It’s the final day of the AIDS 2018 conference, and while attending an address by Bill Clinton I was thinking about the pertinent issues highlighted over the last few days.
For me, a recurring concern throughout the conference was the inequitable division of resources, treatment and prevention globally and the ongoing struggle of marginalised groups to access HIV care and prevention. Most namely, in my opinion young African women – with new infection rates rising in this population. At home we seem to be winning… with treatment as prevention and access to oral PrEP in Australia (but also the UK and North America) already having an incredible impact on reducing new infections, reducing stigma and increasing empowerment. Access and uptake of prevention in Africa remains still very poor. Extraordinary new long-lasting more discrete prevention devices and strategies are being developed and trialled yet we must also ensure that expense and access are not prohibitive to countries where they can make the most impact.