Person-centred services: Design and implementation of effective HIV prevention and care

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SY18

Symposium

Track E: Implementation science, economics, systems and synergies

CME accredited

Room 13b/Channel 7

24 July 15:00 - 16:00

MODERATORS

Thomas Agyarko-Poku
Suntreso Government Hospital, Ghana
Ellen Kitchell
University of Texas Southwestern, United States

This session will explore issues around tailoring prevention and care cascade services to individual needs. Presentations on lessons learnt will provide perspectives on successful strategies and potential pitfalls in the design and implementation of person-centred and tailored services for key populations. These lessons will include integrating HIV services with psychosocial support and sexual health services to meet adolescents’ needs, and simplifying and de-medicalizing HIV services through pharmacy delivery. The discussion will delve into the pervasive impact of structural racism on Black gay men in Europe and America, specifically addressing challenges in accessing HIV status-neutral services. It will also focus on overcoming barriers and finding solutions for trans individuals in accessing HIV prevention and care services. This session aims to be a catalyst for positive change, promoting a more personalized and equitable approach to HIV prevention and care.

Presentations
Rapporteur Summary

15:00 2 min	Introduction Ellen Kitchell University of Texas Southwestern, United States Thomas Agyarko-Poku Suntreso Government Hospital, Ghana

15:02 8 min	Lessons learnt about integrating HIV prevention and care in primary healthcare or sexual health services Fakhriddin Nizamov UNICEF, Switzerland

15:10 8 min	Structural racism and its impact on Black gay men in Europe and America accessing HIV prevention and treatment Gregorio Millet amfAR, United States

15:18 8 min	Innovations in PrEP delivery and products to reach those who need it Angela Tembo Ezintsha Research Center, South Africa

15:26 8 min	How to overcome the biggest barriers for trans people to access HIV prevention, care and treatment Alícia Krüger Ministry of Health of Brazil, Brazil

15:34 26 min	Q&A and conclusion Ellen Kitchell University of Texas Southwestern, United States Thomas Agyarko-Poku Suntreso Government Hospital, Ghana Fakhriddin Nizamov UNICEF, Switzerland Gregorio Millet amfAR, United States Angela Tembo Ezintsha Research Center, South Africa Alícia Krüger Ministry of Health of Brazil, Brazil

AUTHOR

Wale Ajiboye

SUMMARY

This symposium explored how to design and implement effective person-centered service for HIV prevention and care, and the specific examples of service designs, best practices and lessons learned during implementation.

HIGHLIGHTS

This session, moderated by Ellen Kitchell of University of Texas Southwestern in USA explored how to design and implement effective person-centered HIV prevention and care services. Presenters shared specific examples of some of these services. Fakhriddin Nizamov of UNICEF Switzerland shared lessons learned in integrating HIV prevention and care in primary healthcare and sexual health services. Community engagement and institutional capacity building were identified as key factors responsible for the success of this model of care delivery. Gregorio Millett of amfAR in USA explored how structural racism impacts access to prevention and treatment for Black gay men, and why the design and implementation of person-centred services must be equity focused to address these contexts. Angela Tembo from Ezintsha Research Centre in South Africa described a pharmacy-based PrEP-delivery service designed and implemented. Angela identified community involvement, training and mentoring of pharmacy staff as key to the success of this innovative PrEP-delivery model. Alicia Kruger from Ministry of Health of Brazil described how Pharmacist-led PrEP prescribing was designed and implemented to overcome barriers for trans people to access HIV prevention, care and treatment. Key components of this service is the ‘same day’ initiation of PrEP and use of peers for PrEP prescribing.

CRITICAL ASSESSMENT

This session highlights the importance of ‘thinking and putting people first’ in the design and implementation of effective person-centered HIV prevention and treatment services. Community engagement, innovative models of services tailored to communities that engage and serve the most underserved, and the promotion of equity, need to be key considerations in the design and implementation of effective person-centered designs for prevention and care.