Satellite Organizer: Robert Carr Fund for Civil Society Networks

Satellite Description: The Robert Carr Fund is the world’s leading international fund focused on funding regional and global networks led by and involving and serving inadequately served populations (ISPs). As a cooperative effort of donors and civil society, the Robert Carr Fund is structured to maximize participation, empowerment, equity, transparency and accountability in our fundraising and grant making. The Robert Carr Fund works to mobilize and deliver core and strategic funding for regional and global networks to achieve four outcomes:

•  Protecting and promoting human rights
• Improving access to HIV services
• Mobilizing and monitoring national and international funding for human rights and health
• Building capacity of civil society and community networks

Our goal: Improved health, inclusion and wellbeing for inadequately served populations (ISPs) This satellite event will celebrate and showcase the work and impact of civil society networks in the HIV response and will launch the recently agreed Robert Carr Fund strategy charting the fund’s course through to 2024. It will also focus on the COVID 19 crisis, the impact on communities and networks and the work of civil society networks in responding to the global pandemic.

Satellite Organizer: UNAIDS – IAS

Satellite Description: Less than 10 years remain to reach the SDG goal of ending AIDS by 2030. UNAIDS next global AIDS strategy will be the road map for the world to end AIDS as a public health threat by 2030. Achieving the End of AIDS contributes to many of the Sustainable Development Goals, including health, gender equality, justice and sustainable financing.  The new UNAIDS strategy, with new global targets for 2025 and resource needs, will inform the next United Nations General Assembly High-Level Meeting on Ending AIDS and the next UNGA Political Declaration on AIDS in 2021.

Progress on HIV remains uneven across and within countries. While some countries have made remarkable progress, many of the global 2020 targets will not be reached. Millions of people continue to face barriers in accessing HIV treatment and prevention. The legal and economic barriers that communities already vulnerable to HIV face are often underpinned by the persistent reality of discrimination, homophobia, transphobia, racism and criminalization.

The next UNAIDS Strategy will need to be ambitious, visionary, data-driven and evidence-informed. It needs to be transformative to address the causes of vulnerability to HIV; providing access to prevention and treatment for people vulnerable to HIV, without addressing their vulnerability is neither sustainable nor ethical. The next UNAIDS Strategy must re-commit and re-energize people and partnerships from all sectors and at all levels to reach the goal of Ending AIDS by 2030. In the context of COVID-19 pandemic, the rise in social justice movements such as Black Lives Matter and #metoo help to redefine the kind of broad political and social mobilization it will take to end AIDS by 2030. It will require our renewed collective energy, innovative thinking and action, and it is a stark reminder that responding to pandemics goes beyond the health sector.

This virtual satellite session at the International AIDS Conference is a unique opportunity for the participants of AIDS2020 to engage in a discussion with UNAIDS on the key the principles and issues that should underpin the next UNAIDS global AIDS Strategy. It is also a unique opportunity to continue consultations with communities that UNAIDS puts at the centre of the Strategy development process, particularly people living with HIV and key populations. It is a unique opportunity for UNAIDS to listen to AIDS2020 participants and reflect their input into the ‘how’ the next strategy can move from theory to practice. This session aims to hold a dialogue between UNAIDS and communities on:

What does the end of AIDS as a public health threat look like?
What do we need to stop, start or continue doing to get there?
What is different in the current context that we must consider?

Satellite Organizer: UNAIDS

Satellite Description: The objectives of the satellite session are:CHAR(13) + CHAR(10)- to inform the AIDS2020 conference participants on the UNAIDS led global 2025 targets setting process, including estimation of the 2021 – 2030 impact and resource needsCHAR(13) + CHAR(10)- to gather views and inputs from the AIDS2020 conference participants on it

Satellite Organizer: International Indigenous HIV & AIDS Community (IIHAC)

Satellite Description: An ILO report from this year found that there are over 476 million Indigenous people in the world. They make up less than 5% of the population, represent 15% of the world’s poorest people and yet manage more than one-quarter of the world’s land surface. Global indicators and targets for Indigenous Peoples often exclude them. This Symposium will examine the global targets for HIV such as Getting to Zero by 2030 also exploring the Sustainable Development Goals (SDGs) and how Indigenous Peoples play an important role in achieving them. Although all of the 17 SDGs are relevant for Indigenous Peoples, they are mentioned specifically in Goals 2 and 4. Ensuring that SDG implementation takes place in conformity with the United Nations Declaration on the Rights of Indigenous Peoples is essential. It is our collective responsibility to support Indigenous Peoples and, ultimately, the well-being of our planet.

Satellite Organizer: Bill and Melinda Gates Foundation, Georgetown University, IAS

Satellite Description: In ratifying the sustainable development goals (SDGs), United Nations Member States have pledged to achieve a series of ambitious health and development goals by 2030, including ending AIDS as a public health threat and achieving universal health coverage. In many low- and middle-income countries, these efforts are complementary. However, there are also areas of potential tension should either of the two responses make major decisions without regard for the other. For example, an increasingly targeted HIV response that misses potential opportunities for integration, or a UHC response that chooses not to include HIV in the UHC benefit package. Investing strategically in areas of convergence between the two responses is an important strategy for ensuring greater mutual benefit and progress for both the HIV and UHC agendas. The session will increase knowledge and engagement around potential opportunities for greater synergy between the HIV and UHC responses.

Satellite Organizer: HIV/AIDS SectionUnited Nations Office on Drugs and Crime

Satellite Description: For many years, the focus on HIV prevention among people who use drugs has concentrated on the injection of opiates. While it is difficult to quantify the contribution the use of stimulants is making to the increase in HIV rates, evidence points towards a positive association between stimulant use, higher-risk sexual and injecting behaviors and HIV. Both non-injecting and injecting stimulant drug use has been associated with sexual transmission of HIV, particularly among men who have sex with men and sex workers. The overlapping risks between key populations are not sufficiently addressed by current interventions. Participants in the session will learn about how to address HIV among people who use stimulant drugs focusing on specific key populations (Men having Sex with Men, People Who Inject Drugs, Sex Workers, Transgender people). a) Overview of the epidemiological situation related to HIV and stimulant drug use b) Barriers and opportunities for addressing the specific needs of the key populations c) UNODC guide “HIV Prevention, Treatment, and Care for People Who Use Stimulant Drugs”

Satellite Organizer: AIDS Healthcare Foundation

Satellite Description: Even before COVID-19, AIDS was becoming a forgotten pandemic. Global attention has now shifted to a new crisis, but millions still continue to become infected with HIV and die of AIDS-related illnesses. Join us for a proactive discussion about lessons learned and not learned over the past 30 years of fighting AIDS, as we try to answer the question: Have we sacrificed progress or gained insight in trying to fight both epidemics at once?

Satellite Organizer: International Community of Women Living with HIV

Satellite Description: Supporting mental health is one of the most overlooked aspects of treatment, care and support within the HIV response. HIV diagnosis can cause trauma, anxiety and depression, or exacerbate existing anxiety and mental health disorders. Anxiety and self-stigma around job and housing security, self-esteem, status disclosure and building healthy romantic relationships, including fear and anxiety due to HIV criminalization, can affect the mental health, self-esteem and emotional well-being of people living with HIV. Opportunistic infections and drug side effects can even be the cause of some mental health issues. Even within HIV activism and the workplace, we replicate traumas and social inequalities perpetuating cycles of oppression. In this session, women living with HIV will share their lives work through research and advocacy in the realms of mental health and resilience in the context of gender-based violence, HIV criminalization, health care violations, sex worker, poverty and inter-movement aggression.

Satellite Organizer: JSI/World Education Center for HIV & Infectious Disease

Satellite Description: This satellite session will explore the process and outcomes of using HCD across multiple HIV prevention interventions, including pre-exposure prophylaxis (PrEP) and HIV self-testing. The session will culminate with a call to action, urging participants to apply HCD approaches in their work, as well as to join existing global health design communities to continue building momentum.

Satellite Organizer: AIDS Vaccine Advocacy Coalition (AVAC), PATH, International AIDS Society (IAS)

Satellite Description: The global UNAIDS target is 3 million active PrEP users by the end of 2020 but as of June there were only an estimated 575,000 enrolled. Despite slow roll-out initially, there are now at least 78 countries offering PrEP but with less diversity in service models than seen in differentiated ART delivery. Pre-COVID-19, there was a move towards more community-based or virtual/Telehealth models that have since been accelerated during COVID-19 country lock-downs. In this session, we will highlight how some countries have rapidly pivoted PrEP programming be more differentiated and truly client-centered—offering online, community, and private-sector service options to expand and maintain access. In the live session, perspectives from providers, PrEP users, ministry of health, and global normative agencies will also be shared with a moderated discussion on how a differentiated approach to PrEP will be essential to significantly increase uptake by the end of 2020 and beyond!

Satellite Organizer: Fogarty International Center, U.S. National Institutes of Health

Satellite Description: Research training and capacity building in low- and middle-income countries (LMIC) have been critical to understanding and effectively preventing and treating HIV infection and AIDS. This session will highlight successes and lessons learned from training and capacity programs over the past three decades and stimulate discussion on future activities to local ownership and sustainability. The panel will feature early-career current of recent LMIC trainees as well as LMIC senior mentors and organizational heads who can talk about needs and opportunities that can be harnessed for sustained growth of the research environment. The symposium is organized by the Fogarty International Center of the U.S. National Institutes of Health, which has been supporting HIV research training for more than 30 years, and is seeking input for continued support of the research training and capacity building efforts.

Satellite Organizer: Pact

Satellite Description: The focus of this session will be on the latest information, specific actions and evidence-based approaches for getting to epidemic control among children and adolescents. Presentations and discussions will focus on case finding of C/ALHIV, integrating treatment and adherence into OVC programming, and strengthening community-clinic linkages for improved pediatric HIV outcomes.

Satellite Organizer: UNICEF

Satellite Description: The epidemic response for pregnant women, children, and adolescents continues to fall drastically short of 2020 super-fast-track targets set to achieve the SDG goal of ending the AIDS epidemic. Donor and country funding are constrained and likely will be insufficient, and new and emerging needs related to chronic disease and pandemic response may further burden health, social welfare, social protection, education, and economic development systems. Some of the key barriers to achieve the super-fast-track and SDG targets include, assumptions that mother-to-child transmission has been solved, missed opportunities to diagnose and treat children, and difficulty reaching and retaining the highest risk adolescents. This session explores opportunities to accelerate access to ART for children and adolescents, catalytic technologies for HIV diagnosis, and how data can help prioritize and target the HIV response.

Satellite Organizer: California HIV/AIDS Research Program

Satellite Description: To guide evidence-based policies and programs to end the HIV epidemic statewide, the California HIV/AIDS Research Program funds two collaborative HIV Policy Research Centers. Our Centers at the University of California San Francisco and University of California Los Angeles involve multi-disciplinary teams of academic researchers and community partners working to conduct objective and rigorous HIV policy-relevant research that informs local and state-level policy in California. This session highlights the rapid-response research processes used by the Centers to identify research priorities, engage stakeholders, and disseminate findings in a timely manner. We will provide case examples of high-impact policy research that successfully bridged the gap between academic research and real-world policymaking, including recent projects on HIV decriminalization, PrEP access, and HIV and immigration. We will also showcase our efforts to understand and address the syndemics of HIV, HCV, and STIs in California through our collaboration with the Ending the Epidemics movement.

Satellite Organizer: Treatment Action Campaign (TAC), African Community Advisory Board (AfroCAB), HIV i-Base and UNITAID

Satellite Description: Unitaid actively supports the HIV community as a vital component of its grants.This satellite will present some of the work associated with Unitaid-funded antiretroviral therapy (ART) optimisation trials and associated projects. Activists, researchers and policy-makers will describe how the community has: Supported clinical trials with recruitment and patient information responded to emerging data associated with current priority antiretrovirals, such as the signal for elevated prevalence of neural tube defects and risk of weight gain and metabolic disorders. Trained activists in treatment literacy and advocacy. Key partners include: AfroCAB; CHAI; Ezintsha, Wits RHI; HIV i-Base; and WHO

Satellite Organizer: U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)

Satellite Description: As PEPFAR continues to confront the challenges of assuring retention on life-long ART in patients, collaboration with communities, local independent civil society organizations and patients is urgent and critical. This collaboration helps PEPFAR programs and health institutions diagnose and pinpoint persistent problems, and identify both barriers and enablers of effective service and client outcomes at the facility level. Dr. Angeli Achrekar will discuss PEPFAR’s community-led monitoring approach, and community organizations will present on emerging best practices to gather routine quantitative and qualitative data about the quality of HIV services at health facilities, with a focus on getting input directly from recipients of HIV services to then improve the quality of services.

Satellite Organizer: World Health Organization

Satellite Description: In a few short months COVID-19 has changed the way people live, work and access services around the world. The pandemic has raised serious challenges for health services including those related to HIV, tuberculosis, viral hepatitis and sexually transmitted infections. This session will present data and perspectives on how COVID-19 is impacting HIV and related health areas. It will share data, evidence and experiences of supply chain challenges and stockouts including in relation to ARVs. The session will include updates on modelling related to anticipated excess mortality and morbidity for HIV, hepatitis and STIs and highlight developments in finance and resource mobilization to support affected programmes. The session will also hear updates on innovations in community-based services and monitoring and hear personal perspectives from affected individuals and communities.

Satellite Organizer: International Treatment Preparedness Coalition

Satellite Description: We will uncover stories on how owning and utilizing local evidence with stakeholders in a local context informs HIV services and programs, ultimately improving the lives of people living with HIV through informed and improved service delivery. The availability of local data (epidemiological, policy, service quality, costs, etc.) brings key indicators to decision-makers who are most proximal to the recipients of care and services. This enables local organizations and governments to plan and take action on how to best identify those living with HIV who are unaware of their status, to initiate treatment for those untreated, and to reduce loss-to-follow up and therefore reduce viral load for those who have been non-adherent to treatment. The session will touch on a variety of findings, tools and observations emerging from current data activities, including community-led monitoring mechanisms.

Satellite Organizer: International AIDS Society

Satellite Description: Since being endorsed in the 2016 World Health Organization guidelines, differentiated service delivery (DSD) has become a core component of HIV treatment programmes in sub-Saharan Africa. In 2020, the advent of COVID-19 has highlighted the critical importance on ensuring HIV services are adaptable and client-centered. Six-month antiretroviral therapy refills, commonly referred to as 6MMD, has emerged as a silver bullet to supporting people living with HIV during COVID-19. But DSD has more to offer than just longer ART refills, it would be both a missed opportunity and self-limiting to focus solely on MMD. We purposefully moved away and should not return to a new “one-size-fits-all” approach to HIV service delivery, but rather a client-centered and community-led system. Featuring programmes in Kenya, Sierra Leone and South Africa, the audience will hear from people living with HIV, implementers, and government how DSD is adapting and evolving in 2020.

Satellite Organizer: AIDS Healthcare Foundation

Satellite Description: As effective global messaging goes viral and digital, we must adapt HIV/AIDS marketing and programmatic outreach to fit these platforms. This interactive and very visual panel will represent experts from AHF Marketing, Google, and other NGO and private sector that have innovative digital marketing to share in order to improve our global HIV/AIDS response.

Satellite Organizer: U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)

Satellite Description: DREAMS is not a moment; it is a movement! After five years of implementation, the PEPFAR-led DREAMS public-private partnership (DREAMS stands for Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) has shown remarkable results, including declines in new HIV diagnoses among adolescent girls and young women (AGYW) in all DREAMS districts. PEPFAR is using data and lessons learned from DREAMS implementation to improve and expand comprehensive HIV prevention programming for AGYW. Dr. Angeli Achrekar will open the session with her vision for DREAMS going forward. The session will feature best practices and continued challenges in DREAMS based on the experiences of AGYW and presentations from PEPFAR technical experts and key DREAMS partners. We will feature short videos and an interview with a DREAMS beneficiary about priorities such as PrEP and economic strengthening.

Satellite Organizer: World Health Organization

Satellite Description: This session will highlight progress towards a 2020 update of key elements of consolidated WHO guidance on HIV diagnostics, treatment and care. It will explore new evidence and policy directions related to emerging ARV toxicities; new guidelines on the diagnosis and management of Histoplasmosis among people living with HIV, non-communicable diseases and HIV integration, developments in pediatric and adolescents treatment; and viral load testing frequency and thresholds and early infant diagnosis. The session will invite diverse stakeholders to explore the urgency and challenges of adopting HIV treatment guidance, and expanding access to reliable viral load testing, in an increasingly complex context.

Satellite Organizer: U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau

Satellite Description: Community engagement begins with sharing the stories of lived experience from people with HIV and their families and grows from there. The Health Resources and Services Administration’s Ryan White HIV/AIDS Program (RWHAP) was established in the U.S. in 1990 because of the stories of the many Americans facing HIV and was named after Ryan White, whose story touched many. Thirty years later, many RWHAP tenants are supported by engaging people with HIV, community-based organizations, providers, and health departments collaborating to address HIV in their communities. This satellite symposium will examine the history, successes, and remaining challenges for community engagement, which is at the center of discussions surrounding Ending the HIV Epidemic in the U.S. Globally, many countries are working to end HIV/AIDS in their own communities; this symposium will spark deep thinking on community engagement and how it can drive innovation, starting with the stories we tell.

Satellite Organizer: HIV.gov

Satellite Description: In February 2019, the U.S. Government (USG) launched Ending the HIV Epidemic: A Plan for America (EHE), an initiative working to lower the number of new HIV infections in the U.S. by 75% by 2025 and 90% by 2030. EHE prioritizes efforts in jurisdictions where most new infections occur and is founded on 4 pillars: Diagnose all individuals with HIV as early as possible after infection; Treat people with HIV rapidly and effectively to reach sustained viral suppression; Prevent new HIV transmissions by using proven interventions, including PrEP and SSPs; and Respond quickly to potential HIV outbreaks to get prevention and treatment services to people who need them. This session will feature a dialogue between USG leaders and community leaders charged with implementing EHE. The session will also include information on the USG’s Ready, Set, PrEP program, a key component of EHE’s Prevent pillar, which provides free PrEP medications to people who qualify.

Satellite Organizer: Elizabeth Glaser Pediatric AIDS Foundation

Satellite Description: Despite the differences in cultural context and affected sub-populations, the HIV epidemics amongst young adults in both Sub-Saharan African and the United States are driven by similar factors, including a lack of information, increased risk of HIV in vulnerable youth populations, structural barriers, and services that do not fit unique adolescents needs. Creating a cross-continental youth dialogue can help identify and understand these barriers and chart a better path forward.

Satellite Organizer: California HIV/AIDS Research Program

Satellite Description: The AIDS 2020 Local Planning Group in partnership with the California HIV Research Program will sponsor a symposium highlighting the successes of and challenges faced by research conducted across disciplines and communities, and lessons applicable to research in HIV, COVID-19, and health disparities. We will highlight mixed-method, community-based and participatory research aimed at preventing HIV infection or increasing engagement and retention in HIV care, while recognizing the social determinants that drive the HIV epidemic among vulnerable populations. The symposium will begin with two pre-recorded overview presentations, available on-demand during AIDS 2020, showcasing multidisciplinary research projects conducted in California. Each presentation will survey the challenges to and successes of collaborative HIV research in the Bay Area. During the live session the pre-recorded speakers will recap their remarks, followed by two respondent panelists drawing lessons for future collaborative research in HIV/AIDS, COVID-19, and health disparities. The session will close with audience Q&A.

Satellite Organizer: The Medicines Patent Pool (MPP), Unitaid, World Health Organization (WHO)

Satellite Description: Adherence to prevention and treatment therapeutics, as well as uptake and retention in care are critical challenges to sustained control of the HIV epidemic. Long-acting (LA) formulations designed to support long-term adherence and simplify treatment and prevention of HIV hold the promise of less burdensome therapeutic options, individual empowerment and wellbeing enhancement. Ensuring timely access to such game-changing innovations in low- and middle-income countries (LMICs) is key to minimize global health inequities. This satellite will provide an overview of LA products development and discuss opportunities and challenges for introduction of affordable LA solutions in HIV programmes in LMICs. The panel includes community representatives, industry and researchers focused on innovation in delivery methods, international implementing agencies, intergovernmental organizations and funders.

Satellite Organizer: University of Maryland Baltimore

Satellite Description: Data to care (D2C) has shown promising results to support the HIV care continuum and increase retention and re-engagement in care. Several low and middle-income countries (LMIC) have started to implement case-based surveillance (CBS) systems to optimize HIV services. CBS systematically and continuously collects demographic and health event data on PLHIV from diagnosis until death. D2C takes CBS a step further by tracking PLHIV across facilities and facility networks, thus distinguishing true loss from migration and enabling the deployment of specialized interventions to re-engage patients who drop out of care. Can the data value chain be moved to truly start and end with an individual client under this new paradigm? Panelists will share key lessons learned from implementing D2C or CBS across a range of settings. The panel will discuss achievements, gaps, opportunities, and future directions with a particular focus on what is sustainable in LMIC.

Satellite Organizer: Measurement & Surveillance of HIV Epidemics Consortium at the London School of Hygiene & Tropical Medicine

Satellite Description: Tracking and accelerating HIV incidence reduction is the most pressing concern for the global HIV community. If we are to achieve epidemic control, the ease with which we attain and understand epidemiological estimates must improve. This session is targeted towards delegates interested in understanding where we are at and where we are going in achieving precision in our understanding of HIV epidemiology to inform programming. The 40-minute pre-recorded session will provide an introduction to the Measurement & Surveillance of HIV Epidemics (MeSH) and HIV Modelling consortia, including examples of some recent work on HIV & COVID-19. There will also be a presentation, focusing on Malawi, on how new technologies may be utilised in monitoring and measurement activities. The 60 minute live session consists of two presentations from leading experts, addressing critical questions and new methods for attaining robust, sustainable HIV-epidemiology estimates in southern Africa. These will be followed by a panel discussion.

Satellite Organizer: Elton John AIDS Foundation

Satellite Description: Commissioners, clinicians, and community workers will discuss the world’s first HIV Social Impact Bond (SIB). The SIB is an innovative method for non-profit organizations to bring people living with HIV into HIV treatment. In London, the model is enabling public authorities to be deeply involved and eventually adopt service provision within the UK National Health Service. Non-profit and public leaders will discuss why they chose to use a SIB model to tackle this issue, what challenges they have faced, and what advice they would give to someone interested in starting a new HIV SIB. A selection of providers across hospitals, primary care, and community organizations will discuss strategies for increasing access to HIV testing and reaching people hesitant to engage with health services. All participants will then come together to discuss COVID-19’s impact and future plans.

Satellite Organizer: International AIDS Society

Satellite Description: Biomedical prevention interventions have saved lives and helped prevent new HIV infections. However, declines in incidence remain far from UNAIDS targets. A safe and globally effective HIV vaccine remains a necessity for a durable control and end to the epidemic. Diverse and promising HIV vaccines candidates are in various stages of development and exciting results from vaccine efficacy and passive immunization trials are expected in the coming years. The vaccine field remains hopeful and determined – even with the necessary shift in attention to developing SARS-CoV-2 control measures. Communicating the wealth and breadth of ongoing research, and the steadfast commitments of funders, researchers, product developers and communities to find a vaccine remains critically important. Co-sponsored by the Enterprise, NIH/HVTN/HPTN, with the participation of the South African Medical Research Council, IAVI, EU consortiums and AVAC, this satellite will showcase current HIV vaccine research and development.

Satellite Organizer: The Global Fund to Fight AIDS, Tuberculosis and Malaria; Friends of the Global Fight Against AIDS, Tuberculosis and Malaria (In collaboration with private sector partners, including Chevron, Salesforce, Project Last Mile, Thomson Reuters, Bank of America, and ViiV, and civil society partners, including the Global Fund Advocates Network and the Joep Lange Institute.)

Satellite Description: COVID-19 has transformed the way the world prioritizes global health. In countries where weak health systems are already overstretched, COVID-19 threatens to be catastrophic. We are at an inflection point and an unprecedented partnership is needed between Governments, Civil Society and the Private Sector. There is an opportunity to build on the experiences and leadership of these sectors in the global fight against HIV/AIDS and other infectious diseases, in order to fight the impact of COVID-19, and protect hard-won gains in the fight against HIV/AIDS. This session will explore how to improve collaboration between the Private Sector and Civil Society, presenting successes and best practices, as well as looking at the challenges and opportunities in accelerating the fight against HIV/AIDS, together.

Satellite Organizer: The University of California, San Francisco, Center for AIDS Research (CFAR) & Housing Works of New York City

Satellite Description: While progress in HIV care has been remarkable over the past 40 years, and while two-thirds of people living with HIV in well-resourced areas are able to achieve a suppressed viral load, not everyone is benefitting equally. Unsheltered and unstably housed individuals face substantial barriers to viral suppression and optimal health. Reasons for these stark disparities in wealthy cities are numerous, interrelated and –despite local resources–consistently hard to overcome. The COVID19 pandemic has placed a renewed spotlight on the social and structural challenges faced by unsheltered individuals living with and at risk for HIV. This live conversation will follow the pre-recorded portion of our symposium. It will explore the role of housing in both the HIV and COVID19 pandemics.

Satellite Organizer: Self-Care Trailblazer Group; Children’s Investment Fund Foundation; Population Services International; International Planned Parenthood Federation; PATH; FHI 360; Jhpiego; Aidsfonds

Satellite Description: Self-care is an integral component of the healthcare system and is how individuals protect their own health, prevent disease, and treat illness, both with and without the support of a health provider. As COVID-19 further limits access to facility-based care, meeting the needs of people who live with or are at risk of HIV has never been more important, and it must be done with considerations for protecting health workers and PLHIV as well as limiting the spread of COVID-19. In absence of being able to go to the clinic, new diagnostic, monitoring and digital tools and medicines have led to a greater configuration of self-led HIV prevention, treatment and care possibilities than ever before. In this dynamic, interactive session, we will explore how different self-care interventions and adaptations have become a critical answer in the health system response to COVID-19 and the potential to transform the HIV response.

Satellite Organizer: World Food Programme

Satellite Description: In the largest ever study on HIV and adolescents in South Africa (n=1063), Lucie Cluver and her team from the University of Oxford and the University of Cape Town published their landmark study that showed that combined social protection interventions targeting adolescents living with HIV have additive, synergistic benefits for HIV prevention, treatment, and adherence ? all of which have direct and positive outcomes across several Sustainable Development Goals (SDGs). CHAR(13) + CHAR(10)The panel will present an illustrative survey of the transformative and far-reaching work of WFP in the arena of social protection. The panel will include Director-level and technical experts’ participation from WFP divisions (School Feeding, Cash-based transfers, Food for assets and the Gender unit), as well as moderation from the Deputy Director of the Nutrition, Dr Fatiha Terki. Dr Lucie Cluver will also participate on the panel and link the findings of her catalytic research with the work WFP is implementing.

Satellite Organizer: HIV Prevention Trials Network (HPTN)

Satellite Description: The HIV Prevention Trials Network (HPTN) offers a scholarship program for minority early-career investigators in HIV prevention research. This program is a mechanism that promotes the mentorship and development of emerging leaders in the fields addressing HIV/AIDS priorities from research development and implementation to overall project management. During the session, HPTN Scholars Program leadership will provide an overview and background of the program and its overarching goals. Three Scholars will also present the projects they completed as part of the 18-month program.

Satellite Organizer: Bill and Melinda Gates Foundation, Georgetown University

Satellite Description: The movement for differentiated service delivery (DSD) has promoted efforts to make care delivery models more responsive to patient needs through changes in service intensity/frequency, provider mix, location of services, but implementers often lack data about which factors to prioritize. To fill that gap, researchers and programs have undertaken efforts to develop a better understanding of the patient experience of care in various settings, and to understand patient?s preferences for changes in care delivery models., These data, elicited through focus groups, surveys, and discrete choice experiments can be used to improve outcomes. Likewise, communities themselves are being engaged to provide input on their experience of care, and hold decision-makers accountable. The session will examine challenges and opportunities of emerging methodologies for measuring patient and community experience of care, and approaches for using that information at scale for improving health outcomes

Satellite Organizer: National Center for Acquired Immunodeficiency Syndrome / Sexually Transmitted Disease Control and Prevention; Chinese Center for Disease Control and Prevention

Satellite Description: Since 2005, China has carried out Major Science and Technology Projects on AIDS and other infectious diseases, and has made great progress on prevention and intervention for key populations. Moreover, some results of the innovative interventions being implemented in China could provide experience for HIV/AIDS prevention around the world. There will be 4 topics to be presented and discussed, including: 1) Evaluation on a comprehensive intervention targeting MSM HIV new infectious reduction in 20 cities; 2) The practice and challenges of pre-exposure prophylaxis (PrEP) against HIV infection; 3) Prevention at scale: Developing a remote-services intervention to be incorporated into a widely-used geosocial networking app for Chinese MSM;4)Acceptability of male circumcision for HIV prevention among Chinese men who have sex with men by different roles in anal sex under the context of new evidence and medical devices: a cross-sectional study.

Satellite Organizer: Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN)

Satellite Description: Within the youth HIV epidemic, prevention and acute health-care services are inequitably accessible and do not meet developmentally-specific needs. The Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) research program aims to defeat the HIV epidemic among adolescents and young adults in the United States through a suite of prevention and treatment studies. This symposium will highlight recent research conducted within the ATN, including the leveraging of technology, self management, and community-based strategies. Sponsored by the U.S. National Institutes of Health, the ATN supports over 20 research protocols conducted by investigators committed to adolescents/young adults and their resilience, health and overall well-being.

Satellite Organizer: U.S. National Institutes of Health; Fogarty International Center; Center for Global Health Studies

Satellite Description: This satellite session will launch the JIAS supplement “Integrating services for HIV and related comorbidities: modelling to inform policy and practice.” While people living with HIV (PLWH) are living longer due to antiretroviral treatment (ART), they are developing non-communicable diseases (NCDs) as they age. These NCD co-morbidities are not being diagnosed or treated in many low-and middle-income countries (LMICs). In countries with generalized HIV epidemics, a question asked is: What is the most cost effective way to implement integrated HIV/NCD care? In countries where the epidemic is concentrated within key populations, a question is: Can we integrate HIV and mental health or substance use services? To answer these questions data can be provided through mathematical modeling and surveys. This supplement highlights several examples of the use of mathematical modeling to provide data to make decisions on how to provide more comprehensive care to PLWH.

Satellite Organizer: ICAP at Columbia University

Satellite Description: TB is the leading cause of death for people living with HIV, yet less than one third of new enrolees in HIV care initiated TB preventive treatment (TPT) in 2017. As countries scale up differentiated service delivery (DSD) for HIV, there are important implications for TPT services. Shifting “stable” recipients of HIV care to less-intensive models means that many PLHIV will be spending less time at health facilities. These changes create both challenges and opportunities for TPT. This satellite will convene implementers from MOH, WHO, PEPFAR, implementing partners, academic institutions and other stakeholders. The session will highlight the opportunity to leverage DSD models to enhance TPT services and showcase innovations and global best practices.

Satellite Organizer: Bill & Melinda Gates Foundation, World Health Organization, International AIDS Society

Satellite Description: The 2019 UNAIDS Global AIDS update highlights that for each of the three 90s, coverage is lower for men than women. This satellite will launch a new supplement of the Journal of the International AIDS Society that aims to draw attention to the formative assessment work done on determining why men are less likely to access HIV services and the interventions and programmatic evaluations that have been designed and conducted to engage men. Science presented in the session will enable ministries of health, funders, policymakers and implementers to better develop HIV policies and implementation plans to address and integrate the health needs of men. The aim of the JIAS supplement is to draw attention to the formative assessment work done on determining why men are less likely to access HIV services and the interventions and programmatic evaluations that have been designed and conducted to engage men.

Satellite Organizer: National Institute of Infectious Diseases Evandro Chagas / Fiocruz Brazil; Universidad Peruana Caetano Heredia Peru; National Institute of Public Health Mexico; UNFPA Mexico

Satellite Description: The symposium builds on the experience of the UNITAID-funded PrEP implementation project (ImPrEP) in Brazil, Mexico and Peru and south-south cooperation among Latin American countries, to examine the current access to PrEP for Men who have Sex with Men and Trans Women in Latin America (LA), highlighting successful approaches, enabling factors and challenges related to PrEP programming and scale up in the context of combination prevention strategies. It presents an overview of current access to PrEP in LA, emphasizing policy uptake and implementation experiences in public and community-based health services; debates community-driven demand creation, awareness and advocacy for PrEP; analyzes successful approaches to implement PrEP services within national HIV prevention strategies through the description of country case studies; and showcase the experience of the ImPrEP project in pioneering access to PrEP in LA, enhancing community-engagement, and fostering south-south collaboration.

Satellite Organizer: Family Planning 2020; AVAC

Satellite Description: Many girls and women are simultaneously at risk for unintended pregnancy, HIV, and STIs. Comprehensive sexual and reproductive health care that includes family planning (FP) and HIV services is essential to provide women with the protection they want and need. Evidence shows that integrated FP, HIV, and STI (including cervical cancer) services can improve uptake across the board and reduce stigma. The Evidence for Contraceptive Options and HIV Outcomes trial reflects the clear silos between FP and HIV/STI services, which result in funding and programmatic gaps directly affecting women and girls. The COVID-19 pandemic has only highlighted the urgency of enhanced integration. Join us as we look at what gains have been made in the year following the ECHO trial results; how COVID-19 is impacting HIV/FP services and efforts to integrate them; and what the future of integration can and should look like.

Satellite Organizer: African Society for Laboratory Medicine (ASLM), Clinton Health Access Initiative (CHAI), United Nations Children’s Fund (UNICEF), and Unitaid.

Satellite Description: Optimized national diagnostic networks are key to increasing access to high-quality diagnostics. Evidence from the implementation of technological and service level innovations such as mapping testing and referral facilities, multi-disease testing on multiplex platforms, integrated data systems as well as performance monitoring shows that diagnostic optimization is a critical contributor to universal coverage for HIV, TB and co-infections services. With the outbreak of the COVID-19 pandemic, some Sub-Saharan African countries have leveraged more than a decade of investments in strengthening and optimizing their diagnostics networks, particularly for HIV and TB, to quickly adopt and integrate SARS-COV-2 testing across existing conventional and point-of-care (POC) platforms. This session will focus on the impact of optimized diagnostics networks in responding to the COVID-19 pandemic, and how diagnostic capacity mapping, data management, sample transport, and waste management have helped drive uptake of SARS-COV-2 testing. Diverse speakers will discuss these topics and share lessons learned.

Satellite Organizer: California HIV/AIDS Research Program

Satellite Description: The California HIV/AIDS Research Program funded three demonstration projects focused on increasing access, uptake, and adherence to PrEP among transgender individuals in California. These were the first PrEP demonstration projects in the U.S. focused specifically on transgender communities. The 3 research teams, two from the San Francisco Bay Area and one from San Diego/Los Angeles, aimed to provide PrEP to a combined 700 transgender and non-binary individuals, with particular focus on transgender women of color. PrEP provision was included as part of a comprehensive prevention and sexual health package. Gilead Sciences provided the Truvada? for the studies. The session will feature presentations from each of the research projects and highlight the various models of PrEP delivery used, facilitators and barriers to PrEP uptake and adherence, early findings from pharmacokinetic studies on PrEP and hormone interactions, and other key lessons learned throughout the different studies.

Satellite Organizer: Children’s Investment Fund Foundation

Satellite Description: The availability of self-testing through private sector channels is highly appealing to men, youth and others who may not be able to conveniently or privately access services in public sector facilities. This session will showcase innovative approaches to expanding access and generating demand for self-testing through private channels including programmes for adolescent girls to access testing for free, media campaigns targeting young men, and public-private partnerships with pharmacies to offer self-testing at low cost. The session will explore what approaches work, what challenges are preventing the private sector from scaling more rapidly, and what new opportunities are on the horizon.

Satellite Organizer: Elton John AIDS Foundation

Satellite Description: While progress has been made in the global fight against HIV/AIDS, HIV is on the rise in Eastern Europe and Central Asia (EECA), where the epidemic is growing and deaths from AIDS-related illnesses have increased significantly in the last 20 years. The ground-breaking RADIAN partnership between the Elton John AIDS Foundation (EJAF) and Gilead Sciences was established to address the challenges in EECA, aiming to leave no one behind in the global effort to end the epidemic.This session will shine a light on HIV in EECA and provide the latest news and updates on the RADIAN partnership, including announcements of the first RADIAN Model Cities and RADIAN Unmet Need Funds recipients. It will feature perspectives from EJAF, Gilead and local EECA representatives to understand the challenges faced by the HIV community in EECA, details on the initiatives that will be funded by RADIAN and insights from high-profile representatives.

Satellite Organizer: International Council of AIDS Service Organizations (ICASO) and Acción Ciudadana Contra el SIDA (ACCSI)

Satellite Description: The session will focus on the important role civil society organizations and networks of people living with HIV play in keeping HIV and health related services active during the humanitarian crisis in Venezuela, as well as monitoring international and local assistance that arrives to the country. Venezuela has been experiencing a humanitarian crisis for more than a decade, with a complete collapse of its health system. With the national government’s response to HIV so severely weakened, Venezuelan civil society organizations and international allies have stepped in to fill the void. The three prongs of their agenda have been community-led service delivery, health system monitoring and “watchdogging”, and advocacy. This session will be in Spanish with English interpretation

Satellite Organizer: ICAP at Columbia University

Satellite Description: The prevalence of non-communicable diseases (NCD) in people living with HIV (PLHIV) has been evident for years, as has the importance of providing integrated HIV and NCD services. Global and national guidelines increasingly call for HIV programs to provide integrated screening, prevention and treatment services for NCDs and their risk factors, including hypertension, diabetes, cardiovascular disease, lung diseases, cancers, and depression. However, the scale-up of HIV/NCD services has been slow. The introduction of differentiated service delivery models (DSDM) may provide an opportunity to address this gap, as countries introduce both less-intensive and more-intensive DSDM models. DSD models may also enhance the resilience of chronic care programs in the face of emergencies such as the COVID-19 pandemic.

Satellite Organizer: World Health Organization (WHO), PATH

Satellite Description: What’s the 2+1+1? In July 2019, the World Health Organization updated its PrEP guidance to include the 4-pill (2+1+1) event-driven (ED)-PrEP dosing regimen for men who have sex with men (MSM). ED-PrEP is as equally efficacious as daily oral PrEP when taken correctly, and provides flexibility and choice to those who may not need a daily pill to protect themselves from HIV. ED-PrEP offers the additional advantage of clear guidance on when to start and stop PrEP, reduced cost to users, and lower drug exposure. This session will highlight first experiences in implementing ED-PrEP in early adopter lower- and middle-income countries, sharing key milestones, lessons learned, and challenges overcome. It will also feature a panel discussion on what can be done to further increase access to ED-PrEP among MSM from the perspectives of policy makers, scientists, advocates, and PrEP users themselves.

Satellite Organizer: Foundation for Innovative New Diagnostics

Satellite Description: The opportunities for elimination of hepatitis C virus (HCV) have been transformed by advances in diagnosis and treatment including price reductions. However, achieving the 2030 coverage targets of 90% diagnosis and 80% treatment of those infected seems remote. In 2017, only 20% of people with HCV were tested and ~25% of those diagnosed were treated. As for HIV, there is a need for continued simplification of care pathway to promote access to HCV services. This session will highlight key results from a three year Unitaid-funded project in four countries with policy implications and lessons learned. The interventions assessed include decentralized HCV testing, care and treatment in primary care, at antiretroviral therapy (ART) and harm-reduction sites (HRS); use of point-of-care HCV viral load at HRS for people who inject drugs (PWID) and ART clinics for people living with HIV (PLHIV); and first results on use of HCV self-testing in three countries.

Satellite Organizer: SFAF

Satellite Description: Grappling with city-wide issues including homelessness, increasing rates of drug overdose, poverty and displacement, San Francisco AIDS Foundation confronts systemic societal disparities as we serve people living with or at risk of HIV. Hear how our practitioners are shaping services and health policy to ensure health justice and equity in PrEP uptake, substance use treatment, harm reduction services and overdose prevention, and connection to HIV services. Through a series of short presentations and a panel discussion, we’ll delve into the challenges and successes we have experienced centering Black, Indigenous and People of Color, people experiencing homelessness, trans and non-binary individuals, people living with HIV, and people who use drugs, with an eye on how to evolve over time to meet the changing needs of our community. We’ll share evidence-based strategies you can use at your own organization, and will facilitate a Q&A.

Satellite Organizer: University of Maryland Baltimore

Satellite Description: Non-communicable diseases (NCDs) contribute to nearly 70% of global deaths. The success of antiretroviral therapy and its broad access has increased life expectancy among people living with HIV (PLHIV). Among PLHIV in sub-Saharan Africa, 15% are aged 50 years and older, and by 2040 this proportion is predicted to reach 27%. Studies indicate that PLHIV are at higher risk of non-communicable diseases (NCDs) in comparison to the general population. Factors such as chronic immune activation and drug side effects may contribute to increased rates of NCDs. Over the past 15 years, the HIV response has helped build workforce capacity and enhance health infrastructure and information systems. Moving forward, is it possible to meet the emerging challenge of NCDs and deliver comprehensive health services to PLHIV? In this panel, we will discuss the considerations, challenges, and solutions to integrate NCD screening and management, and to integrate mental health services into HIV services.

Satellite Organizer: National Institutes of Health, Office of AIDS Research

Satellite Description: For nearly forty years, the National Institutes of Health (NIH) has conducted impactful, landmark HIV/AIDS research from innovative basic science discoveries through the pipeline to preclinical studies and novel clinical trials around the world. NIH-supported research is critical to reach ambitious but achievable goals to end the HIV epidemic in the United States by 2030 and HIV pandemic control globally. The satellite will highlight NIH HIV/AIDS research at the intersections of Prevention, Treatment and Disparities across the lifespan. Multidisciplinary scientists share unique insights, research findings, and experiences that will improve understanding of how the global and the domestic HIV epidemics can inform each other and accelerate epidemic control. The session aims to help build the capacity of current and future generations of HIV researchers and advocates to address 21st century challenges with 21st century solutions.

Satellite Organizer: Kenya National AIDS Control Council; Faith Sector Technical Working Group

Satellite Description: With 96.5% of Kenyans ascribing to a faith, Faith Communities play pivotal roles in the HIV response in Kenya and worldwide. Religious leaders have significant audiences they make contact with once or more, weekly. Their influence as community gatekeepers and behavioral molders provide an advantage in behavior change communication targeting children, adolescents & young people and even older people. Stigma and discrimination remain the biggest challenge hindering access to HIV prevention, treatment and care. They have also been accused of perpetrating & perpetuating stigma in places of worship. Effective engagement of this sector is therefore key. Panel Discussion: 1: Faith communities networks have the potential to change the HIV epidemic 2: Reaching out to AYPs within the religious spaces“ successes, lessons and opportunities 3: Religious leaders living with HIV the challenge of double stigma 4: Male engagement within the faith sector Finding the missing 5: What needs to be done to strengthen Faith Communities engagement, documentation and reporting?

Satellite Organizer: National Institute on Drug Abuse/NIH

Satellite Description: Addressing substance use is essential in order to accelerate progress toward HIV elimination. Despite efforts to scale up HIV testing, ARVs, MAT, and harm reduction, and new tools like long acting MAT, many substance users are left behind in access to HIV prevention and care. This reflects issues in outreach, access, and variation in tools applicable to different kinds of substances, along with intersectionality with other key population identities (e.g., gender, sexual minorities, racial/ethnic/religious minorities). This satellite will identify barriers and opportunities to increase service uptake, and debate approaches for potential solutions including behavioral/public health integration, program/policy implementation, and emergent service delivery modes such as telehealth and engaging indigenous social networks. International and domestic settings will be addressed along with the continuing evolution of the US opioid epidemic and its implications for HIV prevention and care.

Satellite Organizer: World Health Organization

Satellite Description: While HIV responses worldwide urgently need to revitalize their focus on the HIV prevention, diagnosis and treatment needs of key populations, the broader health needs of key populations also need to be recognized and addressed. Key population health needs extend to ensuring access to appropriate services for viral hepatitis and sexually transmitted infections (STIs) along with a broader package that includes mental health, transition care, substance use and sexual and reproductive health services. This session will explore new and emerging World Health Organization recommendations related to key populations across HIV, viral hepatitis, STIs and broader health. It will discuss the latest evidence and programmatic examples of providing person centered services to key populations in different settings through integrated services, service delivery, programming and funding that harnesses the synergies between the three diseases as well as broader health.

Satellite Organizer: Unitaid STAR and ATLAS Consortium

Satellite Description: Achieving and exceeding the AIDS targets for the Millennium Development Goals was accomplished due to an unprecedented financial investment from the international community. Since 2010 the discourse has shifted to the need for greater sustainability of funding. HIV testing is an essential tool for epidemic control, the entry point to patient management and further prevention of transmission. Ensuring equitable access to diagnosis is paramount. HIV Self-Testing (HIVST) offers such opportunities through a variety of approaches tailored to meet these needs. With dwindling investments in HIV programming including HIV testing, models of HIVST distribution that are independent from external investments offer options for longer-term sustainability. The STAR project in Southern Africa and the ATLAS project in West-Africa have gathered evidence through research and implementation for such models that could be replicated in other countries that are scaling up HIVST.

Satellite Organizer: AIDS Healthcare Foundation

Satellite Description: This is a panel discussion for the history books. Transgender Challenges Around the World has assembled trans warriors that have kept the struggle for change alive in a world that has not always recognized nor respected them. Trans advocates will get real about the struggles faced in accessing HIV care and services, exclusionary policies, the erasure of trans stories and how they continue to win no matter the surmounting odds. You will also get a sneak peek of “Born Human” an uplifting documentary on the challenges that transgender people face and overcome around the world. All of this moderated by the eccentric FLUX President, Queen Victoria Ortega.

Satellite Organizer: Global Action for Trans* Equality; International Trans Men & HIV Working Group

Satellite Description: Historically, trans men and assigned female at birth (AFAB) non-binary people have been excluded from the global HIV response. Up until today HIV research has broadly included trans women only. Trans men and AFAB non-binary people are expected to be exposed to higher risks, but little is known about the sexual health needs and vulnerabilities of this population. Trans people face barriers in accessing health care services. The experiences of discrimination and lack of knowledge of medical professionals about trans bodies and stereotypical assumptions lead to a neglect of appropriate care, prevention and treatment of HIV & STIs. Due to a dearth of research, a deficit of funding etc., little is known about HIV prevalence of this population. This session targets these structural barriers provides insight to actions that need to be taken in order to facilitate research, health care services and prevention inclusive of trans men and AFAB non-binary people.

Satellite Organizer: International AIDS Society; World Health Organization

Satellite Description: The session aims to highlight the latest data, innovations and examples of good practice in relation to HIV and sexually transmitted infections (STIs), taking into consideration the current COVID-19 pandemic.

Satellite Organizer: PATH; Stop TB Partnership; Stop TB Partnership Private Sector Constituency

Satellite Description: Tuberculosis is the leading cause of mortality among persons living with HIV (PLHIV), accounting for a third of AIDS-related deaths in 2019. While estimates suggest that PLHIV are 19 times more likely to contract TB, case-finding among PLHIV remains low with 49% unaware of their coinfection. WHO-recommended LF-LAM facilitates quicker TB diagnosis and initiation on treatment (or TB preventive therapy for those without active TB) among PLHIV, but uptake of this test in high TB/HIV burden countries has been too slow. In this session, we will explore barriers to TB diagnosis among PLHIV, spotlight successful adoptions of LF-LAM, highlight results from existing LF-LAM, and preview other diagnostic tools in the pipeline. The session will also include a panel discussion outlining what needs to be done to accelerate access to appropriate tests and treatments to reduce TB-related deaths among PLHIV.