Ms Nadia Isler, representing the PCB Chair, welcomed participants to the Bureau meeting before the 39th PCB meeting on 6-8 December 2016.

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UNAIDS PCB Bureau MEETING SUMMARY DATE: Monday, 31 October 2016 PARTICIPANTS Ms Nadia Isler (Switzerland: chairing); Ms Laila Heward-Mills (Ghana); Ms Monica Martinez (Ecuador), Ms Laurel Sprague and Mr Musa Lumumba (PCB NGO Delegation); Ms Divya Mehra and Ms Alli Miikkulainen (WFP: Representing UNAIDS Cosponsors). UNAIDS Secretariat: Jan Beagle (DXD), Morten Ussing (GMA), Samia Lounnas (GMA) MEETING AGENDA 1. Update, Regular Segment at the 39th PCB meeting The Bureau will receive brief updates on key items of the regular segment at the upcoming Board meeting. 2. Update, Thematic Segment at the 39th PCB meeting: HIV and ageing The Bureau will receive a brief update on the agenda and preparations for the thematic segment at the 39th PCB meeting. 3. Proposals for the Thematic Segments at the 40th and 41st PCB meetings (June and December 2017) The Bureau will select themes to recommend to the PCB for the 40th and 41st PCB meetings in 2017. 4. Any other business SUMMARY Opening remarks from the PCB Bureau Chair Ms Nadia Isler, representing the PCB Chair, welcomed participants to the Bureau meeting before the 39th PCB meeting on 6-8 December 2016. After adoption of the agenda, the Chair passed the floor to the Secretariat to present the preparations of each agenda item of the 39th PCB meeting (6-8 December 2016). 1

1. Update, Regular Segment at 39th PCB meeting UNAIDS Secretariat provided an update on the preparations for the 39th PCB meeting as follows: The draft annotated agenda of the 39th PCB meeting was posted on 7 October in English and French. The report of the 38th PCB meeting was posted on 28 October in English and French after clearance by the Chair and the Bureau. Invitations were sent to all constituencies and the note verbale and information note were posted on the UNAIDS website on 7 October. The outline of the Executive Director s Report will be ready approximately in the week leading before the PCB meeting. Additional updates on specific agenda items were provided as follows: (2) Leadership in the AIDS response The Secretariat informed that the item provides the possibility for the UNAIDS Executive Director to invite a guest speaker. (3) Updated gap analysis on paediatric HIV prevention, treatment, care and support This report is currently being finalized. The report will provide a feedback to the Board on achievements on paediatric HIV prevention, treatment, care and support (90-90-90) since the 35th PCB meeting during which this item was discussed. It will describe the progress in reducing the gap between adults and children in access to HIV prevention, treatment, care and support. The report will build on UNAIDS Strategy 2016-2021 and the 2016 High Level Political Declaration and will reinforce the super-fast Track approach (2018) to reduce new HIV infection among new born and the number of HIV related death among children. The report will emphasize progress and achievements in eliminating new HIV infection among children in the 21 most affected countries (Fast Track countries) With regard to evidence and analysis on the effects of stigma, discrimination and structural barriers on mothers and children s health, and the need for psycho-social support for children and affected families, in partnership with children and adolescents living with HIV and their caregivers, the report will provide an analysis on the basis of secondary data sources, including from the implementation of the Global Plan as well as from the Stigma Index. The Bureau agreed that because of the limited time for the report on stigma and discrimination, efforts will be made to include a draft decision that calls for further consultations with children and young people living with HIV and their caregivers. 2

(4) Follow-up to the thematic segment from the 38th PCB meeting The role of communities in ending AIDS by 2030: Summary report The Secretariat provided the following update: The paper had been shared for clearance with the Bureau on 11 October, with 18 October as deadline to provide comments. The paper is a summary of the discussion and debate at the thematic day. The proposed decision points for this item were presented. (5) Unified Budget, Results and Accountability Framework (UBRAF) 2016-2021 The interim update in response to Decision Point 7.21 of the 38th Meeting of the UNAIDS Programme Coordinating Board (7.21 Requests that UNAIDS inform the Board by beginning of October 2016 on how they intend to manage the Joint Programme s budgetary shortfall, bearing in mind decision 6.8 from the 37th Programme Coordinating Board) will be circulated in the coming days. A comprehensive report on all UBRAF follow-up actions and decisions by the 38th PCB, including the impact of the budgetary shortfall on the implementation of the 2016-2021 UNAIDS Strategy, to be presented at the 39th PCB meeting will be finalized further to the meeting of the Committee of Cosponsoring Organizations (CCO) which will take place on 8 November in New York. (6) Synthesis report of existing research and literature on intellectual property (IP)- related and other factors impacting the availability, affordability and accessibility of treatment and diagnostics for HIV and co-infections in low and middle-income countries The paper is being finalized with inputs from WHO and UNDP. The report responds to a decision point from the 35th PCB meeting (December 2014) under agenda item report by the NGO representative. The report is based on an analysis of existing research and literature review on access barriers to HIV treatment and diagnostics. It also builds on elements of the report of the High Level Panel on Access to Treatment. (7) Report by the NGO representative: The representative of the PCB NGO Delegation updated the Bureau as follows: The paper is entitled: An unlikely ending: ending AIDS by 2030 without sustainable funding for the community-led response; The report proposes three (3) decision points; 3

The PCB NGOs intend to consult on the report with UNAIDS Secretariat and Member States in the lead up to the PCB. (8) Next PCB meetings The paper is prepared by the Secretariat on behalf of the PCB Bureau; The paper will be finalized further to this Bureau meeting; The paper presents the themes selected by the Bureau for the 40th and 41st PCB meetings in 2017 and dates for the 2019 PCB meetings. (9) Election of Officers The Modus Operandi foresees the Programme Coordinating Board to elect the current Vice- Chair, Ghana, to the position of Chair for a term of one year starting on 1 January, 2017. This meeting of the Programme Coordinating Board must also elect a Vice-Chair and a Rapporteur for a term of one year starting on 1 January, 2017. Through this paper, the Programme Coordinating Board is requested to elect officers for 2017 and to approve the new members of the NGO Delegation. 2. Update, Thematic Segment at 39th PCB meeting The PCB Working Group had two meetings and the last meeting is scheduled to take place in the coming days; During the two meetings, the Working Group discussed and provided comments including through emails before and after the meetings on the draft Background Note which is currently being finalized and will be posted on the PCB website after the internal clearances; During the last meeting, the Working Group will discuss the draft agenda which was already addressed during the second meeting. The format of the day and the tentative speakers will also be discussed at that meeting; Fourteen case studies were received and will be used to inform the Background Note. All case studies are consolidated in a conference room paper that will be posted online. 3. Proposals for the Thematic Segment at the 40th and 41st PCB meetings (June and December 2017) The Board at its 37th meeting in October 2015 decided: to request the Programme Coordinating Board Bureau to take appropriate and timely steps to ensure that due process is followed in the call for themes for the 40 th and 41st Programme Coordinating Board meetings, as necessary (DP 9.2). The Secretariat recalled the process for the call for submission of proposal of themes as follows: 4

- 18 July: The Secretariat on behalf of the PCB Bureau sent the call to send proposals of themes for the thematic segments in 2017 to the three PCB constituencies. The deadline to submit proposals of themes was 21 August. - 21 August: A reminder was sent. At that time, two proposals were received. The deadline to submit proposals was therefore extended to 12 September. - 12 September : Nine (9) proposals were received. The nine (9) proposals received are: - Proposal 1: HIV Prevention 2020: a global partnership for delivery - Proposal 2: HIV among Adolescents and Women - Proposal 3: Zero discrimination in health care - Proposal 4: The role of Cities in ending the AIDS epidemic - Proposal 5: ARV adherence, an essential challenge in achieving 90-90-90 - Proposal 6: Getting to 90-90-90 - Proposal 7: Ending AIDS by 2030? Resilient health system and the need for HIV integration - Proposal 8: Indigenous Peoples respond to HIV - Proposal 9: HIV and Universal Health Coverage (UHC) After discussion, the Bureau acknowledged the merit of all the proposals received. Given the quality and timeliness of proposals, the Bureau decided the following two proposals would be most appropriate for the 40 th and 41 st PCB thematic sessions: Thematic Day of the 40 th Session: HIV Prevention 2020: A global partnership for delivery in which elements from two proposals (2 and 8) were added including the dimension of women and adolescent girls and the need to fast track prevention interventions towards indigenous Thematic Day of the 41 st Session: Zero discrimination in health care settings in which elements from two other proposals (4 and 8) were added including putting emphasis on the role of Cities in ending discrimination in health care settings and fast tracking the fight against discrimination in health care settings towards key populations and in particular indigenous peoples. [End of Document] 5