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Think tank meeting on “Revisiting the strategies for intervention

among Key populations for HIV

WHO Regional Office for South-Asia organsied a high level leadership meeting bringing global

experts to revisit the strategies for Interventions among Key populations for HIV from 12-13

February 2018 at SEARO, New Delhi. The overall objective of this meeting was to strengthen

the AIDS response in the context of Universal Health Coverage (UHC), by intensifying the focus

on Key populations and leveraging ‘AIDS Assets’ in leaving no one behind.

A key takeaway from the meeting was that, despite the achievements made in the control of the

AIDS epidemic in Asia, unless there was renewed attention to addressing the issues of HIV

transmission among and outwards from the key populations, the overall global goals of ending

the AIDS epidemic would not be achieved, and there can be a rsik of rise in new HIV infections.

The recommendations from this leadership meeting will guide WHO, other UN agencies,

donors, communities and other partners in re-aligning HIV programmes to reach those ‘left

behind’ in the context of UHC; and to increase the efficiency, responsiveness and uptake of HIV

services with a focus on Key Populations.

Key Highlights:

1. More than 60 experts, partners, donors, civil society and key population have

participated in the meeting. The WHO, UNAIDS, UNDP, UNFPA, UNODC, Global Fund,

research institutions, academics, economists, modeling experts, civil society, community

based organization, and representatives from Key population came together to discuss

the current scenario of intervention among Key population and challenges behind Key

population

2. No one should be left behind under Universal Health Coverage and we are obligated to

focus on those who are most likely to be vulnerable, marginalized and in the greatest

need, said by Dr Poonam Khetrapal Singh, Regional Director, WHO-SEAR in her

inaugural address to gargantuan audience

3. The meeting revisited the 2008 AIDS Commission in Asia and the progress made so far

(a decade of experience in implementation) and challenges behind the AIDS community

in the form of emerging epidemics across the region and high rise in selected pockets in

(2)

4. The experts provided the new strategies and inputs beyond their organization and

institutions with passion and commitment to make the Key population agenda as

“Priority”, with detailed background papers written by six thematic groups providing the

background for meaningful discussion among the experts. The draft recommendations

were presented and discussed with the participants

5. Based on the evidence and experiences presented, it is evident that, two third of new

infections are still contributing by Key population and unless the AIDS community

controls the epidemic among Key population the elimination agenda is non-achievable in

the near future

6. The experts echoed that the investment needs to be front-loaded to comprehend the

expected results and highlighted that the Key population funding is still driven by internal

funding rather finding a sustainable solution of domestic funding source

7. The countries need to be prioritized, key population to be prioritized and reversal of

epidemics among key populations to be prioritized. It is recommended to go ahead with

recommendations as “ready” “steady” “go” approach

This meeting reaffirmed that the Key population remains a priority, and that the response needs

to move to local level, keeping community organizations at the centre of it. Also, a paradigm

shift to local response is essential in prioritization of interventions, addressing a bottom up need

of estimation, resource flow, data for local action and emphasized accountability and audit of

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