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HIV+ Women of reproductive age database and mapping

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HIV+ Women of reproductive age database and mapping

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pour diminuer le taux de contamination des enfants il faut déterminer le seuil d'alerte pour la survaillance des cas de contamination afin de déclencher une riposte

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pour diminuer le taux de contamination des enfants il faut déterminer le seuil d'alerte pour la survaillance des cas de contamination afin de déclencher une riposte

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- revoir la composition et redynamiser le comité ETME
Réunion trimestrielle pour le monitoring des progrès et la reprogrammation des interventions
appuyer les districts pour la mise en œuvre des feuilles de routes pour l'ETME
Pr EP pour AGYW,
mamans mentors pour la PTME y compris pour les FSW
Renforcer l'approche district et l'accompagnement des sites par les sites d'excellences au niveau des districts ( ex de l' ANSS pour la PTME et la prise en charge pédiatrique)
Améliorer la collaboration Programmes VIH et Programme santé reproduction et mère enfant
Utilisation GeneXpert pour le dépistage précoce des enfants et CV chez les enfants
integration dépistage précoce dans les services de vaccination
considerer le dépistage des enfants dans le secteur privé
PEPFAR repenser l'appui aux sites à haut volume pour le VIh qui ne sont pas nécessairement les sites à haut volume pour les femmes qui viennent en CPN
Comment impliquer les ASC ou les mamans lumières dans l'identification active des femmes enceintes et leur orientation à la CPN Précoce ( voir collaboration avec PNSR sur ce sujet)

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- Operationalization

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Assist CNLS/PNLS to finalise the mapping and the validation process

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Conduct a PrEP perceptions and experience study from priority populations who have so far benefited it for a better understanding and framing of approaches
Considérer le screening des IST  et hepatite  dans la population utilisateur de Pr EP
intégration Pr EP dans la SR
Implication communautaire PR Ep
Révision Guidelines et SOP pour la PR EP

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- NMF4

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10 - 10 - 10 agenda (focus on decrim; mitigating stigma; reducing violence) for KPs/PLWHAs

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10 - 10 - 10 agenda (focus on decrim; mitigating stigma; reducing violence) for KPs/PLWHAs

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- Help the country to work on the process
- Lead: WHO, UNICEF, UNAIDS

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Apply for the Youth Global Alliance Programming

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Apply for the Youth Global Alliance Programming

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- UNAIDS?
- WHO?

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Adding Priority Populations in the next DHS with appropriate disaggregation.

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Adding Priority Populations in the next DHS with appropriate disaggregation.

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Speed up the process of UID
UDI harm reduction
hep and syphilis consideration in KP programme

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Emphasis on addressing and mitigating structural barriers

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Increase investments in KP programming

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- Missing from priority populations

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Prevention, screening and care of HIV in people with disabilities

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Prevention, screening and care of HIV in migrants

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Prevention, screening and care of HIV in fishermen

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- Distinction between Priority Populations and Key Populations
- Counseling during the announcement (psychological follow-up) to improve the follow-up of the care
- Alignment between intervention and gaps
- Multi-sectorial HIV response is not functional
- Lack of agreed community package of services

PrEP
- PrEP: assess use and reinforce communication
- PrEP education and awareness is lacking
- Capacity building of community leaders visa -a vis PrEP, reporting tools and communication tools.

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- Women in the community should be reached and tested.
- Prevention, screening and care of HIV in pregnant women
- Coordinate with the country for effective integration of
PMTCT, regular monitoring with all stakeholders (quarterly) and present results, adjusted strategies for PMTCT
- Advance towards the certification of the elimination of MTCT (Burundi apply and partners support the process
towards the certification of the elimination of MTCT)
- Use of  Mentor Mothers to educate and support pregnant women (Pregnancy is diagnose or declared late [intention to hide it])
- Pregnant women's right to treatment
- Services for BFW
- Viral Load Testing for Pregnant Women
- Profile of women transmitting HIV to their babies
- Can a partnership with health private clinics to contribute to PMTCT in Bujumbura?
- Audit/analysis of each case of child born with HIV or who are infected during breastfeeding
- understand (assessment) why PBFWLHIV do not on track for eTME adhere
- Groupe de travail sur l'eTME
- monitoring au quotidien pour les enfants et les femmes (PTME) et prendre des decisions
- mapping where these women are, including the involvement of ANC in the private sector

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- Prevention, screening and care of HIV in young people and adolescents
- PrEP for AGYW to reduce new infections but also act on MTCT
- PMTCT for AGYW
- create Youth friendly services integrated in health facilities, define a youth friendly services package

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- Prevention, screening and care of HIV in children
- Case finding among children in high burden provinces
- Specific roadmap for the care of children in line with the strategy of the global alliance to end HIV in children
- Use geneXpert for Peds VL (to improve accessibility)
- case management, OVC best practices (for the CLHIV cohort)

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- Prevention, screening and care of HIV in  young people and adolescents
- Educated vs non educated youth

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Key Populations (MSM, FSW, TG, PWID, Prisioners)

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Key Populations (MSM, FSW, TG, PWID, Prisioners)

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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.
- Harmonize the minimum package
- Can the recently conducted IBBS be validated? How are we leveraging the results?
- PrEP for KP (Initiate standard and clear guidelines for PrEP communication with a particular attention to myths and misinformation.)
- Prevention, screening and care of HIV in key populations

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- Missing from priority populations

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PTMCT triple elimination
Pr EP for KP and others populations in high risk
UDI Guidelines on harm reduction
KP on HIV, Hep and IST
Global allinance initiative
certification for HIV élimination
Renforcement du system de santé ( donées et innvations, health security

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- Treatment, case management and support
- PMTCT
- Prevention
- Differentiated HIV Testing Services
- Review and adapt KP programs based on 2023 IBBS results (including harm reduction)
- Improve PMTCT, EID, diagnosis and treatment for children
- Prep and self-tests
- Expand access to VL
- To introduce/expand: Prep, HIV self-tests, syphilis test and treatment for sex workers
- Review and adapt KP programs based on 2023 IBBS results (including harm reduction)
- Improve PMTCT, EID, diagnosis and treatment for children
- Expand access to VL
- Review and adapt KP programs based on 2023 IBBS results (including harm reduction)
- Investments should address gender and HR barriers currently limiting access to services

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Reduce the incidence of HIV and contribute significantly to the reduction of new infections related to HIV, STIs and viral hepatitis (Priority 1)

Stop Mother-to-child transmission (Priority 2)

Diversify testing modalities, effectively reach populations most at risk of HIV/STI/HIV and hard-to-reach populations (Priority 3)

Develop a holistic approach that takes into account the life cycle of people living with HIV, including the elderly (Priority 4)

Improving care for children and adolescents (Priority 5)

Creating an enabling environment to address barriers to service access for PLHIV and priority populations (Priority 6)