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This workshop aims to gather civil society activists, communities and key populations to increase awareness of innovative survival strategies to lessen the impact of donor withdrawal. Over the next few years, the Global Fund and PEPFAR will transition out some middle-income countries. Graduation of certain countries to middle-income status paints an illusory picture of social, economic and political stability that obscures the widening inequalities that key affected populations still face. Civil society allies have begun investigating alternative channels to address the access to medicines and continuity of care quandaries that are expected, particularly as they relate to key populations, MSM, trans people, sex workers and drug users. A few communities have revisited the ideas of establishing buyers’ clubs for ARVs. Some are looking at innovative financing mechanisms to support continuity of care efforts for evidenced-based prevention, treatment and care programmes. This workshop aims to give a platform for further discussion of transition-related challenges regarding access to medicines for key populations. Facilitators will engage participants in broad-ranging discussion around the history of buyers’ clubs and other survival strategies during periods of crisis. Participants will break into small groups to delve into the issue of transition, the role of PLHIV and KPLHIV communities, and how we can work together to address and prepare for the transition in our own communities. Participants will come together to present their ideas, network and develop an action plan for further engagement.

Survival strategies in the dawn of a new fiscally constrained era of the HIV response
Omar Syariff