David Cooper Memorial Lecture: Current efforts to control the epidemic in the region, Nittaya Phanuphak
This was a very powerful and fast-moving presentation. The main message would appear to be if we want to control HIV we need to get in there and do it! Nittaya advocated strongly that we need to highlight the gaps in our HIV prevention, particularly to PEP and PrEP provision and ensure that all at risk of HIV can access PrEP. She highlighted that in Thailand 4000 people are taking PrEP, but it is they estimated that to reduce HIV infection rates 1 million would need to be accessing it. The challenge is how to provide access to marginalised and hard to reach groups. Nittaya advocated for the de-medicalisation of HIV treatment and prevention through multidisciplinary working nurse led PEP, PrEP and treatment initiation. But key to the de-medicalisation is the inclusion of peers to provide support and treatment navigation service and facilitate same day provision.