The second day of the Forum on the HIV Continuum of Care focused on the combination prevention and the importance of condoms as strategy to eradicate HIV. It is expected that this new combination prevention strategy replaces the traditional model of prevention.
This forum was defined as the transition from the traditional prevention focused on key populations, to a combination of approaches in the prevention of individual and structural elements.
While the use of the condom has shown great achievements in the prevention of HIV, it is true that it is not enough and it is necessary to consider new strategies.
“We live in a moment in which, with the rise of anti-retrovirals, the condom use has declined and due to pornography and unconventional media, the non-use of condom during sex has been reinforced”, said Carlos Cáceres, Senior Professor of Public Health at Universidad Cayetano Heredia in Peru, and Director of the Centro de Investigación Interdisciplinaria en Sexualidad, Sida y Sociedad.
Combination prevention reflects the implementation of new technologies and the recognition of the practice of key populations. In addition, combination prevention is much more than Pre-Exposure Prophylaxis (PrEP), which offers only a temporary measure. On the other hand, education is a more effective intervention.
Similarly, the combination prevention should be accompanied by cultural changes, even a sex work law intended for this population is not enough to make changes. On the other hand, members of RedTraSex, disagree with the Pre-Exposure Prophylaxis (PrEP) because they believe that it does not respond to the needs of sex workers, since it diminishes the perception of the risk and leave out the discussion on the empowerment of the female sex workers, the development of their self-esteem and their role as citizens of their countries.
Enrique Chávez, Director of Advocacy of AID FOR AIDS, stressed that “it is necessary to address and promote prevention and care guides aimed at women. Usually, this population is only addressed in the framework of the mother-to-child transmission, which is a mistake, as Latin American women, often are at a disadvantage in relation to man and that is a problem that puts their life at risk”.
This second day of activities laid the foundations for the combination prevention, a reality that is already underway and will displace the traditional HIV prevention model.