XVIII International AIDS Conference


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Strengthening national responses to AIDS through South-to-South technological multilateral initiatives: the experience of the Technological Network on HIV/AIDS

Presented by Ricardo Kuchenbecker (Brazil).

R. Kuchenbecker1, C. D'Almeida2, E. Pinheiro2, M.I. Pardini2, L. Inocencio3, C. Passarelli4, R. Baccarini5, M. Galvao Simao4

1Federal University of Rio Grande do Sul, Post-Graduation Program in Epidemiology, Porto Alegre, Brazil, 2Technological Network on HIV/AIDS, Executive Secretariat, Porto Alegre, Brazil, 3Ministry of Health - Brazil, National Department of AIDS, STD and Hepatitis, Brasilia, Brazil, 4Ministry of Health - Brazil, Department of AIDS, STD and Hepatitis, Brasilia, Brazil, 5Ministry of Health - Brazil, Department of AIDS, STD and Hepatitis, Brasilia, Brazil

Issues: The development of comprehensive and sustainable national responses to AIDS epidemic remains a challenge for the low and middle income countries (LMIC). Those challenges include lack of implementation capacity, technical and financial resources and skilled decision-makers and healthcare staff.
Description: The Technological Network on HIV/AIDS (www.aidstechnet.org) was established in 2004 and it is a joint initiative amongst the Republics of Argentina, Brazil, China, Cuba, Nigeria, Russia, Ukraine and the Kingdom of Thailand aiming to promote multilateral South-to-South technical cooperation initiatives to increase access to medicines and other inputs for the diagnosis, prevention and treatment of HIV/AIDS. The Network received a two-million dollar grant from the Ford Foundation and is currently working on two main multilateral technological collaborative efforts: the production of antiretroviral medicines and the implementation of panels for characterizing the patterns of phenotypic and genotypic resistance of HIV-1 subtypes. The implementation of the multilateral projects includes country member's technical staff as well as experts working on an advisory basis through a horizontal south-to-south process of technology transfer and partnerships involving AIDS programs, private and public institutions at national level.
Lessons learned: South-to-south horizontal technological multilateral initiatives amongst LMIC represented a complex technical and political agenda that includes several national and international stakeholders, heterogeneity on policy implementation and the necessity of harmonizing regulatory and manufacturing practices. Linking supranational and in-country technical capacities represented feasible mechanisms to enhance LMIC capacity of policy implementation on HIV/AIDS.
Next steps: Member countries are currently working on promoting technology transfer for producing new AIDS medicines and laboratory resources. The optimization of technical resources and strengthening the technological capacity of the national responses amongst participant countries represent the second phase of the Network.

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