria , UK, Rwanda 32
    31. 31. 33
    32. 32. 34
    33. 33. 35
    34. 34. IRMA-ALC – South America 36
    35. 35. MTN 017 Consult – Lima 37
    36. 36. MTN 017 Consult – Bangkok 38
    37. 37. MTN 017 Consult – Chiang Mai 39
    38. 38. MTN 017 Consult – Cape Town 40
    39. 39. IRMA oughta be in pictures
    40. 40. IRMA oughta be in pictures“The Rectal Revolution is Here: An Introduction to Rectal Microbicide Trials” Collaboration: IRMA, MTN, Population Council Funding: MAC AIDS, MTN, Population Council Objective: develop a “generic” video about rectal microbicide clinical trials to use for multiple trials/products Target audience: communities, potential participants, advocates, clinical trial staff English, with subtitles for Spanish, Thai 42
    41. 41. IRMA oughta be in pictures 43
    42. 42. IRMA oughta be in pictures 44
    43. 43. IRMA oughta be in pictures 45
    44. 44. IRMA oughta be in pictures 46
    45. 45. 47
    46. 46. Be a Rectal Rock Star 48
    47. 47. What you can do in 5 minutes • WEAR YOUR STICKER • Take the douche survey • Join IRMA - sign up for IRMA listserv through website • Read one fact sheet, news item • Friend and follow us on FB, Twitter • Share web address www.rectalmicrobicides.org 49
    48. 48. What you can do in 30 - 60 minutes• Join one of IRMA’s regular free teleconferences featuring world leaders in RM research, advocacy• Read our reports• Share your interest in rectal microbicides –and end the silence on ANAL SEX 50
    49. 49. Want to do more? • Become your community’s rectal microbicide expert and spokesperson – Recruit new members, enlist organisational support for RMs – Conduct presentations in your community – Write an article, a blog or Facebook update on RMs - IRMA-ALC will help! – Join a Community Advisory Board – Join Project ARM, IRMA-ALC 51
    50. 50. Or how about… Join a trial 52
    51. 51. 53
    52. 52. http://irma- rectalmicrobicides.blogspot.com/2009/04/putt ing-my-ass-on- lineliterally.html
    53. 53. Special thanks to IRMA supporters 55
    54. 54. And, thank YOU 56
    55. 55. “IF YOU THINK YOU’RE TOO SMALLTO MAKE A DIFFERENCE, YOU’VENEVER SPENT THE NIGHT WITH AMOSQUITO.”
    56. 56. Questions? 58
    57. 57. Don’t be a stranger.jpickett@aidschicago.org 59

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