Lessons learned from perinatal HIV to inform prevention of ...€¦ · Lessons learned from...

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Lessons learned from perinatal HIV to inform prevention of sexual HIV transmission Shannon Weber 1 , Robert M. Grant 1,2,3 1 University of California San Francisco, 2 Gladstone Institutes, 3 San Francisco AIDS Foundation Contact: Shannon Weber [email protected] Introduction Widely heralded as one of the greatest public health successes in the United States Perinatal HIV transmissions have declined 90% since 1991 A framework to eliminate perinatal HIV has been proposed. Though sexual HIV transmission rates in certain demographics have decreased, the overall HIV transmission rate in the U.S. remains unchanged at 50,000 new infections yearly. The perinatal HIV prevention field has come a long way with hard-won lessons to share. Recommendations Description The collective successes of perinatal HIV has much to offer to those committed to ending sexual HIV transmission. Perinatal HIV stakeholders can provide expertise on whole person, consumer focused approaches and scale up of proven interventions. Supporting champions, where ever they are found, embracing multiple approaches will allow increased opportunities to connect with consumers. To realize the end of sexual HIV transmission, a community-driven, adaptive, and integrated treatment and prevention roadmap is needed to guide individuals, providers and community organizations. It is time to change the story from one of risk reduction to one of possibility and hope. The Perinatal HIV Prevention Cascade first proposed by the Institutes of Medicine in 1998 is an integrated treatment and prevention paradigm that iterated as new research and technologies became available. This cascade guided perinatal HIV stakeholders nationally, regionally and locally to implement best practices. The successful elimination of sexual HIV transmission will most likely occur at the crossroads of treatment and prevention. Lessons Learned From Perinatal HIV Ending Sexual HIV Transmission Members of CDC’s Elimination of Mother to Child Transmission of HIV Stakeholders Group clasp hands as a sign of collaboration.

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Page 1: Lessons learned from perinatal HIV to inform prevention of ...€¦ · Lessons learned from perinatal HIV to inform prevention of sexual HIV transmission Shannon Weber1, Robert M.

Lessons learned from perinatal HIV to inform prevention of sexual HIV transmission

Shannon Weber1, Robert M. Grant1,2,3 1University of California San Francisco, 2Gladstone Institutes, 3San Francisco AIDS Foundation

Contact: Shannon Weber [email protected]

Introduction Widely heralded as one of the greatest public health successes in the United States •Perinatal HIV transmissions have declined 90% since 1991 •A framework to eliminate perinatal HIV has been proposed.

Though sexual HIV transmission rates in certain demographics have decreased, the overall HIV transmission rate in the U.S. remains unchanged at 50,000 new infections yearly. The perinatal HIV prevention field has come a long way with hard-won lessons to share.

Recommendations

Description

The collective successes of perinatal HIV has much to offer to those committed to ending sexual HIV transmission. •Perinatal HIV stakeholders can provide expertise on whole person, consumer focused approaches and scale up of proven interventions. •Supporting champions, where ever they are found, embracing multiple approaches will allow increased opportunities to connect with consumers. •To realize the end of sexual HIV transmission, a community-driven, adaptive, and integrated treatment and prevention roadmap is needed to guide individuals, providers and community organizations. It is time to change the story from one of risk reduction to one of possibility and hope.

The Perinatal HIV Prevention Cascade first proposed by the Institutes of Medicine in 1998 is an integrated treatment and prevention paradigm that iterated as new research and technologies became available. This cascade guided perinatal HIV stakeholders nationally, regionally and locally to implement best practices. The successful elimination of sexual HIV transmission will most likely occur at the crossroads of treatment and prevention.

Lessons Learned From Perinatal HIV

Ending Sexual HIV Transmission

Members of CDC’s Elimination of Mother to Child Transmission of HIV Stakeholders Group clasp hands as a sign of collaboration.