Panel 2

Mind the gap: Getting the datawe need to address structural

barriers to HIV care for key populations

“Key Population Data for Decision Making”

LINKAGES Annual Meeting

December 4, 2015

Session outline• How to best meet HIV service needs of

key populations?• What is missing? What is needed?• Introduce panelists• Panel presentations (~ 5 minutes each)• Questions for panelists• Audience Q&A

Improving KP Access to HIV ServicesComprehensive Package of Interventions

“The interventions and strategies in this package are significantly interdependent. The health sector interventions yield the most benefit when they are available in combination and when the necessary enabling environmental factors are in place. These health sector interventions should not be delayed because the enabling environmental factors are missing. The presence of the enabling factors will greatly increase their impact...”

Condom programming

Harm reduction interventions

Behavioural interventions

HIV testing and counselling

HIV treatment and care + PrEP

Prevention and management of viral Hep, TB and mental health conditions

Sexual and reproductive health interventions

Supportive legislation, policy and funding

Addressing stigma and discrimination

Community empowerment

Addressing violence

The Comprehensive Package

Health interventions

Structural interventions

ENABLING ENVIRONMENT

• Identification of important structural factors

AVAILABILITY • Where, and to what extent, are these interventions available?

COVERAGE • What is the reach of these interventions?

QUALITY • Do interventions meet defined quality standards?

OUTCOME/ IMPACT

• Have risk behaviours or infection rates changed?

Indicator framework

Structural interventions

Health interventions

Indicators on enabling environment

• Audit of current legislation and policy checklist– Laws or policing practices criminalizing or preventing the distribution of

condoms and information on safer sex

• Involvement of KP in national policy and strategy formulation

• Legal support services for KP• Support services for people from KP who experience

violence• Sensitisation training on KP for law enforcement

officers and for service providersData from desk review and stakeholder consultation

Today’s Challenge

• What data on structural barriers are needed?

• How do we collect these data?

• How do we use these data to improve HIV services?

Today’s Panelists

George Ayala Global Forum on MSM and HIV

Clif Cortez United Nations Development Programme

Deanna Kerrigan Johns Hopkins University

Julie Pulerwitz Population Council/Project SOAR

Discussion Questions• What kinds of information/data are not typically

captured in routine programmatic monitoring yet are critical to inform and improve HIV prevention, care and treatment programs for KP?

• What are some of the key findings from your own or others’ research on how structural barriers, such as stigma, violence, discrimination and criminalization, affect KPs’ access to and retention in HIV services?

 

• What are the data gaps in this area? Where do we need better evidence?

 

• What are examples of innovative approaches that meaningfully engage communities in data collection processes to ensure that research and intervention activities are responsive to the needs of the community?

 • How can we better standardize measurements of

KPs’ social inclusion?

Audience Q&A