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Background

City epidemics matter! The urban HIV & AIDS epidemic in Eastern and Southern Africa: Need for better KYE/KYR to inform adequate city responses Dedicated to Dr Mark Colvin (deceased 31/01/2012).

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Background

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  1. City epidemics matter!The urban HIV & AIDS epidemic in Eastern and Southern Africa: Need for better KYE/KYR to inform adequate city responsesDedicated to Dr Mark Colvin (deceased 31/01/2012) Van Renterghem H.1, Colvin M.2, De Beer I.3, Gunthorp J.4, Odiit M.1, Thomas L.5, Jackson H.1, Getahun M.61 UNAIDS, Namibia2 Maromi Health Research, South Africa 3 PharmAccess Foundation, Namibia4 Southern African AIDS Trust, South Africa5 Wits University, South Africa6 UNDP, Africa Regional Office, South Africa Acknowledgements: SEARCH-network, Ghys P, Mahy M, Gouws E, Daher J

  2. Background Urban Agglomerations in 2025 (proportion urban of the world: 56.6%) Source: United Nations, Department of Economic and Social Affairs, Population Division: World Urbanization Prospects, the 2009 Revision. New York 2010 The proportion of PLHIV living in urban areas in SSA has been rising due to higher urban prevalence & continued urbanization Source: unpublished estimates, UNAIDS 2012 2

  3. Results

  4. Conclusions & Recommendations Conclusions – Large City epidemics matter & provide opportunities to mobilise resources and to make a significant contribution to scaling up and sustaining national responses to AIDS - Addressing large city epidemics requires a mindshift and attention to the urban vulnerable - We need better city specific data & KYE/KYR Recommendations for large and generalized city HIV epidemics a) Strategic Information • Improve data collection • Conduct city specific KYE/KYR and synthesis exercises to inform planning & delivery of services b) Leadership and coordination: • Promote leadership & ownership by city authorities and partnerships c) Planning & Service delivery • Ensure National AIDS strategies address the urban dimension of the epidemic and prioritise large city epidemics. • Enhance synergy & integration of HIV services in cities with other urban development and health programmes. • Pay particular attention to targeted and equitable services for urban women, key populations and slum populations.

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