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ICASA 2019 Abstract Book Welcome Address /Allocution de Bienvenue Welcome address by ICASA President The International Conference on AIDS and STIs in Africa is once again here with us. It comes at a critical juncture when we hardly have any time left to actualize the bold ambition of ending AIDS by 2030. It also comes a year before the review of UNAIDS global 90-90-90 targets in 2020. True to its identity, the 2019 edition of the International Conference on AIDS and STIs in Africa promises to offer a strategic forum for Leaders, Activists, Scientists and the Community to engage and find solutions to our common health problems. The Conference will provide a platform to take stock of progress made towards achieving the 90-90-90 targets. It also offers us an opportunity to collectively reflect on Hepatitis, TB, Malaria, NCDs, emerging infections in Africa and the opportunities available for strengthening our health systems on the continent to tackle these diseases. Visionary leadership and collaboration have been central to the achievements made in the response to HIV and AIDS thus far in Africa and globally. ICASA 2019 provides us with opportunities to re-invigorate our African commitments as well as global solutions that will allow us pave the way for new and efficient innovations towards a generation without AIDS in Africa. The intersection of cutting-edge science, innovations, effective community models, funding dynamics and policy that will be provided by the conference is expected to contribute greatly to achieving an AIDS free Africa. As we share evidence and reflect on progress made, let us keep in mind that despite the availability of a widening array of effective HIV prevention tools and methods and massive scale-up of HIV treatment, domestic financing for the response remains sub-optimal. New infections remain unacceptably high especially among Adolescent Girls and Young Women as well as in Key Populations. Despite a growing strong political leadership, there are still legal and human rights barriers that threaten progress towards achieving the goal of ending AIDS in Africa by 2030. For this 20th Edition of ICASA, the programme has been built around 200 sessions with 578 expected speakers. ICASA 2019 promises to be an exciting experience full of science and fun. I wish all delegates a safe trip and I thank and congratulate all our co-organisers, partners, all UN organizations and ICASA steering committee members. Finally, I wish especially to express our gratitude to the Head of State of the Republic of Rwanda, His Excellency President Paul Kagame for giving the conference maximum attention and support. Welcome to ICASA 2019! Welcome to KIGALI! Very best regards, Prof. John Idoko, ICASA 2019 President, Society for AIDS in Africa ICASA 2019 | Programme Book / Livre du programme 1 Welcome Address / Allocution de Bienvenue La Conférence Internationale sur le SIDA et les Infections Sexuellement Transmissibles en Afrique est une fois de plus avec nous. Elle se tient à un moment critique, où il nous reste peu de temps de réaliser les objectifs ambitieux de mettre fin à l’épidemie du VIH et SIDA d’ici 2030. La conférence ICASA qui se tient à Kigali du 2 au 7 Décembre 2019 se déroule également un an avant la revue des objectifs globaux 90-90-90 de l’ONUSIDA en 2020. Fidèle à son identité, l’édition 2019 de la Conférence Internationale sur le SIDA et les IST en Afrique promet offrir un forum stratégique aux Leaders, Activistes, Scientifiques et à la Communauté pour plus d’engagement à trouver des solutions à notre problème de santé commun. La Conférence d’offrira une plateforme pour faire le point des progrès réalisés en vue de l’atteinte des objectifs 90-90-90. Elle nous offre aussi une unique opportunité pour réfléchir de manière collective sur les infections aux ’hépatites virales, la tuberculose, le WELCOME ADDRESS / ALLOCUTION DE BIENVENUE paludisme, les maladies non transmissibles, les infections émergentes en Afrique et les stratégies disponibles pour renforcer nos systèmes de santé sur le continent Africain afin de lutter contre ces maladies citées ci-haut. L’engagement effectif du leadership et la collaboration ont été au cœur des résultats obtenus dans la réponse au VIH et SIDA à ce jour en Afrique et dans le monde. La conference ICASA 2019 nous offre une plateforme pour revigorer nos engagements en tant que africains en tenant compte des solutions globales, qui nous permettront, d’ouvrir la voie à des innovations efficaces pour une génération sans SIDA. L’intersection entre la science de pointe, les innovations, les modèles communautaires efficaces, le dynamisme et les politiques de financement qui seront apportés lors de ladite conférence devraient contribuer grandement à l’atteinte d’une Afrique sans SIDA. Tout en partageant les évidences les progrès réalisés et les outils disponibles en matière de prevention et de prise en charge du VIH et SIDA, les resources financières nationales allouées à la lutte contre le VIH et SIDA restent insuffisantes. Les nouvelles infections à VIH continuent d’être élevées en particulier chez les adolescentes et les jeunes femmes, ainsi que chez les populations clés. Malgré un leadership politique de plus en plus fort, il existe encore des barrières juridiques relatives aux droits humains qui menacent les progrès vers l’atteinte de l’objectif de mettre fin au SIDA en Afrique d’ici 2030. Pour la 20ere édition de ICASA 2019, le programme est construit autour de 200 sessions avec 578 orateurs attendus. ICASA 2019 promet d’être une opportunité passionnante pleine de science et de joie de partager les expériences. Je souhaite un bon voyage à tous les délégués ; je remercie et félicite tous nos co-organisateurs, partenaires, toutes les organisations des Nations Unies et tous les membres du comité de pilotage. Finalement, je voudrais exprimer manière particulièrement notre profonde gratitude au Chef de l’Etat de la République du Rwandais, Son Excellence le président Paul Kagame pour avoir accordé une grande attention et soutient à l’organisation de la conference ICASA 2019. Bienvenue à ICASA 2019! Bienvenue à KIGALI!Cordialement, Prof. John Idoko, ICASA 2019 President, Société Africaine Anti-Sida 2 ICASA 2019 | Programme Book / Livre du programme Welcome Address / Allocution de Bienvenue Welcome note by the Honourable Minister of Health, Rwanda Distinguished Guests, Ladies and Gentlemen, I greet you and welcome to Rwanda, The Government of Rwanda appreciates to have been chosen to host the 2019 ICASA. We recognize challenges related to the HIV/AIDS epidemic and the risk associated to the increasing rate of sexually transmitted infections Sexually Transmitted Infections. WELCOME ADDRESS / ALLOCUTION DE BIENVENUE Rwanda, like many other African countries, has made tremendous progress to achieve HIV epidemic control, because of the strong and effective national response, championed by the highest leadership of the country. Over the last few years, the number of new HIV infections has dramatically decreased, and the HIV prevalence has stabilized at around 3%. Rwanda has also made huge gains towards reaching the UNAIDS 90-90-90 targets. Indeed, achieving zero new infections, zero AIDS related deaths and zero stigma is possible. However, despite the achievements in the fight against HIV/AIDS, there are a number of vulnerable groups in which new HIV infections are unacceptably high, regardless of widespread availability of HIV/AIDS services and resources. In order to sustain gains made over the last few years, and to continue making improvements in a cost-effective manner, there is need to further focus our attention on the vulnerable groups to ensure that we fully achieve national and global targets. I take this opportunity to call upon Governments, national and International Organizations, partners as well as members of the civil society, to join us in developing and implementing strategic and cost-effective interventions aimed at reducing HIV/ AIDS associated morbidity and mortality. I wish you a fruitful, productive and exciting conference. Hon. Dr. Diane GASHUMBA Minister of Health, Republic of Rwanda ICASA 2019 | Programme Book / Livre du programme 3 Welcome Address / Allocution de Bienvenue Mot de bienvenue par l’Honorable Ministre de la Santé de la République du Rwanda Distingués invités, Mesdames et Messieurs, Soyez les bienvenus au Rwanda Le gouvernement Rwandais exprime sa satisfaction d’avoir été choisi pour accueillir « ICASA 2019 ». Nous reconnaissons les défis pausés par l’épidémie de VIH et SIDA, et les risques associés à l’augmentation des infections sexuellement transmissibles. WELCOME ADDRESS / ALLOCUTION DE BIENVENUE Le Rwanda, comme au tant d’autres pays africains a accompli des progrès considerable dans le contrôle de l’épidémie de VIH et SIDA à cause d’une réponse nationale efficace et d’une bonne gouvernance au sommet du pays. Dans les dernières années, le nombre de nouvelles infections à VIH a considérablement diminué, et la prévalence a été stabilisée autour de 3%. Le Rwanda a fait des acquis considérable dans la lutte contre le VIH et SIDA et est en voie d’atteindre les objectifs 90-90-90 fixés par l’ONUSIDA . De part notre experience, nous sommes confidant que les objectifs d’atteindre zero nouvelles infections, zero décès, zero stigmatisation sont réalisables. Cependant, malgré les acquis réalisés dans la lutte contre le VIH et SIDA, nous avons identifié des groupes vulnerables chez lesquels les nouvelles infections sont inacceptablement élevées en dépit de la large disponibilité de services
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