Innovation and HIV —Participant ResponsesMarch 8, 2011 — Cocktails and Collaboration Event
Topic 1: Protecting Girls from HIV/AIDSJob creation and financial empowerment for women and girls.• Create financial programs for girls to earn money and save safely• Engage young girls in the “value creation” chain – be it farming, manufacture, etc. If women are seen to create value (my impression is often women are viewed as a “cost”) perhaps they would be less “disposable?”• Create job opportunities for women. • Work with most vulnerable girls for self-help/income generating and peer support • Promote autonomy - cash via cell phone for health care• Create empowerment initiatives via microfinance or corporate support Create youth-friendly spaces for sharing information about HIV,and empower girls to protect themselves with condoms.• A mobile social network where girls announce their status - whether positive or negative. This will raise awareness of HIV as a serious issue for young girls in a way that could be empowering. • Understanding of determinants of teenage pregnancy• Arm prostitutes with condoms Support local and national social systems that protect women andgirls rights; escalate global awareness and funding to issues of abuse andexploitation.• Support social welfare ministry to strengthen policies and programs for vulnerable girls• Strengthen communications to community and governmental leaders of the monetized impact of ignoring the rights - and future economic contributions - of young people• Global scorecard released monthly – spotlight on sexual abuse and exploitation of girls. A highly visible global tracking tool that shows data on abuse, exploitation, policy action and budget allocations in prior- ity countries during 2-year period• Global awareness and international funding are necessary to fight this battle - the world needs to know just how serious and widespread this problem is. Innovation around communication — enlisting men and women to speakout against abuse and exploitation.• Role of communities in addressing this challenge? Changing social norms that do not value female chil- dren and strong linkages with efforts to keep girls in school. • Famous men speak out against violence and abuse against women • Can communication play a stronger role in this? Teaching women/girls to be a voice for themselves?
Topic 2: Youth-friendly HIV Prevention, Testing and TreatmentCreate safe spaces where youth are able to access key resources, includ-ing information on prevention and treatment, and access to support.• Dedicated adolescent reproductive health services with linkages to care and support services. • Mobile phone application as first point of contact – key info and contact numbers and addresses (e.g. in Cambodia the first purchase for young people is not a motorcycle but a mobile phone) • Create a safe interface. This seems mobile to me. A private targeted interface likely to be share with peers. • Privacy: Enable youth to ask embarrassing questions anonymously, live MTV’s Dr. Drew. • Mobile! Peer-to-peer, targeted communications strategy (leverage case studies and use “private” technology)• Create a post-test group.• Positive House – a big brother for HIV+ young people Youth-savvy education about HIV prevention and treatment throughnew media, leveraging celebrities and local NGOs with deep reachin communities.• Education and make it cool. • Connect with young through social media.• Media and communications must come from community leaders whether it be an athlete, religion leader, actor, etc. Making it a norm in society. • Involve popular musicians and radio to project prevention messaging. • Try prevention marketing initiatives, just as those that CDC tried in the U.S. using social media• Mobilize NGO, local and international using their existing programs to integrate prevention, testing and treatment. Lions, Rotary, sports groups, churches. Don’t reinvent the wheel. • Do “Imagine” campaigns: via social media. Get people to imagine how they would explain to their partner, parents or friends if they were HIV+. Get them to think through the implications, how it would change their lives. New messaging around sex and condom use: Sex is cool. Safe sex is cooler.• Don’t message sex as a bad thing – It’s okay – but be safe. Sex is cool. Safe sex is cooler.• Feature condom use more in mainstream popular programs. Do not hide condoms or ignore young people. • “Get tested” and “Use condoms” radio jingles and television show themes• Model condoms as positive, sexy, cool and sex with condoms as fun. • Think “NYC Condom” Campaign – Cool, recognizable, and widely available.• Condom use – address – sex and self and power and pleasure • Approach media companies who have back catalogues of good prevention content and request their rights are given freely.
Engage adults in helping keep young people safe – incorporate HIV/AIDSeducation in to existing programs.• Programs need to address the adults’ responsibility in teaching and protecting young people.• Programs for adults such as micro-lending and other entrepreneurship and economic development programs should include HIV/AIDS prevention and treatment and should provide incentives for youth and families to be part of counseling and testing.• Target youth through family relationships – help your mother, brother, sister…Get tested and receive treatment.• Implement a performance-based reward system for facilities to work to meet quality criteria and earn recognition and cash incentive for effective outreach and service, retention of adolescents and young people.
Topic 3: Innovative Financing to Help Women and Girls Stay HIV-negativeFunding streams and mechanisms for cash transfer programs.• Connect cash transfer fund with a ‘pen-pal’ of a Western world via video connection where the donor teenager is introduced to the recipient and there is a 10-yr commitment until they reach the same. • Engage the private sector in supporting the cash transfers.• Support operational research to demonstrate impact and convince domestic and intermediary financier.• Leverage use of mobile “credits” and make community leaders accountable (motivated by similar case studies) by measuring impact, participation and estimated future return.• Leverage cash transfer via cell phone – safe and independent.• Innovation catalysts – having cross-sectional talent come to country offices to help start tech projects which get girls and women connected to networks which keep them HIV free. • Give the cash incentive to local government authorities that perform well – institute protective measures, report fewer new infections. Print performance results in local media so issue is made public and en- gages public to demand action. Incentive structures to support women’s long-term well-being andfinancial empowerment.• Stop focus on cash only as an incentive to stay healthy – need longer lasting incentive – health, family, education. • Create incentive structures for women to “invest” or earn a return on those funds, thereby positioning young women on the value scale of the community: o Microbanks – take half home, earn on the other half if invested in a “bank” o Referral incentives – bring a friend and earn more o Use funds to seed a business and earn a grater cash pay out• Empower women to help spread the word about safe sex and testing – set up local support groups (for women) – organize and communicate via sms. • Ensure continuum of care and support with economic strengthening/life skills/access to reproductive health services. • Help women start businesses that create local infrastructure networks within health system. The Developed World: Building on Successes.• Continued education and funding programs in developed countries – linked to corporate initiatives around women and children.
Topic 4: Point-of-Care Diagnostics: Bringing Treatment Closer to HomeCreative ideas to get testing machines and treatment to communities.• Allow both tests to be mobile and travel remote regions rather than mother’s tests having to travel. Transmit data to centers, analyze and build data warehouse hotspots• Community health workers: Appoint CHWs to visit/consult each community – EID/CD4 counts on the road • Bikes/cars and transportation with CD4• Test at home (working on this now)• Build group of branded youth equipped to travel to different areas – bring the treatment to them. (Inspired by Cancer Foundation in Australia which transports sufferers to hospital for treatment – otherwise cannot afford to attend). • Use existing programs like Rotary AIDS program, Lions Sight Clubs, WHO – piggy back IMobile Tech to facilitate testing, treatment and data collection.• ARV reminders by SMS. Anyone who gets on treatment has their phone subscribed to automatic remind- ers for adherence. There would be game logic (rewards for a good job). • Reverse SMS printers for ART and epidemiology or SIM/cell phone technology.• Cloud computing (data can be accessed from anywhere – data is more handy)Innovation catalysts – having cross-sectional talent come to country offices to help start tech projects which get girls and women connected to networks which keep them HIV free. Linking to long-term planning and partnerships.• Move away from lowest price solution vs. quality. Short-term vs. long-term view.• Financial incentives for collection of test results. Partnerships to support innovation.• Link to partner company, global initiatives around healthcare and education.• Create an x-prize and crowd-source the development.• Public Private Partnership Coalition that allow companies to stay in their lane without risk profile. Pharma = health content, Tech = mobile content, Consumer = manufacturing, distribution system. Low risk, high integration, powerful measurement.• Piggyback infant care/diagnosis to GE Health’s ecomagination work. • Ask a “GE”-like company to develop a gadget that would enable EID. All their research, development and production will be tax-deductible so it would be zero cost to GE. • Social marketing of CD4 testing by a PSI.