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What is needed to make linkage effective? How can we ensure our linkage approaches drive improved ART initiation and retention? How can we adapt these approaches for re-engagement of people who have been on treatment in the past but have fallen out of care? This session will address these questions through a differentiated service delivery lens. It will explore the term “sticky linkage” and its usefulness, the importance of global and country guidance on linkage and how to ensure durable linkage in the context of rapid ART initiation, highlighting client-centred approaches. Finally, it will challenge the notion that the HIV continuum of care is linear, emphasizing the cyclical nature of HIV treatment with its multiple entry and re-entry points. Presentations and panelists will consider how to determine who should be prioritized for effective tracing. The target audience for this session is policy makers, programme implementers and implementation scientists.

08:00
PART 1: Effective linkage approaches or “STICKY LINKAGE” IN THE TREAT ALL ERA
Meg Doherty, World Health Organization, Switzerland
Getrude Ncube, Ministry of Health and Child Care, Zimbabwe
08:02
Opening framing on "sticky linkage"
Anna Grimsrud, International AIDS Society (IAS), South Africa
Slides
08:10
Opening discussion
Kate Dovel, PIH, Malawi
Stella Kentutsi, NAFOPHANU, Uganda
08:30
PART 2: LATEST EVIDENCE AND NEW STRATEGIES
Meg Doherty, World Health Organization, Switzerland
Getrude Ncube, Ministry of Health and Child Care, Zimbabwe
08:30
A joint universal access point for couples in South Africa
Natasha Davies, Wits RHI, South Africa
Slides
08:40
Peer providers to support from HIV self-testing to ART initiation in Burundi
Dismas Gashobotse, FHI 360, Burundi
Slides
08:50
System redesign to improve linkage and ART initiation rates in Angola
Juliana Soares Linn, ICAP at Columbia University, United States
Slides
09:00
Community ART starter packs to facilitate timeous initiation in Tanzania
Lung Vu, Population Council/Project SOAR, United States
Slides
09:10
Segmentation of South African men – insights to improve linkage
Shawn Malone, PSI, South Africa
Slides
09:20
PART 3: REFRAMING FOR RE-ENGAGEMENT – BEYOND THE 90S
Liesl Page-Shipp, BMGF, South Africa
09:21
Overview of re-engagement
Lynne Wilkinson, International AIDS Society (IAS), South Africa
Slides
09:25
Lessons learned from South Africa’s Siyenza - “February Frenzy” to re-engage those cycling out or at risk of cycling out of care
Jonathan Grund, CDC, South Africa
Slides
09:40
Who should be prioritized for re-engagement tracing?
Mpande Mukumbwa-Mwenechanya, CIDRZ, Zambia
Kimberly Green, PATH, Vietnam