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Delly From DRC

Jean Slabbert from the Foundation for Professional Development (FPD) in South Africa

Shaundell Shipley, KP Coordinator, Guyana National AIDS Programme

Jessica Posner, JSI

Good afternoon all. Sunni Wenson - Advisor, HIV PCT on Open Doors project in Zambia

Stanford Toga, Peer Coordinator GALZ Zimbabwe

Hello everyone! Kiran Bam, Technical Advisor - SBC, EpiC Nepal/FHI 360

Tessa Oraro-Lawrence - International AIDS Society, Project Manager, Getting to the Heart of Stigma project in Geneva

Stephan van der Merwe from the Foundation for Professional Development (FPD) in South Africa

Mariette Slabbert, independent consultant, South Africa

Hi everyone. Meg DiCarlo-EpiC, Washington DC

Dr Segun Oyedeji I Deputy Chief of Party I Society for Family Health Nigeria/KP CARE2 project I +2348034031144 I Doyedeji@sfhnigeria.org

Hi, Rajesh, EpiC Nepal

Good afternoon, Anthony Twiine- HIV Prevention Specialist- USAID LPHS-Kigezi Activity. Uganda

Good day everyone. Nigel Kunaka - PSI Zimbabwe

Busara Drezgic- SBCC Manager- USAID Boresha Afya Southern Zone- Tanzania

Hello Everyone, I am David Chilongozi, FHI360 EpiC Malawi, Lilongwe

Good Afternoon. Bhawani Prasad Dahal, SKPA, AFAO Thailand

Hi everyone - Adolescent and Youth HIV Services - EGPAF, Washington DC

Hello everyone, Chris Akolo, EpiC/FHI 360, Washington, D.C.

Hello Every one, Kenneth Odong, HIV Prevention and KP Technical officer, RHITE-E, Eastern Uganda.

Hi Everyone, Dr. Boniface Bongonyinge, HIV Prevention Advisor-USAID RHITES-N, Acholi Activity. Gulu, Uganda

Tiffany Lillie, FHI 360, Washington DC

Hello all, Samuel Kawuma ,MJAP Uganda

Hello everyone. Nancy Brady -JSI, Boston, MA

Hi Everyone. I am Samuel Kamiri -HOPE worldwide Kenya

Joseph Vyankandondera, West and Central Africa Regional office, Dakar,Senegal

Hi Everyone, Dr. Boniface Bongonyinge, HIV Prevention Advisor-USAID RHITES-N, Acholi Activity. Gulu, Uganda

Hello Everyone, Okezie Onyedinachi , Excellence Community Education Welfare Scheme (ECEWS), Abuja, Nigeria

Hello Every one Delly EPIC/DRC

Greetings! Sean Maher, Sr HIV Advisor for KP, JSI

Hello everyone, Liana Moro, Technical Officer, Strategic Information Department, UNAIDS HQ

Good morning - Parsa Sanjana, EpiC FHI 360 DC

Please share with us slides at the end of présentations. Many thanks!

Hi everyone, Maria Nantale ERWEO-KP CSO Eastern Region, Uganda

Hello everyone, Anna Lawino, USAID RHITES-N, Acholi, Uganda

Hi everyone, Amornrat from EpiC Thailand/ FHI 360/APRO

Hi all Samuel Engulu USAID RHITES-N, Lango Uganda

Namubiru Mary Technical Director USAID RHITES SW Uganda

Please type questions for presenters and panelists here to "all panelists and attendees"

Sorry, forgot to precise that I am with UNFPA

Cam and Hally, note the good question on home delivery in the Q&A part of the platform.

It would be good to throw the stigma question back to the panelists since they are implementing the programs themselves. Otherwise I can giv eit a shot.

what strategies were used in the 19 countries which were showed to have very high return of HIV self testing results?

in the first presentation

with the Nepal and Indonesia slide on home delivery of ART, how have they implemented this strategy looking at the very large numbers of clients involved

Questions to Loveness: Please can you help us to understand quite well how peer educators and peers navigators were doing in keeping with the lockdown and the respect of barriers mesures to reach their fellows?

@Anna, the use of online and virtual outreach helped in tracking the number of test kits used as well as results. Additionally, the peer educators and navigators were able to follow up with the clients to enquire about the use of the kits and their results.

In the case of Indonesia... the program used an established courier service, which was capable of making delivery at scale already. There is a question in the Q&A about how they avoided stigma with home delivery. But the courier service is used for all sorts of products. In this case, no one would know what is being delivered to the client.

COVID pandemic gave opportunity to flourish the use of HIVST and the importance of MMD and decentralization of VL testing in community in Nepal.

In the case of Indonesia... the program used an established courier service, which was capable of making delivery at scale already. There is a question in the Q&A about how they avoided stigma with home delivery. But the courier service is used for all sorts of products. In this case, no one would know what is being delivered to the client.

In the case of Indonesia... the program used an established courier service, which was capable of making delivery at scale already. There is a question in the Q&A about how they avoided stigma with home delivery. But the courier service is used for all sorts of products. In this case, no one would know what is being delivered to the client.

good morning all. I am Moetsi Duchatellier, Regional gender advisor for UN Human rights

Hi, this is Joannah Davis from Frontline AIDS in the UK. Have any of the peer outreach workers experienced hostility from police or community leaders? Either for breaking lockdown rules when visiting clients or because they are criminalised as key populations (in some countries)?

In case of Nepal, we mobilized peer navigators and community based supporters to coordinate and collaborate with ART centers. We prepared the list of PLHIV who need to pick up the pills and coordinated with the ART site for home delivery

In case of Nepal, we mobilized peer navigators and community based supporters to coordinate and collaborate with ART centers. We prepared the list of PLHIV who need to pick up the pills and coordinated with the ART site for home delivery

we have CBOs in more than 25 districts for MSM and Tg. Other KP have the same kind of Network. We all coordinate with ART center to distribute ART though home based approach from our community .

Please post questions to "all panelists and attendees" so all participants can see.

Because of stigma we also delivered ARV nearby chowk or center where nobody know about the purpose of delivery. Delivery confidentiality was maintained.

To prevent any issue during lockdown/travel restriction, our implementing partners coordinated with the local authorities for approval for travel for delivering life saving drugs

To prevent any issue during lockdown/travel restriction, our implementing partners coordinated with the local authorities for approval for travel for delivering life saving drugs

The relationship some of the programs have built with the local health authorities helped in this process. in some countries, government-approved passes were received and used to move within the community.

Thank you

In the countries you are, were the key populations always identified by national authorities as needing special support during the Covid?

COVID pandemic gave opportunity to flourish the use of HIVST and the importance of MMD and concept of decentralization of VL testing in community in Nepal.

Also to answer the question in the Q&A about the cost of home delivery. There were some additional costs associated with this service and we are still working to understand all the costs. However, the cost of unsurpressed viral load is much greater. We need to look at the cost-benefits associated with improved treatment uptake and viral surpression.

There is recent police harassments towards Trans community in Nepal.

The call-to-action that Mohan is summarizing is available in this advocacy resource: https://www.fhi360.org/sites/default/files/media/documents/epic-kp-covid-19-call-action.pdf

Regarding cost, in case of Nepal, there is not much or we can say almost no additional cost as we are mobilizing existing peer navigators and community based supporters for home delivery of ARV drugs

we filed the complain against police brutality in National Human Rights Commission and Nepal police.

Are the numbers of people reached in each community reported to the national programme? That is, when the national programmes report that they reached 10,000 PWID in October 2020, would that include your outreach contacts?

Thank you Manisha. It is wonderful that Blue Diamond is taking action to defend Trans people in Nepal

@Keith Sabin, yeah, our outreach contacts include in national program, in case of Nepal

Nepal received 4 SOGIESC recommendations and one Advanced Question in UPR which mention violence and discriminations

National Center for AIDS and STD Control (NCASC)/MOHP Director is very much willingness to support Blue Dimond Society (BDS) in the recent police harassment case. And she is meeting with BDS team to discuss on this issue. I think this is the first time NCASC/MOHP shown such interest and support

Because of stigma we also delivered ARV nearby chowk or center where nobody know about the purpose of delivery. Delivery confidentiality was maintained.

Bartholomew, please share your comment with all panelists and attendees.

It is critical to note that KP response requires more than recognition but much more support for the KP ed organizations and policy support for enabling environment to thrive especially in Nigeria. We need more KP led organizations to be funded directly and for community systems to be stronger to accommodate large scale KP programming that responds to the real needs of the communityNigeria has a platform created by PEPFAR office for CSOs which has been meeting to