HIVPreventionProgramStewardship2AccelerateaccesstoandeffectiveuseofprecisioncombinationHIVprevention,withbehavioral,biomedical,andstructuralcomponentstailoredtotheneedsofpopulationsathighriskofHIVinfection,especiallykeyandvulnerablepopulations:ClosegapsinHIVpreventioncoverageAccelerateaccesstoanduseofnewHIVpreventionoptionsEvolveandexpandtherangeofplatformsforaccesstoanddeliveryofpeople-centeredHIVpreventionGFstrategy(2023-2028)commitmentsFocusonaccessto&useofcombinationHIVpreventionoptions3Accelerateaccesstoandeffectiveuseofprecisioncombinationprevention,withbehavioral,biomedical,andstructuralcomponentstailoredtotheneedsofpopulationsathighriskofHIVinfection,especiallykeyandvulnerablepopulations:ClosegapsinHIVpreventioncoverageAccelerateaccesstoanduseofnewHIVpreventionoptionsEvolveandexpandtherangeofplatformsforaccesstoanddeliveryofpeople-centeredHIVpreventionNewGFstrategy(2023-2028)HIVPreventioncommitmentsFocusonKP+sexualpartnersinallgeographies&AGYW+malesexualpartnersinSSAIncreaseaccesstocriticalpreventioninterventions(condoms,PrEP,harmreduction)AddressfactorsthatincreasevulnerabilityandbarrierstopublichealthservicesBettercoordinateinvestmentswithinmultisectoralprogramsincl.socialprotection&education(e.g.,tosupportCSE)SupportcountriestostrengthendatasystemsforHIVprevention4Accelerateaccesstoandeffectiveuseofprecisioncombinationprevention,withbehavioral,biomedical,andstructuralcomponentstailoredtotheneedsofpopulationsathighriskofHIVinfection,especiallykeyandvulnerablepopulations:ClosegapsinHIVpreventioncoverageAccelerateaccesstoanduseofnewHIVpreventionoptionsEvolveandexpandtherangeofplatformsforaccesstoanddeliveryofpeople-centeredHIVpreventionNewGFstrategy(2023-2028)Focusonaccessto&useofcombinationpreventionoptionsSupportaccesstoaffordablenewHIVpreventionoptions,e.g.,newPrEPformulations,long-actingOST,technologiesthatprovidedualprotectionagainstHIV&pregnancyTotalmarketapproach(mobilizingpublicandprivatesectorcapacities)Supportthedevelopmentofpolicy,regulatory&programmaticenablersfornewoptionsSupportdemandcreation,incl.preventioncommunicationtoincreasetheknowledge,skills&powerofpeopleatrisktochoose+usethebestHIVpreventionoptionsforthem5Accelerateaccesstoandeffectiveuseofprecisioncombinationprevention,withbehavioral,biomedical,andstructuralcomponentstailoredtotheneedsofpopulationsathighriskofHIVinfection,especiallykeyandvulnerablepopulations:ClosegapsinHIVpreventioncoverageAccelerateaccesstoanduseofnewHIVpreventionoptionsEvolveandexpandtherangeofplatformsforaccesstoanddeliveryofpeople-centeredHIVpreventionNewstrategy(2023-2028)Focusonaccessto&useofcombinationpreventionoptionsLeveragethestrengthsofpublicsector,community,civilsocietyandprivatesectordeliverysystemsforgreaterdifferentiation,innovation,andsustainabilityofHIVpreventionefforts.Supportpreventionapproachesthroughnon-traditionalandnon-facility-basedplatforms,especiallycommunity-basedandcommunity-ledservices,SRHRservices,andonline,pharmacy-based,andothereasy-toaccessservices.Newtechnologieswillbeleveragedforimprovedhealthcommunication&demandcreation.6Includes:ProgramEssentials:Standardsforprogramdesignandcoverage.Itarekeyevidence-basedinterventionsandapproachestoaddresstheambitiousgoalssetoutintheHIVglobalstrategy&supportcountriestoachievetheirnationaltargets.InterventionsthatareprioritizedtohaveHIVimpactHIVInformationNoteGuidanceforthe2023–2025fundingcycleHIVPreventionProgramEssentialsHIVprimaryprevention1.Condomsandlubricantsare

availableforallpeopleatincreased?riskofHIVinfection

2.Pre-exposureprophylaxis(PrEP)isavailabletoallpeopleatincreased?riskofHIVinfection,andpost-exposureprophylaxis(PEP)isavailableforthoseeligible

3.Harmreductionservices

areavailableforpeoplewho

usedrugs?4.Voluntarymedicalmalecircumcision(VMMC)isavailableforadolescentboys(15+years)andmen

inWHO/UNAIDSVMMCprioritycountries

Relevantprogramessentialsshouldbereinforcedbydemandcreationactivitiestoinform,increaseuptakeandsupportadherence.Notethatallprogrammingmustbehumanrights-based,gender-responsiveandinformedbyandrespondtoananalysisofinequities.78GFHIVInformationNote2022–keyprioritiesforHIVPreventionExpandcoverageofcombinationHIVpreventionforkeypopulationsandtheirsexualpartnersinallepidemicsettings:

Provisionofmaleandfemalecondomsandlubricants;ProvisionofPEPandPrEP(incl.newmodalities)asrecommendedbyWHO;SRH/STIinterventionsprovidedaspartofHIVpreventionservices,andHIVpreventioninterventionsprovidedaspartofSRHservicedelivery;ProvisionofharmreductionservicesforPWID;Priorityinterventionsforpeopleinprisonsandotherclosedsettings;Provisionofpreventioncommoditiesandservicessupportedbytargetedhealthcommunication,structuralinterventionsorsocialenablers;Activitiestoassess,preventandrespondtosecurity-relatedrisksfacedbyKPsExpandcoverageofcombinationHIVpreventionforAGYWandmalesexualpartnersinsettingswithhighHIVincidence:

Provisionofmaleandfemalecondomsandlubricants;ProvisionofPEPandPrEPasrecommendedbyWHO;SRH/STIinterventionsprovidedaspartofHIVpreventionservices,andHIVpreventioninterventionsprovidedaspartofSRHservicedelivery;ProvisionofcounsellingandsupportonHIVprevention,sexualandreproductivehealthandrightsandfamilyplanning;Provisionofvoluntarymedicalmalecircumcision(VMMC)foradolescentboys(15+years)andmeninVMMCprioritycountries;Provisionofcommoditiesandservicescombinedwithriskreductioncounselling;BiomedicalandbehavioralinterventionssupportedbystructuralinterventionsorsocialenablerstoincreaseaccesstoservicesandreduceHIVvulnerability;targetedHIVpreventioncampaignsandCSE*;Socialprotectioninterventions**Insettingswithhightoveryhighincidence(>1%)9GFHIVInformationNote2022-keyprioritiesforHIVPrevention(cont.)ExpandservicedeliveryplatformsforHIVprevention:Combinationofpublicsector(healthfacility),community-basedandcommunity-led,andprivatesectordeliverysystems;Expandedplatformsforcommunity-basedandpeeroutreach-basedHIVpreventionprogramsandservices;IntegratedmodelsforimprovedHIVpreventionandsexualhealthoutcomes;UseofVirtualplatformstoextendoutreach,expandservicedeliveryandmitigatestigma;Pharmacies(community/private)andothereasyaccesspoints;MMDofHIVpreventioncommoditiesExpandandintegratehumanrightsinterventionsintoHIVprevention

StrengthenHIVpreventionprogramstewardship:

Programplanning,designanddeliveryincludingtarget-setting,costingandoperationalplanning;technicalworkinggroupsandnationalandsub-nationalcoordinationandreviewmechanisms;lastmilesupplyanddistributionsystemsforpreventioncommodities;HIVpreventionproductintroductionandscale-upandstrengtheningoftotalmarketapproaches;capacitydevelopmenttosupportpreventionprogrammanagementanddelivery;integrationofHIVpreventionandSRHcommunication,healthpromotionandservicedelivery;monitoringofpreventionoutcomes,performancereviewsanduseofdataformicro-planningandproblemsolving

NewGFmodule(modularframework)PreventionProgramStewardshipActivitiesrelatedtostrengtheningnationalpreventionprogramstewardshiptoachievescaleandprecisionofpreventionservicedelivery.Forexample:?Developmentofnationalpreventionstrategies,plansandprogramsincludingtargetsetting,costing,defininginvestmentneedsandoperationalplanning.?Management,coordinationandoversightofpreventionprograms,technicalworkinggroups,nationalandsubnationalcoordinationandreviewmechanisms.?DifferentiatedandscalableHIVpreventiondemandgenerationandservicedeliverymodels.?Lastmilesupplyanddistributionsystemsforpreventioncommodities.?HIVpreventionproductintroduction,strategicpositioningandstrengtheningoftotalmarketapproaches.?Community-basedorcommunity-ledpreventionmodelsforoutreach,socialcontractingandsafetyofprogramswithkeypopulationsandyoungwomen.?Capacitydevelopmentincludingbu