1. HIV in the MDG framework
and beyond
Brian Lutz
10 August 2012

2. Objectives
Take stock of progress on MDG 6/HIV1
Look ahead to 2015 and beyond2
Framing of HIV/health post 20153

3. Good progress in prevention globally …..
Target 6A – halt and
reverse the spread of HIV
1
…But have we hit the
mark?

4. …but progress is not uniform1

5. Monumental progress in treatment globally…1
Target 6B – universal treatment access
…but where
should we be?
15m?

6. Political and financial commitments have been key1

7. Technical and policy changes have mattered1

8. Human rights-based approaches remain integral1

9. Opportunities to 2015 and beyond (?)2
• Treatment as prevention – scale up of ART
• Vaginal and rectal microbicides
• Pre-exposure prophylaxis
• Safe male circumcision
Increasingtimetoscaleup
• Structural interventions (e.g., cash
transfers?)

10. Opportunities: male circumcision2
• ~50% reduction in HIV risk
• 80% coverage could avert
22% of new HIV infections
from 2011-2025

11. Sustainable AIDS financing is biggest risk on horizon2

12. Key populations will probably suffer most2

13. Increasing domestication of response is one option2
• Budget re-allocation
• Technical efficiencies
• Alternative revenues

14. So is improving allocative efficiency2

15. Another risk is too much remedicalization2
Biomedical
Behavioral
Structural

16. Emerging issues for post 20153
• AIDS out of isolation
• Vertical versus horizontal
• Universal health access
• One, many and/or mainstreamed
• Outcomes or inputs

17. Thank You