HIV Prevention in Mixed Epidemics

On February 8-10, 2011, PEPFAR conducted a technical consultation on HIV Prevention in Mixed Epidemics in Accra, Ghana to share best and promising practices for resource allocation and HIV prevention programming within mixed epidemics. A number of countries in sub-Saharan Africa have mixed HIV epidemics, where both most-at-risk populations (MARPs) and the general population appear to contribute significantly to transmission. While an international consensus definition of a “mixed epidemic” does not exist, these epidemics are generally considered to be low-level generalized epidemics (with prevalence ranging from 2-5%), with high rates of transmission among MARPs (with prevalence above 15%).

In these mixed epidemics, HIV prevention programs need to focus on addressing HIV transmission both among MARPs and the general population. To properly allocate PEPFAR resources among target populations, program managers need to understand the epidemiological data available and consider carefully how to prioritize between MARP-targeted programming and programming for the general population and youth. Seventy participants from 11 countries with mixed epidemics in sub-Saharan Africa (Nigeria, Ghana, Rwanda, Ethiopia, Burundi, Cote d’Ivoire, Cameroon, Burkina Faso, Djibouti, Kenya, Nigeria, Sudan and Uganda), members of the PEPFAR Technical Working Groups (TWGs) and participants from other multilateral or partner organizations were invited to this technical consultation.

PDF Icon Meeting Report: HIV Prevention in Mixed Epidemics (PDF, 468 KB)

Group Photo from Technical Consultation

PEPFAR Technical Consultation on HIV Prevention in Mixed Epidemics



Day 1 Day 2

Mixed HIV Epidemic Dynamics: Epidemiology and Program Implications
(PDF, 1.89 MB)
Presented by David Wilson, World Bank

Integrated Biological and Behavioral Surveillance (IBBS) and Size Estimation Methodologies
(PDF, 602 KB)
Presented by Abu Abdul-Quader

Issues in the Financing of HIV Prevention in Mixed Epidemics
(PDF, 355 KB)
Presented by Fareed Abdullah
, Global Fund

Surveys and Qualitative Research
(PDF, 433 KB)
Presented by Timothy Mah

Ethiopia: What Does Your Epidemic Look Like?
(PDF, 601 KB)
Presented by Meskele Lera
, AIDS Prevention Office

Data Triangulation: Methods and Activities
(PDF, 1.32 MB)
Presented by John Aberle-Grasse

Ghana: What Does Your Epidemic Look Like?
(PDF, 583 KB)
Presented by Kyeremeh Auahene
, Ghana AIDS Commission

Nigeria: Using Data for HIV Prevention Programming and Prioritization
(PDF, 934 KB)
Presented by Jerry Gwamna

Nigeria: What Does Your Epidemic Look Like?
(PDF, 745 KB)
Presented by Akudo Ikpeazu
, National Agency for the Control of AIDS

India: Lessons from the Avahan Project: What Can We Learn?
(PDF, 1.75 MB)
Presented by Gina Dallabetta
, Gates Foundation

Sudan: What Does Your Epidemic Look Like?
(PDF, 57.3 KB)
Presented by Geofrey Odogkara, FHI and Stephen Waweru, CDC

Ethiopia: Aligning the HIV Prevention Response
(PDF, 691 KB)
Presented by Kassa Mohammed
, Save the Children

Burundi: What Does Your Epidemic Look Like?
(PDF, 1 MB)
Presented by Donatien Ntakarutimana

Cameroon: What Does Your Epidemic Look Like?
(PDF, 48 KB)
Presented by Aisatou Ngong, USAID, Leonard Keleko, CDC, Rose Tchwenko, CARE, and Habakkuk Yumo

Cote d'Ivoire: What Does Your Epidemic Look Like?
(PDF, 327 KB)
Presented by Evelyne Ahimon
, Ministry of Health

Djibouti: What Does Your Epidemic Look Like?
(PDF, 149 KB)
Presented by Ali Silaye Abdallah, Global Fund

Rwanda: What Does Your Epidemic Look Like?
(PDF, 941 KB)
Presented by Elise Mutunge
, Ministry of Health

Strategic Response to MARPs and other Vulnerable Populations
(PDF, 669 KB)
Presented by Gaston Djomand

Navigating MARPS Politics and Policies in Ghana: A Historical Perspective
(PDF, 159 KB)
Presented by Richard Amenyah

Navigating the Politics and Policies of MARPs in Kenya
(PDF, 2.2 MB)
Presented by Emma Mwamburi, USAID

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