This document summarizes discussions from the 6th Conference on HIV prevention, treatment, and policy recommendations. It covers three tracks: 1) progress and challenges in HIV prevention, treatment, and support, 2) evidence-informed behavioral interventions, and 3) social determinants, capacity building, partnerships, and advocacy. Key accomplishments include expanded access to antiretroviral treatment, decreased treatment costs, and increased male involvement in prevention of mother-to-child transmission. However, reduced funding for prevention, high stigma, and non-communicable diseases competing for resources pose challenges. Recommendations include increasing prevention budgets, strengthening health services for all populations, and enhancing community involvement in health planning.

1. MILES, MISSES AND POLICY RECOMMENDATIONS
Final Summary 6th
Conference

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. 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. 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. 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. 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. 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. 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. Track 2:Evidence Informed Behavioral
Interventions
Miles
Adoption of relevant EBIs among different Key
Populations
Devolution enhancing youth decision-making at
county level

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. 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. 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. 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. 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. 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