Patrick Rawstorne

[Patrick Rawstorne @PRawstorne]

#phcm9605 thanks for the chat everyone.

[Patrick Rawstorne @PRawstorne]

@chan_silvana there have been attempts to roll HIV intp sexual and reproductive health services. Many countries are going in this direction.

[Patrick Rawstorne @PRawstorne]

@Afro_idealist Yes, good point.

[Patrick Rawstorne @PRawstorne]

#phcm9605 you have probably heard of the court cases associated with Brazil, India and Sth Africa manufacturing their own ARVs.

[Patrick Rawstorne @PRawstorne]

@ranako28 Yes, ongoing treatments is bigger money for them.

[Patrick Rawstorne @PRawstorne]

@ranako28 @IHchat agree, have to have all.

[Patrick Rawstorne @PRawstorne]

do you think big pharmas want to find a vaccine?

[Patrick Rawstorne @PRawstorne]

@Jevesmith @IHchat it is interesting that many of the attempts to develop a vaccine are coming from universities and not big pharmas.

[Patrick Rawstorne @PRawstorne]

@IHchat @santemondial there has been attempts by donors to roll evaluation into implementation of programs - implementers also evaluate.

[Patrick Rawstorne @PRawstorne]

@santemondial that is difficult because evaluation, if done properly and independently, costs a lot of money and is not sexy for donors.

[Patrick Rawstorne @PRawstorne]

@petercurtis78 there is some evidence for this and of course the dependency it may set up.

[Patrick Rawstorne @PRawstorne]

@yadav_yarakesh yes, an unintended consequence.

[Patrick Rawstorne @PRawstorne]

@santemondial agree with this about ausaid. gf has fairly good monitoring but not such good evaluation.

[Patrick Rawstorne @PRawstorne]

#phcm9605 training workforces has been a big thing

[Patrick Rawstorne @PRawstorne]

@santemondial @IHchat That is the question. What are the alternatives?

[Patrick Rawstorne @PRawstorne]

@Afro_idealist @IHchat Yes, it has certainly mobilised resources and treatments.

[Patrick Rawstorne @PRawstorne]

@santemondial This is crucial because effective implementation of biomedical strategies requires understanding social/behavioural issues.

[Patrick Rawstorne @PRawstorne]

#phcm9605 Other biomedical strategies such as circumcision are also in the mix of treatment.

[Patrick Rawstorne @PRawstorne]

Other biomedical strategies such as circumcision are also in the mix of treatment.

[Patrick Rawstorne @PRawstorne]

@IHchat @chan_silvana Yes, agree.