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

Strategies for Expanding Access and Integrating Services	WEAE01

Type:

Oral Abstract Session

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Location:

SR 2

Schedule:

14:30 - 16:00, 21.07.2010

Code:

WEAE01

Chairs:

Helen Schneider, South Africa
Lucy Wanjiku, Kenya

Presentations in this session:

14:30
WEAE0101
Abstract
Slides with audio Comparison of integrated and vertical antiretroviral treatment programme outcomes in nine countries in Sub-Saharan Africa
Presented by Jane Greig
D.P. O'Brien^1,2,3, J. Greig⁴, K. Sabapathy¹, L. Shanks¹
¹Medecins Sans Frontieres Operational Centre Amsterdam, Public Health Department, Amsterdam, Netherlands, ²Royal Melbourne Hospital, Victorian Infectious Diseases Service, Melbourne, Australia, ³Geelong Hospital, Department of Infectious Diseases, Geelong, Australia, ⁴Medecins Sans Frontieres, Manson Unit, London, United Kingdom

14:45
WEAE0102
Abstract
Slides with audio Provision of antiretroviral treatment in conflict settings: the experience of Médecins Sans FrontiÃ¨res
Presented by Daniel P O'Brien, Netherlands
D.P. O'Brien^1,2,3, S. Venis⁴, J. Greig⁴, L. Shanks¹, T. Ellman⁴, K. Sabapathy¹, L. Frigati^1,5, C. Mills^1,6
¹Medecins Sans Frontieres Operational Centre Amsterdam, Public Health, Amsterdam, Netherlands, ²Royal Melbourne Hospital, Victorian Infectious Diseases Service, Melbourne, Australia, ³Geelong Hospital, Department of Infectious Diseases, Geelong, Australia, ⁴Medecins Sans Frontieres, Manson Unit, London, United Kingdom, ⁵Red Cross Childrens Hospital, Cape Town, South Africa, ⁶University of Auckland, Auckland, New Zealand

15:00
WEAE0103
Abstract
Slides with audio Are countries’ policies working? An evaluation of the performance of health centers in delivering HIV/AIDS services in Rwanda
Presented by Wu Zeng, United States
A.K. Rwiyereka¹, W. Zeng², P. Amico¹, D.S. Shepard², C. Avila-Figueroa³
¹Brandeis University, Heller School for Social Policy and Management, Waltham, United States, ²Brandeis University, Schneider Institutes for Health Policy, Waltham, United States, ³The Joint United Nations Programme on HIV/AIDS, Geneva, Switzerland

15:15
WEAE0104
Abstract
Slides with audio Early access to voluntary HIV counseling and testing, bednets and water filters through an integrated mass implementation campaign in Kenya
Presented by Reuben Granich, Switzerland
R. Granich¹, N. Muraguri², A. Doyen³, M. Vitoria¹, S. Crowley¹, B. Williams⁴
¹World Health Organization, Geneva, Switzerland, ²Ministry of Public Health and Sanitation, Government of Kenya, Nairobi, Kenya, ³Vestergaard-Frandsen, Inc, Nairobi, Kenya, ⁴South African Centre for Epidemiological Modelling and Analysis, Stellenbosch, South Africa

15:30
WEAE0105
Abstract
Slides with audio Using national mass immunization campaigns as an opportunity to identify HIV-exposed infants and channel them into follow-up care: experiences from urban Zimbabwe
Presented by Elizabeth Chirapa, Zimbabwe
E. Chirapa¹, W. Chandisarewa¹, A. Muchedzi¹, L. Mupfukura¹, J. Keatinge², A. Shetty³
¹Zimbabwe AIDS Prevention Project-University of Zimbabwe, Community Medicine, Harare, Zimbabwe, ²Elizabeth Glaser Pediatric AIDS Foundation, Harare, Zimbabwe, ³Wake Forest University, North Carolina, United States

Rapporteur report

Track E report by Pierre BARKER

In a session devoted to Strategies for Expanding Access and Integrating Services - WEAE01 –Jane Grieg, Medecins sans Frontieres, analyzed outcomes from a large number of MSF sites. Data was presented showing that quality of care (loss to followup) and outcomes (death) were the not different in HIV treatment programs that were “vertical” (i.e. purpose built) or “integrated” (provided within general medical services). MSF (Daniel O’Brien) also reported on HIV work in conflict settings , presenting data that HIV care can be effectively delivered with outcomes that are similar to non-conflict settings. Programmes were well prepared for disruptions with no significant loss of performance when services were disrupted. The relative benefits of national policy interventions (performance based financing and community based insurance) was compared, in a presentation by Wu Zeng, Brandeis University. In sites that delivered HIV care in Rwanda in 2006 and 2007, community based financing contributed to improvements in efficiency of HIV services whereas performance based financing did not appear to influence performance. Strategies for increasing HIV testing were discussed by Reuben Granich, WHO and by Elizabeth Chirapa, University of Zimbabwe. In Kenya, mass campaigns for HIV testing that were linked to provision of bed nets and water filters resulted in testing over 6000 people over 3 days. Discussion from the floor questioned how 100% testing rates had been achieved and concerns were raised about excessive waiting times and quality of testing that was associated with the campaign approach. In Zimbabwe, the utility of immunization clinics was demonstrated with a doubling of the number of infants identified as HIV positive and doubling of infants started on prophylactic cotrimoxizole.