PREVENTION FOR PEOPLE LIVING WITH HIV OVERVIEW Philippa

PREVENTION FOR PEOPLE LIVING WITH HIV OVERVIEW Philippa Jungova Lawson Senior HIV Advisor/ E&E Coordinator, Constella Futures

What we know: Prevention Works • • PPTCT (PMTCT) Male and female condoms Circumcision Harm reduction – medication assisted therapy • • ARV treatment prevents 2 million orphans Must link to treatment, care & support Preventing tuberculosis is key Washing Hands!

What we know: Definitions Prevention for PLHIV UNAIDS 2005: Aim of prevention for PLHIV is to empower them to avoid acquiring new STIs, delay HIV disease progression and avoid passing infection to others WHO 2007 three components: 1. Healthy living 2. Healthy sexual activity and 3. Involvement of people living with HIV

What we know: Prevention for PLHIV • • Majority who have HIV do not know their status Most transmission is by those who do not know Emphasis on HIV testing Emphasis on PPTCT & sexual transmission – not on preventive health services for PLHIV • • Criminalization of HIV exposure & transmission Alcohol and drug use impacts behavior Food, education, violence impact power & behavior Empowered PLHIV provided with support, information & tools do protect themselves & others

What PLHIV know People who know their + status are not involved with decisions in policy and programmatic design, implementation, M & E, funding and research

What we know: Prevention for PLHIV • PLHIV always been involved with prevention programs for both for + and - people • Prevention for PLHIV in countries since 1980 s • “Positive prevention” name late ‘ 90 s, early 2000

What we do not know • What role will new prevention technologies play in promoting the health of people living with HIV? • To what extent does being on antiretroviral therapy protect against HIV transmission? • What are the real risks to an HIV-positive person of being infected with another strain of the virus?

Deliverables for Living 2008 Summit • Draft PLHIV and Prevention PLHIV – Background, policy & advocacy document • Draft Call to Action – 2 pg advocacy- global, regional, national, local • Draft Prevention for PLHIV in Action – Case Studies of PLHIV

Develop PLHIV Own Definition • What is prevention for PLHIV to you? • What is the difference - prevention & preventio for PLHIV? • How does it work in your life? 488+ PLHIV in-person consultations, + 390 PLHIV e-consultations, + 13 PLHIV working group members, + 300 PLHIV Living Summit

PLHIV Definition • Priority is to maintain & improve health – Preventing new infections or illnesses – Taking care of self (food, nutrition, dental, etc) • Others can provide services and materials • PLHIV are best providers for PLHIV

Prevention for PLHIV Key Messages 1. SHARED RESPONSIBILITY 2. Centered on promoting health “atencion integral” 3. Not only about preventing HIV transmission 4. Linked with access to treatment, care & support 5. Human rights approach to combat stigma & D 6. Requires addressing social vulnerabilities – poverty, food, gender-based violence, xenophobia, homophobia, transphobia, drug use, sex work

PLHIV PRIORITY: SHARED RESPONSIBILITY!! How can people who know their + status get more involved & define the political agenda for prevention for PLHIV?

GRACIAS MERCI СПАСИБО Thank you!! plawson@constellagroup. com