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Rectal Microbicide Advocacy From
Here to There... And Especially in
Places Where the Sun
Don’t Shine

Rectal Microbicides:
Making HIV Prevention Gel
– Jim Pickett, IRMA chair
July 22, 2012
Today

        • Pleasure and
          toolboxes
        • Who is IRMA and
          what does she
          do?
        • You/your org can
          be Rectal Rock
          Stars
pleasure
 intimacy
connection
 emotion
  love
What if we had a complete prevention tool kit?

   Prior to exposure      Point of transmission            Treatment
 •Rights-focused          •Male and female        • Improved ARV therapy
 behaviour change         condoms and lube        • Treatment for
 •Voluntary counselling   •ARV treatment to         opportunistic infections
 and testing              prevent vertical        • Basic care/nutrition
 •STI screening and       transmission (PMTCT)
 treatment                •Clean injecting        • Prevention for positives
 •Male medical            equipment               • Education & rights-focused
 circumcision             •Post-exposure            behaviour change
 •Preventive Vaccines     prophylaxis (PEP)       • Therapeutic
 •Pre-exposure            •Vaginal and rectal       vaccines
                          microbicides
 prophylaxis
 (PrEP)                                      ARV = antiretroviral          4
5
6
IRMA, b.2005




4 people, 4 agencies, 2 countries

                                    7
1100+ advocates,
   Mission: support
 scientists, funders,
    development of
policymakers from 6
     safe, effective,
    acceptable,–and
    continents S.
    America/Latin
       accessible
America and African
  rectal microbicides
        projects
for all that need them



AFC is the IRMA secretariat   8
9
MTN 017 Consult – Lima




                         10
MTN 017 Consult – Bangkok




                            11
MTN 017 Consult – Chiang Mai




                               12
MTN 017 Consult – Cape Town




                              13
Advocacy
Advocacy priorities

             o Increase and diversify funding*
             o Increase research activities
               o RM research, expand pipeline
               o Lubricant safety, lubricant access
             o Increase knowledge
               o Heterosexual anal sex
               o Anal sex behaviours and practices in
                 general
Advocacy priorities

 • Recruit researchers, advocates
 • Recognise anal intercourse as
   important driver in HIV epidemic
   among gay men, MSM, and
   heterosexuals
 • Address burden of HIV among
   gay/MSM
 • Promote anal health
Activities
Highly active
                        moderated
                          listserv
                                                Website
                                                • Tons of resources




Materials                                            Blog,
• Fact sheets,                                     Facebook,
  reports                                           Twitter

                 Global teleconferences
                 • Recorded, materials posted

                                                                  18
@rectalmicro
                      rectalmicrobicides.org




       irma-
rectalmicrobicides.      facebook.com/
   blogspot.com        InternationalRectal
                      MicrobicideAdvocates


                                               19
Highly active
               moderated
                 listserv



                           You haven’t
                          lived if you’re
                            not on the
                             IRMA list.


Linda-Gail Bekker, Desmond Tutu HIV Foundation
                                                 20
Special initiatives
22
www.rectalmicrobicides.org/ProjectARMreport2012.pdf
• Seven Research and Advocacy priority actions
  – GLAM – “And Lube!” (A)
  – KAB – AI, anal health perspectives and practices (R)
  – Communication/education materials (A)
       –Acceptability study, studies (R)
       –Mapping sex education (R)
       –Document best practices in anal health and RM
         advocacy (A)
       –Awareness raising and education (A)
                                                      24
25
26
27
IRMA-ALC – South America




                           28
IRMA oughta be in pictures
“The Rectal Revolution is Here: An Introduction
          to Rectal Microbicide Trials”

IRMA, MTN, Population Council
$$$ MAC AIDS Fund, MTN, Population Council
“Generic” video to use for multiple RM trials/products
Communities, potential participants, clinical trial staff
English, and dubbed in Thai, Spanish
                                                        30
IRMA oughta be in pictures




                             31
It’s all about you, baby
              Rectal Stardom….
What you can do in 5 minutes

  • Join IRMA - sign up for IRMA listserv
    through website
  • Read one fact sheet, news item
  • Friend and follow us on FB, Twitter
  • Share web address


              www.rectalmicrobicides.org
                                            33
What you can do in 30 - 60 minutes

• Join one of IRMA’s regular free
  telecons featuring world leaders in
  RM research, advocacy
• Read our reports
• Share your interest in rectal
  microbicides – and end the silence
  on ANAL SEX

                                        34
Want to do more?

        • Become your community’s RM expert
                              and spokesperson
                  – Recruit new members, enlist
                organisational support for RMs
                        – Conduct presentations
           – Write an article, blog or FB update
                           on RMs, we will help!
            – Join a Community Advisory Board
                                             35
Or how about…




           Join a trial
                          36
37
The Next Rectal Takeover
                     38
Don’t get lost – follow IRMA’s Rectal Road Map
                                            39
Rectal Microbicide Advocacy From Here to There... And Especially in Places Where the Sun
Rectal Microbicide Advocacy From Here to There... And Especially in Places Where the Sun
Special thanks to IRMA supporters




                                    42
And, thank YOU




                 43
Rectal Microbicide Advocacy From Here to There... And Especially in Places Where the Sun
Questions?
             45
@rectalmicro

                                       rectalmicrobicides.org

irma-rectalmicrobicides.blogspot.com

facebook.com/InternationalRectalMicrobicideAdvocates

       For a good time… jpickett@aidschicago.org         46

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Rectal Microbicide Advocacy From Here to There... And Especially in Places Where the Sun

  • 1. Rectal Microbicide Advocacy From Here to There... And Especially in Places Where the Sun Don’t Shine Rectal Microbicides: Making HIV Prevention Gel – Jim Pickett, IRMA chair July 22, 2012
  • 2. Today • Pleasure and toolboxes • Who is IRMA and what does she do? • You/your org can be Rectal Rock Stars
  • 4. What if we had a complete prevention tool kit? Prior to exposure Point of transmission Treatment •Rights-focused •Male and female • Improved ARV therapy behaviour change condoms and lube • Treatment for •Voluntary counselling •ARV treatment to opportunistic infections and testing prevent vertical • Basic care/nutrition •STI screening and transmission (PMTCT) treatment •Clean injecting • Prevention for positives •Male medical equipment • Education & rights-focused circumcision •Post-exposure behaviour change •Preventive Vaccines prophylaxis (PEP) • Therapeutic •Pre-exposure •Vaginal and rectal vaccines microbicides prophylaxis (PrEP) ARV = antiretroviral 4
  • 5. 5
  • 6. 6
  • 7. IRMA, b.2005 4 people, 4 agencies, 2 countries 7
  • 8. 1100+ advocates, Mission: support scientists, funders, development of policymakers from 6 safe, effective, acceptable,–and continents S. America/Latin accessible America and African rectal microbicides projects for all that need them AFC is the IRMA secretariat 8
  • 9. 9
  • 10. MTN 017 Consult – Lima 10
  • 11. MTN 017 Consult – Bangkok 11
  • 12. MTN 017 Consult – Chiang Mai 12
  • 13. MTN 017 Consult – Cape Town 13
  • 15. Advocacy priorities o Increase and diversify funding* o Increase research activities o RM research, expand pipeline o Lubricant safety, lubricant access o Increase knowledge o Heterosexual anal sex o Anal sex behaviours and practices in general
  • 16. Advocacy priorities • Recruit researchers, advocates • Recognise anal intercourse as important driver in HIV epidemic among gay men, MSM, and heterosexuals • Address burden of HIV among gay/MSM • Promote anal health
  • 18. Highly active moderated listserv Website • Tons of resources Materials Blog, • Fact sheets, Facebook, reports Twitter Global teleconferences • Recorded, materials posted 18
  • 19. @rectalmicro rectalmicrobicides.org irma- rectalmicrobicides. facebook.com/ blogspot.com InternationalRectal MicrobicideAdvocates 19
  • 20. Highly active moderated listserv You haven’t lived if you’re not on the IRMA list. Linda-Gail Bekker, Desmond Tutu HIV Foundation 20
  • 22. 22
  • 24. • Seven Research and Advocacy priority actions – GLAM – “And Lube!” (A) – KAB – AI, anal health perspectives and practices (R) – Communication/education materials (A) –Acceptability study, studies (R) –Mapping sex education (R) –Document best practices in anal health and RM advocacy (A) –Awareness raising and education (A) 24
  • 25. 25
  • 26. 26
  • 27. 27
  • 28. IRMA-ALC – South America 28
  • 29. IRMA oughta be in pictures
  • 30. “The Rectal Revolution is Here: An Introduction to Rectal Microbicide Trials” IRMA, MTN, Population Council $$$ MAC AIDS Fund, MTN, Population Council “Generic” video to use for multiple RM trials/products Communities, potential participants, clinical trial staff English, and dubbed in Thai, Spanish 30
  • 31. IRMA oughta be in pictures 31
  • 32. It’s all about you, baby Rectal Stardom….
  • 33. What you can do in 5 minutes • Join IRMA - sign up for IRMA listserv through website • Read one fact sheet, news item • Friend and follow us on FB, Twitter • Share web address www.rectalmicrobicides.org 33
  • 34. What you can do in 30 - 60 minutes • Join one of IRMA’s regular free telecons featuring world leaders in RM research, advocacy • Read our reports • Share your interest in rectal microbicides – and end the silence on ANAL SEX 34
  • 35. Want to do more? • Become your community’s RM expert and spokesperson – Recruit new members, enlist organisational support for RMs – Conduct presentations – Write an article, blog or FB update on RMs, we will help! – Join a Community Advisory Board 35
  • 36. Or how about… Join a trial 36
  • 37. 37
  • 38. The Next Rectal Takeover 38
  • 39. Don’t get lost – follow IRMA’s Rectal Road Map 39
  • 42. Special thanks to IRMA supporters 42
  • 46. @rectalmicro rectalmicrobicides.org irma-rectalmicrobicides.blogspot.com facebook.com/InternationalRectalMicrobicideAdvocates For a good time… jpickett@aidschicago.org 46