Communities & Treatment Access with ITPC at AIDS 2026
Episode Description
Host Ben Plumley speaks with Solange Baptiste Simon and Othoman Mellouk of the International Treatment Preparedness Coalition (ITPC) about their packed treatment pre-conference and concerns that treatment is being sidelined amid heavy focus on PrEP and prevention. They argue the prevention-versus-treatment framing is false, emphasizing a continuum from testing to prevention to treatment, and describe on-the-ground chaos as HIV services are integrated into broader chronic care with overstretched health workers and communities. They discuss a “strange” AIDS 2026 marked by funding cuts and reduced PEPFAR influence, uneven country leadership, and a shift from scientific innovation to challenges of financing, manufacturing, regulation, and equitable delivery of long-acting technologies. They caution against product-driven responses, stress human rights and stigma realities, and conclude that community power, involvement, and resourcing remain central to sustainable solutions.
00:00 Welcome and Guests
01:08 Treatment Preconference Highlights
03:13 Prevention vs Treatment Debate
05:00 Continuum of Care Reality
07:34 Clinic Integration Chaos
10:07 Conference Avoiding Hard Truths
14:58 Post PEPFAR Future
18:39 Product Hype vs Access
22:58 Fiscal Space and Priorities
25:13 Beyond Biomedical Fixes
30:19 2030 Targets Reality Check
32:29 Crossroads and Policy Choices
36:15 Community Hope and Closing
38:23 Final Thanks and Signoff
Guests:
Solange Baptiste Simon
Executive Director, ITPC
Othoman Mellouk
Access to Medicines & Diagnostic Lead, ITPC
ITPC Global
AIDS 2026
https://www.iasociety.org/conferences/aids2026
Check Out Ben’s Substack:
https://substack.com/@benplumley1
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