Introduction

The Harare HIV Combination Prevention Cascades (HIV-CPC) are a crucial tool for enhancing the effectiveness of HIV prevention programs by identifying and addressing gaps in the use of prevention methods. By leveraging data from national population surveys, the Harare HIV-CPC provides vital insights that guide targeted interventions, particularly aimed at increasing the uptake of HIV prevention strategies. To date, meaningful implementation of HIV prevention cascades in Africa has faced challenges. A key step forward would involve encouraging countries in the region to advocate for the inclusion of Harare HIV-CPC elements in standard DHS and USAID survey modules. Zimbabwe has set a strong example in effectively utilising prevention cascades, and the case studies presented aim to inspire other countries to incorporate these strategies into their upcoming national surveys.

‍

Objectives

1. Deepen understanding of the Harare HIV-CPC and their application in measuring and improving prevention efforts.

2. Provide practical insights and case studies from Zimbabwe’s implementation of HIV prevention cascades.

3. Encourage countries to advocate for the inclusion of HIV-CPC elements in standard survey modules.

‍

Proceedings

The session opened with a welcome address by Mr. Humphrey Ndondo, Senior Technical Advisor for Key Populations at Zimbabwe’s National AIDS Council. Dr. Brian Moyo from the Zimbabwe Ministry of Health & Child Care presented on the challenges and solutions for enhancing the utility and veracity of HIV prevention cascades. Dr. Constance Nyamukapa of the Manicaland Centre for Public Health Research provided a detailed case study on using population survey data to increase PrEP uptake among men in eastern Zimbabwe. This presentation highlighted the successful implementation of the Harare HIV-CPC and its potential to improve HIV prevention efforts across the region.

Mr. Ngwarai Sithole from the Ministry of Health & Child Care discussed the progress and next steps for measuring the Harare HIV-CPC in the Zimbabwe Demographic and Health Survey (DHS) 2024. The session concluded with an interactive discussion and a Q&A segment, where representatives from Ghana, Malawi, Uganda, and Zambia shared their key takeaways and potential applications for their respective countries.

Resources

The session recording and presentation can be accessed below!

‍