The goals of the workshop were to develop evidence-based strategies for improving, monitoring, and evaluating adherence support for HIV prevention, care, and treatment and to set a sustainable adherence agenda. The objectives were to review current adherence levels, share lessons learned and acquire new skills, identify strategies for improved monitoring and evaluation of adherence interventions, and develop country-specific work plans. Key topics included adult and pediatric care and treatment and PMTCT. Key adherence strategies to discuss were appointment systems, tracking patients, integrated counseling, peer education, and community linkages. The workshop would include presentations, breakout sessions, and action planning to help all ICAP sites implement functional appointment systems and counseling/assessment strategies by 2010.

1. WORKSHOP GOALS AND OBJECTIVES Peter Twyman, MPH Monday, October 19, 2009 Supporting Sustainable Adherence to HIV Prevention, Care & Treatment ICAP Technical Workshop October 19-22, 2009  Kigali, Rwanda

2. Goals To develop common, evidence-based strategies for improving, monitoring, and evaluating adherence support To set a sustainable adherence agenda for ICAP overall and within specific country programs

3. Objectives Review current level of adherence in ICAP programs Share lessons learned and acquire new skills Identify strategies for improved monitoring and evaluation of adherence interventions Develop country specific work plans for improving adherence

4. Thematic areas Adult care and treatment (Tues) Pediatric Care and Treatment (Wed) PMTCT (Thurs)

5. Key Adherence Strategies Appointment systems Integrated tracking and tracing systems MDT approach to adherence counseling and assessment Peer education/expert client programs Community linkages and referral

6. Workshop Methodology Plenary sessions Concurrent sessions Open Space Country working sessions MOC SOC Action planning (prioritize appt systems & assessment) Market place

7. At the end of the day…. 100% of ICAP supported sites with functional appointment systems 100% with reliable and valid counseling and assessment strategies in place By end of 2010 (or earlier)

8. Most importantly…. Participate generously Be creative No idea is a bad idea Have fun YOU ARE THE EXPERTS!