AIDS 2010 - Vienna 18-23 July 2010 - XVIII International AIDS Conference

Prevention of Sexual Transmission of HIV	TUPDC2

Type:

Oral Poster Discussion

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Location:

MR 4

Schedule:

13:00 - 14:00, 20.07.2010

Code:

TUPDC2

Chairs:

Robert Bailey, United States
Helen Weiss, United Kingdom

Presentations in this session:

13:00
TUPDC201
Abstract Baseline findings from the SASA! study: a cluster randomized controlled trial to assess the impact of a community focused violence and HIV prevention programme in Uganda
Presented by Charlotte Watts, United Kingdom
C. Watts¹, T. Abramsky¹, L. Kiss¹, L. Francisco^2,3, T. Musuya⁴, J. Nakuti⁵, L. Michau⁵
¹London School of Hygeine and Tropical Medicine, Public Health and Policy, London, United Kingdom, ²John Hopkins Bloomberg School of Public Health, Baltimore, United States, ³Bloomberg School of Public Health, Johns Hopkins University, Baltimore, United States, ⁴Centre for Domestic Violence Prevention, Kampala, Uganda, ⁵Raising Voices, Kampala, Uganda

13:05
TUPDC202
Abstract A systematic review of couples-based behavioral interventions associated with HIV prevention
Presented by Caitlin Kennedy, United States
C. Kennedy¹, V. Bhatia², K. Grabbe³, I. Iuppa², G. Kennedy², E. Marum³
¹Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, United States, ²University of California at San Francisco, San Francisco, United States, ³Centers for Diease Control and Prevention, Global AIDS Program, Atlanta, United States

13:10
TUPDC203
Abstract Models to increase volumes and efficiency (MOVE) in Zimbabwe's male circumcision program
Presented by Karin Hatzold, Zimbabwe
K. Hatzold¹, C. Samkange², E. Fusire³, G.S. Dendere⁴, K. Kaseke¹, D. Rech⁵, R. Dhlamini¹, G. Ncube⁶, O. Mugurungi⁶
¹Population Services International Zimbabwe, Harare, Zimbabwe, ²University of Zimbabwe College of Health Sciences, Harare, Zimbabwe, ³Zimbabwe Republic Police, Medical Department, Harare, Zimbabwe, ⁴Air Force of Zimbabwe, Medical Department, Harare, Zimbabwe, ⁵Population Services International, Johannesburg, South Africa, ⁶Ministry of Health and Child Welfare Zimbabwe, Harare, Zimbabwe

13:15
TUPDC204
Abstract Rollout of voluntary medical male circumcision for HIV prevention in Kenya: one year and counting
Presented by Peter Cherutich, Kenya
P. Cherutich¹, N. Muraguri¹, K. Agot², W. Obiero³, D. Omondi², O. Spala², C. Kirui⁴, E. Owillah⁵, M. Loolpapit⁶, I. Oguma⁶, C. Okal⁷, K. Serem⁸, J. Kioko⁷
¹National AIDS/STD Control Programme, Nairobi, Kenya, ²Impact Research and Development Organization, Kisumu, Kenya, ³Nyanza Reproductive Health Society (NRHS), Kisumu, Kenya, ⁴Kenya Medical Research Institute, Kisumu, Kenya, ⁵Engender Health (APHIA II Nyanza), Kisumu, Kenya, ⁶Family Health International, Nairobi, Kenya, ⁷Ministry of Public Health and Sanitation, Kisumu, Kenya, ⁸Catholic Medical Missions Board, Nairobi, Kenya

13:20
TUPDC205
Abstract Community monitoring of medical male circumcision for HIV prevention and its impact on women: findings from a five-country pilot in Kenya, Namibia, Swaziland, South Africa, and Uganda
Presented by Cindra Feuer
C. Dlamini¹, J. Gatsi², J. Kehler³, A. Kuteesa⁴, M. Natukunda⁵, C. Odada⁶, T. Crone⁷, C. Feuer⁸
¹Swaziland for Positive Lliving, Manzini, Swaziland, ²Namibia Women's Health Network, Windhoek, Namibia, ³AIDS Legal Network, Cape Town, South Africa, ⁴Health Rights Action Group, Kampala, Uganda, ⁵Mama's Club, Kampala, Uganda, ⁶Women Fighting AIDS in Kenya, Kisumu, Kenya, ⁷ATHENA Network, Seattle, United States, ⁸AVAC, New York, United States

13:25
TUPDC206
Abstract A model for the roll-out of comprehensive adult male circumcision services in African low-income settings of high HIV incidence: the Bophelo Pele project (ANRS-12126)
Presented by Bertran Auvert, France
P. Lissouba¹, B. Taljaard², D. Rech², C. Nhlapo³, B. Auvert⁴
¹UMRS 1018, Villejuif, France, ²Progressus, Johannesburg, South Africa, ³SFH, Johannesburg, South Africa, ⁴Inserm, Villejuif, France

Rapporteur report

Track C report by Anne BUVÉ

TUPDC2 - Prevention of Sexual Transmission of HIV

Intimate partner violence (IPV) is increasingly recognized as a risk factor for HIV infection in women. A baseline survey in Uganda, in preparation for a community focused intervention trial, found that 44% of women had ever experienced physical and/ or sexual violence. IPV was associated with high risk behavior in the female victims as well as the male perpetrators.

In a systematic review couples based behavioral interventions appeared to be efficacious when compared with baseline or with a control group. However results of comparisons of couples based interventions with individual interventions were mixed. There was no evidence of adverse events but there were only few studies. More research is needed employing rigorous designs and including adverse events as an outcome.

Male circumcision is very efficacious in reducing the risk of HIV acquisition but in order to have an effect at the population level high coverage needs to be achieved within a relatively short time. In Zimbabwe for instance the goal is to circumcise 80% of all men aged 15-29 years by the year 2015. Several strategies were presented to roll out MC. The success of the roll out in Kenya is attributed to strong political leadership and engagement with community leaders. Task shifting, i.e. delegating surgical procedures to nurses, does not increase adverse events. Women are also stakeholders. They appear to be supportive of MC but have concerns about increased risk behavior of men.