Zambia stands at the forefront of a groundbreaking journey in HIV prevention. With its recent accomplishment of being the first country outside the U.S. to administer CAB PrEP, Zambia reaffirms its commitment to advancing access to HIV prevention technologies. However, the successful rollout of such innovations goes beyond product availability.
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I attended CROI 2024 in Denver, Colorado, earlier this month after being awarded a community educator scholarship by the conference. What an amazing experience! I am still digesting all the science and innovation that was presented, but four themes stood out to me. In this post, I share my key takeaways through the lens of a community educator and member of the MOSAIC NextGen Squad.
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During the first two years of MOSAIC, engaging in intentional, principled partnerships with young people has transformed our typical way of working, changing hearts and minds and improving project processes and outcomes.
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With choice of PrEP products on the horizon – including oral PrEP, the PrEP ring, and CAB PrEP – PrEP marketing and demand generation must evolve with the availability of new PrEP products. Young people, in particular, need PrEP demand generation campaigns tailored to their needs and aspirations.
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When MOSAIC launched, we developed five aspirational principles to guide our work and hold us accountable to the communities we serve. Upholding these principles has led us to have difficult conversations, make challenging decisions, and change how we approach our work on the project for the better. Here we describe how we are putting MOSAIC’s principles into practice.
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As the PrEP category expands to include new products, our marketing and demand generation efforts must communicate with young women about PrEP and product choice in their language so they are ultimately inspired to act. That’s why MOSAIC set out to build a strong, evidence-informed, unified brand for the category.
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When a country is poised to introduce a new biomedical prevention product, policymakers want to ensure that their rollout plan is based on the latest science and provides clear, standardized procedures for implementation. The WHO publishes global guidance on delivering new HIV prevention products, but those recommendations need to be adapted to the local context.
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Meaningful engagement of young people is a key strategy of the MOSAIC project and CATALYST, its flagship study of choice in HIV prevention. But what does meaningful youth engagement really mean? As a youth representative of MOSAIC’s NextGen Squad and a program coordinator supporting MOSAIC implementation in Namibia, I have had a chance to experience it first-hand.
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Three MTN studies – REACH, DELIVER, and B-PROTECTED – recently published critical new data on PrEP ring use among adolescent girls and young women (AGYW), pregnant individuals, and breastfeeding individuals in Africa. All studies offer compelling evidence that the ring is safe for use among these populations.
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Through oral PrEP, condoms, voluntary medical male circumcision, and antiretroviral treatment, USAID has helped to expand prevention options and access for all. Today, USAID continues to provide global leadership in the HIV response by expanding access to options with a new generation of HIV prevention products.
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