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Overview of guidance/frameworks. SAG PF OGAC Prevention Draft Guidance. SAG Priorities. Epidemiologically/demographically focused targeted -KYE/KYR

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overview of guidance frameworks

Overview of guidance/frameworks

SAG

PF

OGAC Prevention Draft Guidance

sag priorities
SAG Priorities

Epidemiologically/demographically focused targeted -KYE/KYR

Scale up combination prevention strategies that are evidence based and have been shown to have an impact including biomedical, behavioral and structural interventions

Promote SAG and community ownership and leadership for prevention

Focus on social and structural drivers and behavior change using a multi-sectoral response to address HIV

sag priorities1
SAG Priorities

System strengthening (information use, program planning design and implementation, policy, standards, skills transfer

Mainstreaming prevention across sectors and within systems

Strengthen coordination across government sectors and among levels

sag priorities2
SAG Priorities

Roll out PHC strategy: a framework for a comprehensive, integrated community-based prevention program

Implementation of DBE prevention strategy: an evidence-based framework to reduce vulnerability among youth in school

Strengthen community response – community outreach, community mobilization, and reinforce sustainable integrated response at community level

partnership framework goal 1 prevent new hiv and tb infections
Partnership FrameworkGoal 1 Prevent new HIV and TB Infections

comprehensive, multi-sectoral, integrated and epidemiologic focus

  • Expand coverage of combination interventions that address the drivers
  • Reduce vulnerability to HIV and TB infection
  • Increase the number of persons who know their HIV and TB status and link them to appropriate services
ogac guidance
OGAC Guidance
  • HIV Plan must align with locally specific epidemiology and the host government
    • Assure coverage and reach of prevention among priority populations
    • Assure that interventions address populations and communities so that the level of investment matches the level of risk
ogac guidance1
OGAC Guidance

Country Prevention Plan must

  • Use a continuum of response model
    • Enhance coordination between prevention, care, and treatment
  • Identify/implement the optimal combination of prevention, care, and treatment activities to maximally reduce new infections
    • Assure that the most effective biomedical, behavioral and community/structural interventions are prioritized
ogac prevention guidance
OGAC prevention guidance

Programs must:

  • Work with local government to track and reassess the epidemiology, in order to fashion an optimal prevention response based on best available and most recent data;
  • Emphasize proven/ effective approaches and targeting interventions to populations with high incidence rates;
  • Engage communities to assure effective quality coverage with a combination of prevention interventions and services;
  • Increase emphasis on supporting and evaluating innovative and promising prevention methods.
ogac guidance2
Ogac guidance

Country plans will focus on:

KYE/KYR/KYC/KYC

  • Prioritization of populations and geographic areas
  • Coverage of targeted population
  • Understand and address the social, structural and political contexts
  • Effectiveness and cost-effectiveness of the intervention
  • Quality assurance, monitoring, and evaluation mechanisms
  • Interaction, combination and targeting of interventions
conceptual framework
Conceptual Framework

Programs to Address Behavior

The importance of behavior extends beyond specific behavioral interventions. It shapes the context for all prevention programs and should be a part of all other interventions, including biomedical – e.g. media and community-based activities to increase awareness, create demand, and support prevention interventions

Priority Interventions

Treatment coverage

  • HIV testing and Counseling
  • Routine Opt out in clinical settings
  • Testing in non-clinical settings

Critical Enablers

e.g. Programs addressing GBV; STI diagnosis and treatment; efforts to change existing structures, policies, and regulations that are barriers

Innovation/ Evaluation

e.g. Stand-alone programs to address risk reduction,

Economic strengthening

Core Interventions

PMTCT

VMMCCondoms

Comprehensive packages for MARPs

PwP

PEP

Foundational

Blood Safety

Universal Precautions

School-based and non school based programs for youth

key themes
Key Themes

Support SAG leadershipand capacity in evidence-informed decision-making for effective prevention programming and resource allocation

Support community led response to improve the quality, effectiveness, and coverage of an optimal combination of prevention interventions that address the biomedical, behavioral and structural drivers of the epidemic

Improve effectiveness of targeted prevention programs to reduce vulnerability to HIV and TB infection

Use a continuum of response model, reinforce linkages and referrals among prevention, treatment, care, RH and TB services

Strengthen key systems that deliver Prevention services

Assure gender responsive interventions promote positive gender norms

pepfar sa prevention principles
PEPFAR/SA Prevention Principles

Aligned with and supporting the SAG National Strategic plan and priorities

Epidemiologically targeted (with a focus on areas of highest estimated incidence with populations at greatest risk of infection)

Evidence informed – or based on promising practice

Address the key drivers of the epidemic

Strengthen systems and use existing structures

Have the greatest potential for population-level impact on HIV incidence