United States Conference on AIDS – November 11, 2011 – Chicago Jim Pickett – IRMA, AIDS Foundation of Chicago 1 Putting Your Ass on the Line Advocacy to MAKE IT WORK

Today 2 Who is IRMA? What does IRMA do? Advocacy issues How to become a Rectal Rock Star

Condoms work. So why do we need new strategies to halt the sexual transmission of HIV? 3

Reasons for NPT Source: Roger Tatoud PhD, Senior Programme Manager, International HIV Clinical Trials Research Mgmt Office, Imperial College London & IRMA Steering Committee Member 4

pleasure intimacy connection emotion love 5

Who is IRMA? 6

IRMA, b people, 4 agencies, 2 countries 7

Mission: support development of safe, effective, acceptable, and accessible rectal microbicides for all that need them advocates, scientists, funders, policymakers from 6 continents – S. America/Latin America and Nigeria chapters 8 Secretariat, staffing, fiscal agency - AIDS Foundation of Chicago

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14 Highly active moderated listserv Website Tons of resources Blog, Facebook, Twitter Global teleconferences Recorded, materials posted Materials Fact sheets, reports

15 Highly active moderated listserv You haven’t lived if you’re not on the IRMA list. Linda-Gail Bekker, Desmond Tutu HIV Foundation

16 rectalmicrobicides.org

Tia IRMA

19 Survey now available in English, Spanish, French, Russian and Chinese. Portuguese, Thai and German are coming. TAKE IT. PASS THE LINK ALONG! rectalmicrobicides.org Whether you use douches, or not… TAKE IT.

20 ringonit.org

Advocacy 21

Advocacy goals Increase and diversify funding Increase research activities Increase knowledge, awareness o Learn more about heterosexual anal sex o Anal sex practices o Anal health 22

Advocacy goals Recruit researchers, advocates Recognise anal intercourse as an important driver in the HIV epidemic among gay men, MSM, and heterosexuals Address burden of HIV among gay men and MSM – particularly in the developing world Promote anal health Determine safety of lubricants for rectal use 23

It’s about the money, honey 24

Advocacy goals Increase and diversify funding Source: From Promise to Product: Advancing Rectal Microbicide Research and Advocacy 25

Advocacy goals Projected funding needs Source: From Promise to Product: Advancing Rectal Microbicide Research and Advocacy 26

Microbicide funding in total 27 Source: Microbicides: Ways Forward

NPT funding in total 28 Source: Microbicides: Way Forward

It’s all about you 29

Be a Rectal Rock Star 30

What you can do in 5 minutes WEAR YOUR STICKER Take the douche survey, YO! Join IRMA - sign up for IRMA listserv through website Read one fact sheet or news item from website or blog Join us on Facebook and Twitter Share web address and contact information 31

What you can do in minutes Join one of IRMA’s regular free teleconferences featuring world leaders in RM research, advocacy Read “From Promise to Product: Advancing Rectal Microbicide Research and Advocacy” or read one of the presentations from researchers, community members Talk to members of your community about your interest in rectal microbicides – and hello, talk about ANAL SEX 32

Want to do more? Become your community’s rectal microbicide expert and spokesperson – Recruit new members, enlist organisational support for RMs – Conduct presentations in your community – use one of ours as a template! – Write an article, a blog or Facebook update on RMs - IRMA will help! 33

Want to do more? Join a trial (Boston, Pitt, San Juan) Join one of IRMA’s working groups – Lubricant Safety – Africa for Rectal Microbicides (Project ARM) Help us with RM 2012 Connect with IRMA ALC, IRMA Nigeria 34

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Male condoms, female condoms Serostatus awareness – self and partner Treatment PrEP Lube safety Sero-adaptation Anal health (e.g. pap smears)

Now it’s up to you…

Facts are stubborn things and we need to keep putting them out there even though they might in the short term be dismissed. – Secy Clinton,

IRMA hearts… 41

Special thanks to IRMA supporters 42

Thank you 43

44 Stay in touch. Questions?