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 1:Miles& Misses in HIV Prevention,
Treatment & Support
Miles
ARV treatment uptake impressive
Cost of ARV reduced= ...
Track 1:Miles& Misses in HIV Prevention,
Treatment & Support
Miles
New Research and innovation-HIV Vaccine, PrEP,
Male Ci...
Track 1:Miles& Misses in HIV Prevention,
Treatment & Support
Misses
Reduced funding in HIV Prevention vs. Zero AIDS Now!
...
Track 1:Miles& Misses in HIV Prevention,
Treatment & Support
Policy Recommendations
Donors and government consideration o...
Track 1:Miles& Misses in HIV Prevention,
Treatment & Support
Policy Recommendations
Need to develop strategies to help th...
Track 2:Evidence Informed Behavioral
Interventions
Miles
KPs’ friendly services available resulting in high
uptake of ser...
Track 2:Evidence Informed Behavioral
Interventions
Miles
Adoption of relevant EBIs among different Key
Populations
Devol...
Track 2:Evidence Informed Behavioral
Interventions
Misses
Lack of peer educators stipend streamlining in
organisations=di...
Track 2:Evidence Informed Behavioral
Interventions
Misses
Misconception that douching is preventive measure
against HIV a...
Track 2:Evidence Informed Behavioral
Interventions
Policy Recommendations
Strengthen mandate of the health service bill w...
Track 3:Social Determinants, Capacity
Building, Partnerships & Advocacy
Miles
Holistic involvement of all partners from p...
Track 3:Social Determinants, Capacity
Building, Partnerships & Advocacy
Misses
Lack of information on county budget alloc...
Track 3:Social Determinants, Capacity
Building, Partnerships & Advocacy
Policy Recommendations
Strengthen CSOs engagement...
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Final summary presentation 6th conference day 3 take home

  1. 1. MILES, MISSES AND POLICY RECOMMENDATIONS Final Summary 6th Conference
  2. 2. Presentation Outline Track 1: Miles, Misses and Policy Recommendations Track 2:Miles,Misses and Policy Recommendations Track 3:Miles,Misses and Policy Recommendations
  3. 3. Track 1:Miles& Misses in HIV Prevention, Treatment & Support Miles ARV treatment uptake impressive Cost of ARV reduced= improved access Conference’s focus on workplaces-part of KNASP III Strategic Area and critical area for intervention towards Zero Conference contributions to the framework under development by NACC First Lady’s support to MNCH and Zero Campaign
  4. 4. Track 1:Miles& Misses in HIV Prevention, Treatment & Support Miles New Research and innovation-HIV Vaccine, PrEP, Male Circumcision Devices, Biometrics & mobiotrics in managing health data Ongoing Peer Education in schools-passage of accurate information Existence of AIDS tribunal set to deal with AIDS related cases Targeted funding: GOK contributing 2 million USD to Global Fund to support AIDS/TB for the year 2014- 2016
  5. 5. Track 1:Miles& Misses in HIV Prevention, Treatment & Support Misses Reduced funding in HIV Prevention vs. Zero AIDS Now! Campaign PEPFAR is financially constrained and cannot sustain funding for HIV prevention but shifted more focus to the populations that drive the epidemic Poor access of treatment among young people due to high stigma in Uganda and Tanzania High prevalence of NCDs resulting in focus shift High stigma=poor adherence and services uptake Limited funding to support establishment of referral
  6. 6. Track 1:Miles& Misses in HIV Prevention, Treatment & Support Policy Recommendations Donors and government consideration on reversal of budget cuts on behavioral interventions-HIV Prevention among youth and key populations Advocate for increase of budget reallocation to support HIV services-CS, Health commitment Design 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
  7. 7. Track 1:Miles& Misses in HIV Prevention, Treatment & Support Policy Recommendations Need to develop strategies to help the children of sex workers who are presenting with withdrawal symptoms from drugs in Coast Region Establish causes of GBV in Western and Nyanza and develop policies to curb County governments need to entrench CHS in their respective strategic plans for sustainability Review School Health Policy to include sex education
  8. 8. Track 2:Evidence Informed Behavioral Interventions Miles KPs’ friendly services available resulting in high uptake of services due to sensitization of service providers Increased male involvement in MNCH towards eMTCT Training of truck drivers as peer educators for increased ownership Establishment of truck drivers Resource Centres at the trucks stop overs-entry point for health care
  9. 9. Track 2:Evidence Informed Behavioral Interventions Miles Adoption of relevant EBIs among different Key Populations Devolution enhancing youth decision-making at county level
  10. 10. Track 2:Evidence Informed Behavioral Interventions Misses Lack 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/counties Poor data collection and documentation of implementers efforts Lack of tracking of male involvement indicators in eMTCT
  11. 11. Track 2:Evidence Informed Behavioral Interventions Misses Misconception that douching is preventive measure against HIV among FSW Many partners targeting key populations-Long Distance Truck Drivers and IDUs Getting exact population size of MSM-stipends make some pretend to be to benefit Poor recruitment process of peer educators without community involvement
  12. 12. Track 2:Evidence Informed Behavioral Interventions Policy Recommendations Strengthen 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 misuse Community health workers need to be linked to schools to support paediatric adherence Teachers’ training on handling children to bridge the current existing gaps for the children and adolescence living positively in schools
  13. 13. Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy Miles Holistic involvement of all partners from public and private sector in HIV Programming Paradigm shift of health systems strengthening from change to transformation Special focus on large scale horticultural workplaces There is democratic ways of engagement of students in School Health Committees Existing interventions/efforts in ASRHR Use of students as agents of change in learning institutions
  14. 14. Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy Misses Lack of information on county budget allocations and utilization Lack of public participation in prioritizing health issues Low voice in determination of budget allocations in different sub-categories Integration of ASRH programs at the community level Participation of key players in enhancing ASRH is inadequate Cohort analysis and tracking-reach of new clients only
  15. 15. Track 3:Social Determinants, Capacity Building, Partnerships & Advocacy Policy Recommendations Strengthen CSOs engagement in county budgets tracking and enhanced accountability Strengthening the structural determinants of health- health systems software Harmonization of guidelines across East Africa region Inclusion of the PWD in national planning Push for the implementation HIV&AIDS in higher learning institutions
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