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2012.08.09 MDG Team HIV Presentation
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  • 1. HIV in the MDG framework and beyond Brian Lutz 10 August 2012
  • 2. Objectives Take stock of progress on MDG 6/HIV1 Look ahead to 2015 and beyond2 Framing of HIV/health post 20153
  • 3. Good progress in prevention globally ….. Target 6A – halt and reverse the spread of HIV 1 …But have we hit the mark?
  • 4. …but progress is not uniform1
  • 5. Monumental progress in treatment globally…1 Target 6B – universal treatment access …but where should we be? 15m?
  • 6. Political and financial commitments have been key1
  • 7. Technical and policy changes have mattered1
  • 8. Human rights-based approaches remain integral1
  • 9. Opportunities to 2015 and beyond (?)2 • Treatment as prevention – scale up of ART • Vaginal and rectal microbicides • Pre-exposure prophylaxis • Safe male circumcision Increasingtimetoscaleup • Structural interventions (e.g., cash transfers?)
  • 10. Opportunities: male circumcision2 • ~50% reduction in HIV risk • 80% coverage could avert 22% of new HIV infections from 2011-2025
  • 11. Sustainable AIDS financing is biggest risk on horizon2
  • 12. Key populations will probably suffer most2
  • 13. Increasing domestication of response is one option2 • Budget re-allocation • Technical efficiencies • Alternative revenues
  • 14. So is improving allocative efficiency2
  • 15. Another risk is too much remedicalization2 Biomedical Behavioral Structural
  • 16. Emerging issues for post 20153 • AIDS out of isolation • Vertical versus horizontal • Universal health access • One, many and/or mainstreamed • Outcomes or inputs
  • 17. Thank You