1. Innovation and HIV —
Participant Responses
March 8, 2011 — Cocktails and Collaboration Event

2. Topic 1: Protecting Girls from HIV/AIDS
Job creation and financial empowerment for women and girls.
• Create financial programs for girls to earn money and save safely
• Engage young girls in the “value creation” chain – be it farming, manufacture, etc. If women are
seen to create value (my impression is often women are viewed as a “cost”) perhaps they would be
less “disposable?”
• Create job opportunities for women.
• Work with most vulnerable girls for self-help/income generating and peer support
• Promote autonomy - cash via cell phone for health care
• Create empowerment initiatives via microfinance or corporate support
Create youth-friendly spaces for sharing information about HIV,
and empower girls to protect themselves with condoms.
• A mobile social network where girls announce their status - whether positive or negative.
This will raise awareness of HIV as a serious issue for young girls in a way that could
be empowering.
• Understanding of determinants of teenage pregnancy
• Arm prostitutes with condoms
Support local and national social systems that protect women and
girls rights; escalate global awareness and funding to issues of abuse and
exploitation.
• Support social welfare ministry to strengthen policies and programs for vulnerable girls
• Strengthen communications to community and governmental leaders of the monetized impact of ignoring
the rights - and future economic contributions - of young people
• Global scorecard released monthly – spotlight on sexual abuse and exploitation of girls. A highly visible
global tracking tool that shows data on abuse, exploitation, policy action and budget allocations in prior-
ity countries during 2-year period
• Global awareness and international funding are necessary to fight this battle - the world needs to know
just how serious and widespread this problem is.
Innovation around communication — enlisting men and women to speak
out against abuse and exploitation.
• Role of communities in addressing this challenge? Changing social norms that do not value female chil-
dren and strong linkages with efforts to keep girls in school.
• Famous men speak out against violence and abuse against women
• Can communication play a stronger role in this? Teaching women/girls to be a voice for themselves?

3. Topic 2: Youth-friendly HIV Prevention, Testing and Treatment
Create safe spaces where youth are able to access key resources, includ-
ing information on prevention and treatment, and access to support.
• Dedicated adolescent reproductive health services with linkages to care and support services.
• Mobile phone application as first point of contact – key info and contact numbers and addresses
(e.g. in Cambodia the first purchase for young people is not a motorcycle but a mobile phone)
• Create a safe interface. This seems mobile to me. A private targeted interface likely to be share with
peers.
• Privacy: Enable youth to ask embarrassing questions anonymously, live MTV’s Dr. Drew.
• Mobile! Peer-to-peer, targeted communications strategy (leverage case studies and use “private” technology)
• Create a post-test group.
• Positive House – a big brother for HIV+ young people
Youth-savvy education about HIV prevention and treatment through
new media, leveraging celebrities and local NGOs with deep reach
in communities.
• Education and make it cool.
• Connect with young through social media.
• Media and communications must come from community leaders whether it be an athlete, religion
leader, actor, etc. Making it a norm in society.
• Involve popular musicians and radio to project prevention messaging.
• Try prevention marketing initiatives, just as those that CDC tried in the U.S. using social media
• Mobilize NGO, local and international using their existing programs to integrate prevention, testing
and treatment. Lions, Rotary, sports groups, churches. Don’t reinvent the wheel.
• Do “Imagine” campaigns: via social media. Get people to imagine how they would explain to their
partner, parents or friends if they were HIV+. Get them to think through the implications, how it would
change their lives.
New messaging around sex and condom use: Sex is cool. Safe sex is cooler.
• Don’t message sex as a bad thing – It’s okay – but be safe. Sex is cool. Safe sex is cooler.
• Feature condom use more in mainstream popular programs. Do not hide condoms or ignore young people.
• “Get tested” and “Use condoms” radio jingles and television show themes
• Model condoms as positive, sexy, cool and sex with condoms as fun.
• Think “NYC Condom” Campaign – Cool, recognizable, and widely available.
• Condom use – address – sex and self and power and pleasure
• Approach media companies who have back catalogues of good prevention content and request their
rights are given freely.

4. Engage adults in helping keep young people safe – incorporate HIV/AIDS
education in to existing programs.
• Programs need to address the adults’ responsibility in teaching and protecting young people.
• Programs for adults such as micro-lending and other entrepreneurship and economic development
programs should include HIV/AIDS prevention and treatment and should provide incentives for youth
and families to be part of counseling and testing.
• Target youth through family relationships – help your mother, brother, sister…Get tested and receive
treatment.
• Implement a performance-based reward system for facilities to work to meet quality criteria and
earn recognition and cash incentive for effective outreach and service, retention of adolescents
and young people.

5. Topic 3: Innovative Financing to Help Women and Girls Stay HIV-negative
Funding streams and mechanisms for cash transfer programs.
• Connect cash transfer fund with a ‘pen-pal’ of a Western world via video connection where the donor
teenager is introduced to the recipient and there is a 10-yr commitment until they reach the same.
• Engage the private sector in supporting the cash transfers.
• Support operational research to demonstrate impact and convince domestic and intermediary financier.
• Leverage use of mobile “credits” and make community leaders accountable (motivated by similar case
studies) by measuring impact, participation and estimated future return.
• Leverage cash transfer via cell phone – safe and independent.
• Innovation catalysts – having cross-sectional talent come to country offices to help start tech projects
which get girls and women connected to networks which keep them HIV free.
• Give the cash incentive to local government authorities that perform well – institute protective measures,
report fewer new infections. Print performance results in local media so issue is made public and en-
gages public to demand action.
Incentive structures to support women’s long-term well-being and
financial empowerment.
• Stop focus on cash only as an incentive to stay healthy – need longer lasting incentive – health, family,
education.
• Create incentive structures for women to “invest” or earn a return on those funds, thereby positioning
young women on the value scale of the community:
o Microbanks – take half home, earn on the other half if invested in a “bank”
o Referral incentives – bring a friend and earn more
o Use funds to seed a business and earn a grater cash pay out
• Empower women to help spread the word about safe sex and testing – set up local support groups (for
women) – organize and communicate via sms.
• Ensure continuum of care and support with economic strengthening/life skills/access to reproductive
health services.
• Help women start businesses that create local infrastructure networks within health system.
The Developed World: Building on Successes.
• Continued education and funding programs in developed countries – linked to corporate initiatives around
women and children.

6. Topic 4: Point-of-Care Diagnostics: Bringing Treatment Closer to Home
Creative ideas to get testing machines and treatment to communities.
• Allow both tests to be mobile and travel remote regions rather than mother’s tests having to travel.
Transmit data to centers, analyze and build data warehouse hotspots
• Community health workers: Appoint CHWs to visit/consult each community – EID/CD4 counts on the road
• Bikes/cars and transportation with CD4
• Test at home (working on this now)
• Build group of branded youth equipped to travel to different areas – bring the treatment to them. (Inspired
by Cancer Foundation in Australia which transports sufferers to hospital for treatment – otherwise cannot
afford to attend).
• Use existing programs like Rotary AIDS program, Lions Sight Clubs, WHO – piggy back
IMobile Tech to facilitate testing, treatment and data collection.
• ARV reminders by SMS. Anyone who gets on treatment has their phone subscribed to automatic remind-
ers for adherence. There would be game logic (rewards for a good job).
• Reverse SMS printers for ART and epidemiology or SIM/cell phone technology.
• Cloud computing (data can be accessed from anywhere – data is more handy)Innovation catalysts –
having cross-sectional talent come to country offices to help start tech projects which get girls and
women connected to networks which keep them HIV free.
Linking to long-term planning and partnerships.
• Move away from lowest price solution vs. quality. Short-term vs. long-term view.
• Financial incentives for collection of test results.
Partnerships to support innovation.
• Link to partner company, global initiatives around healthcare and education.
• Create an x-prize and crowd-source the development.
• Public Private Partnership Coalition that allow companies to stay in their lane without risk profile.
Pharma = health content, Tech = mobile content, Consumer = manufacturing, distribution system.
Low risk, high integration, powerful measurement.
• Piggyback infant care/diagnosis to GE Health’s ecomagination work.
• Ask a “GE”-like company to develop a gadget that would enable EID. All their research, development
and production will be tax-deductible so it would be zero cost to GE.
• Social marketing of CD4 testing by a PSI.