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Capacity building of CSOs for HIV Programme implementation

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Capacity building of CSOs for HIV Programme implementation

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Up to date there have been several capacity building sessions and yet, comments, observations are that CSOs still need so. How are we sure that the capacity is REALLY built and enhanced for autonomous programme implementation/design/monitoring/reporting?

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PMTCT Prevention of mother to child transmission

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PMTCT Prevention of mother to child transmission

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Women in the community should be reached and tested.
AGYW

PNLS has 4 pillars related to PMTCT

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Carry out a KPs size estimation study per location and disaggregated data for a better target size estimation (i.e. the TG population has been overestimated, which transpires as “not reaching” the intended targets) > referring to the actual results contained in the EpIC semiannual reports FY22 Q1-Q2 & FY22 Q3-Q4.

KPs PE faced security challenges due to the fact they had no formal recognition (i.e. service badges) - and this component has been highlighted during meetings several times. The demand cannot be increased in situations where PE work carries security risks due to the type of work & environments they operate in.

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HIV tests (Selftests) in private pharmacies? 

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HIV tests (Selftests) in private pharmacies? 

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Distribution of HIVST assays at commercial pharmacies

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Distribution of HIVST assays at commercial pharmacies

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Rollout of UID for HIV BUT ensure interoperability /other diseases. (If successful, This is an opportunity to trigger UID for all social services) - helps inform planning. 

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Rollout of UID for HIV BUT ensure interoperability /other diseases. (If successful, This is an opportunity to trigger UID for all social services) - helps inform planning. 

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Finalization and dissemination of IBBS results

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Finalization and dissemination of IBBS results

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Can the recently conducted IBBS be validated? How are we leveraging the results?

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Finalization and dissemination of IBBS results

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Finalization and dissemination of IBBS results

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Equitable service delivery in all facilities.

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10-10-10 targets…increasing access through enabling policies 

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10-10-10 targets…increasing access through enabling policies 

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Use patient experts/secret client methodology patient engagement (PE) valuation: How do we get to understand the perceptions, issues, experiences and satisfactory levels by our clients systematically, so as to improve the demand creation?

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Social contracting/social enterprise for CSO sustainability 

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Social contracting/social enterprise for CSO sustainability 

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What if the DSD models would enhance continuous retention and adherence on ART through socio-economic empowerment as means to mitigate issues around:
transport money for refills against centralized ART accessibility; nutrition to enhance ART uptake and adherence; continued family provision in case of
ART side effects (specificity for FSW)?

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Harmonize the minimum package

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Mental health monitoring for PLHIV with undetectable VL

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Mental health monitoring for PLHIV with undetectable VL

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Need to determine if this is what's best for the country. Main aim is to ensure those newly diagnosed PLHIV and start their treatment

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There is misinformation regarding PrEP within the community

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Funds increasing of Burundi contribution in HIV program(i.e. Burundi Military with CASOM)

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Funds increasing of Burundi contribution in HIV program(i.e. Burundi Military with CASOM)

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PrEP: assess use and reinforce communication

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PrEP: assess use and reinforce communication

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Coordination des acteurs communautaires 

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Coordination des acteurs communautaires 

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Can formulate for funding for GF

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Rendre opérationnelle l'"Approche District" 

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Rendre opérationnelle l'"Approche District" 

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Initiate standard and clear guidelines for PrEP communication with a particular attention to myths and misinformation.

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Prévention, dépistage et prise en charge du VIH chez les enfants; femmes enceintes; jeunes et adolescents; et autres populations à plus haut risque (kpop, migrants, personnes avec handicap, pecheurs, etc.)

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Prévention, dépistage et prise en charge du VIH chez les enfants; femmes enceintes; jeunes et adolescents; et autres populations à plus haut risque (kpop, migrants, personnes avec handicap, pecheurs, etc.)

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Prevention, screening and care of HIV in children; pregnant women; young people and adolescents; and other populations at higher risk (kpop, migrants, people with disabilities, fishermen, etc.)

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PMTCT triple elimination of HIV, Syphilis and hepatitis,  HVB testing in pregnant women,  Vaccition à la naissance  HVB

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PMTCT triple elimination of HIV, Syphilis and hepatitis,  HVB testing in pregnant women,  Vaccition à la naissance  HVB

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Distinction between Priority Population and Key Population

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Distinction between Priority Population and Key Population

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Continue collaboration between PEPFAR and GF/UNDP/PNLS regarding the Conseillers techniques on the ground

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Continue collaboration between PEPFAR and GF/UNDP/PNLS regarding the Conseillers techniques on the ground

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Capacity building of community leaders visa -a vis PrEP, reporting tools and communication tools.

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Capacity building of community leaders visa -a vis PrEP, reporting tools and communication tools.

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PrEP for AGYW pour réduire les nouvelles infections mais aussi agir sur la  TME

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PrEP for AGYW pour réduire les nouvelles infections mais aussi agir sur la  TME

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PrEP for AGYW to reduce new infections but also act on MTCT

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Accompgner le pays pour integration effective dans le PMTCT, regular monitoring with all stakeholders ( trimestriel) and present resultats , ajust strategies for PMTCT

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Accompgner le pays pour integration effective dans le PMTCT, regular monitoring with all stakeholders ( trimestriel) and present resultats , ajust strategies for PMTCT

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Accompany the country for effective integration of
PMTCT, regular monitoring with all stakeholders (quarterly) and present results, adjusted strategies for PMTCT

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Strengthen health facility reporting, ensuring timeliness of reports and accuracy of data into DHIS2

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Use of rural community/radios to improve awareness.

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Use of rural community/radios to improve awareness.

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Come back to USLS in each ministry as it used

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Come back to USLS in each ministry as it used

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avancer vers la certification de l'élimination de la TME ( Burundi poser la candidature et partenaires accompagner le processus vers la certification de l'élimination de la TME

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avancer vers la certification de l'élimination de la TME ( Burundi poser la candidature et partenaires accompagner le processus vers la certification de l'élimination de la TME

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advance towards the certification of the elimination of MTCT (Burundi apply and partners support the process towards the certification of the elimination of MTCT)

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There is a need to take advantage of the technology (social media for instance) in providing clear and accurate information in a simplified language to extend the reach to populations.

Education campaigns on social networks and websites (the use of technology) on risk reduction education.

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How is PEPFAR making sure that data analysis is easily accessible at all times (e-systems that local partners can access as viewers only?), experience sharing is regularly conducted (annual communities of practice events with IPs and local partners? > create+sustain formal & working models and avenues)

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Counselling, testing and mobilization

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Circoncision masculine en priorisant les hommes à risque

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Circoncision masculine en priorisant les hommes à risque

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Linkage to treatment

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Study on profiles of mothers who transmit HIV to their children

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Study on profiles of mothers who transmit HIV to their children

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HIV resistance monitoring by HIV genotyping among PLHIV with undetectable VL

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HIV resistance monitoring by HIV genotyping among PLHIV with undetectable VL

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cancelling lors de l'annonce (suivi psychologique) pour ameliorer la suite de la prise en charge

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cancelling lors de l'annonce (suivi psychologique) pour ameliorer la suite de la prise en charge

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counseling during the announcement (psychological follow-up) to improve the follow-up of the care

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Use of Maman Mentor to educate and support pregnant women.

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Use of Maman Mentor to educate and support pregnant women.

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Pregnancy is diagnose or declared late (intention to hide it)

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impliquer les communautés religieuses et les leaders des eglises pour la sensibilisation sur la triple élimination , mamans mentors parmis les mamans des eglise

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impliquer les communautés religieuses et les leaders des eglises pour la sensibilisation sur la triple élimination , mamans mentors parmis les mamans des eglise

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Intégrations of NCD and mental health in HIV response 

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Intégrations of NCD and mental health in HIV response 

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Hypertension

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Start discussion of HIV and PHC integration for sustainability

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Start discussion of HIV and PHC integration for sustainability

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Alignment between intervention and gaps 

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Alignment between intervention and gaps 

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Case finding among children in high burden provinces. 

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Case finding among children in high burden provinces. 

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PrEP for PBFW

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Institute Sub-National Tailoring: Implement specific HIV interventions in specific areas to respond to the response for greater impact

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Prise en compte des autres co morbidités (Hépatites virales, Cancer du col utérus, maladies chroniques, etc.)

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Prise en compte des autres co morbidités (Hépatites virales, Cancer du col utérus, maladies chroniques, etc.)

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Profile of women transmitting VIH to their babies?

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Profile of women transmitting VIH to their babies?

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Collaboration with Ministry of Gender and Human rights

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Collaboration with Ministry of Gender and Human rights

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Global Alliance to end AIDS in Children by 2030

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Global Alliance to end AIDS in Children by 2030

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Some aspects are already implemented (Early testing and HIV prevention among pregnant women).

Now it is being recommended to be fully implemented. Should be part of the local roadmap for Burundi for peds intervention.

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Can a partnership with health private clinics to contribute to PMTCT in Bujumbura?

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Can a partnership with health private clinics to contribute to PMTCT in Bujumbura?

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Ministry of Public health. National certification committee. Request submitted to WHO. Partners should work together.

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Multisectorial HIV response is not functional

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Multisectorial HIV response is not functional

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Audit/analyse de chaque cas d'enfant qui nait avec le VIH ou bien qui sont contaminés pendand l'allaitement

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Audit/analyse de chaque cas d'enfant qui nait avec le VIH ou bien qui sont contaminés pendand l'allaitement

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Audit/analysis of each case of child born with HIV or who are infected during breastfeeding

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To determine sites that require interventions.

Stakeholders, who's doing what where.

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feuille de route spécifique pour la prise en charge des enfants conformément à la stratégie de l'alliance mondiale pour mettre fin au VIH chez les enfants

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feuille de route spécifique pour la prise en charge des enfants conformément à la stratégie de l'alliance mondiale pour mettre fin au VIH chez les enfants

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specific roadmap for the care of children in line with the strategy of the global alliance to end HIV in children

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60% of them are in Bujumbura.

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Determining which organizations need capacity building

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Determining which organizations need capacity building

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Why Community organizations capacity is still low. 

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Why Community organizations capacity is still low. 

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Decentralized level of communities are not financially supported

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Decentralized level of communities are not financially supported

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Funding needed. there is also the need for capacity building for organizations

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Community organization are not receiving funding for community interventions. they receive the organizational capacity support but there is no funding to support community health.

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Community organization are not receiving funding for community interventions. they receive the organizational capacity support but there is no funding to support community health.

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Sustainability for community interventions (Capacity building - training, institutionalization - communication and transportation feed to reach PLHIV)

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Sustainability for community interventions (Capacity building - training, institutionalization - communication and transportation feed to reach PLHIV)

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Restricted vs. Unrestricted funding towards organisational capacity building + development?