2 July 2014  Felicia Stewart Center at UCSF ANSIRH  Oakland, California, USA
Women’s Health in Women’s Hands:
The Promise of MPTs
Special Guests:
Manjula Lusti-Narasimhan (WHO)
Ina Park (CDPH)
Bethany Young Holt (CAMI/IMPT)
Multipurpose Prevention Technologies
MPTs prevent a combination
of unintended pregnancy,
STIs, HIV/AIDS
 Should be safe & easily
available
 Are designed with key input
from women for their specific
needs & preferences
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
What’s in the pipeline?

Small Organic
Molecules

Broad Spectrum
Natural Products

Proteins/Peptides

Non-Hormonal
Contraceptives
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
WHO Global Reproductive
Health Strategy




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Promote and strengthen SRH
services through:
improving antenatal, delivery,
postpartum and newborn care;
providing family planning, including
infertility services;
eliminating unsafe abortion;
combating STIs, including HIV, RTIs,
cervical cancer and other
gynaecological morbidities;
promoting sexual health.
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Global Need

222 million women have an unmet need
for modern contraception.

Each day, close to 800 women in
developing countries die from
complications related to pregnancy and
childbirth.

Each year 1.7 million people die from
AIDS related causes and 2.5 million
become newly infected with HIV.

1 million people contract a sexually
transmitted infection every day.
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
WHO/RHR/HRP Core Functions



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Identifying gaps and priorities and shaping the global SRH research
agenda
Providing leadership on matters critical to improving SRH through
knowledge generation, synthesis and management
Supporting national research, technical capacity strengthening and
engaging in relevant partnerships
Articulating ethical and evidence-based options for policy
formulation and programme development to improve SRH, in
collaboration with regional and country offices
Monitoring and evaluation of SRH situations and trends, advocacy,
catalysing change and supporting intervention delivery
Developing of WHO guidelines: clinical standards, norms and related
policy and technical guidance documents
Developing pre-qualification of products
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Case Study: Kajiata
•
•
•
•
•
•
Age 33, married
Lives in region with high rates of
HIV and HSV-1
Already has 6 children
Currently gets the Depo injection
Husband spends a significant
amount of time out of the village
and she accepts he is unfaithful
Husband will not wear a
condom
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Case Study: Angie
•
•
•
•
•
Age 19
Lives in region of the US with
high incidence of chlamydia
Currently using long acting
reversible contraception
No longer in a committed
relationship
Doesn’t always use a condom
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Consequences of STIs

STIs enhance the biological risk for HIV infection
and transmission and can impact how the disease
progresses.

Long-term health consequences of STIs include:


Cervical cancer

Pelvic inflammatory disease

Infertility

Tubal or ectopic pregnancy
Infants born to infected mothers can suffer from
perinatal or congenital infections.
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
In the United States

Nearly half of all pregnancies
among American women are
unintended.

STIs are the most commonly
reported communicable
diseases in the US.

There are18.9 million new
cases of STIs each year in the
US, half of them among 15-24
year olds.
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Source: Guttmacher Institute
Selected STIs in California
Chlamydia, Gonorrhea, and Primary & Secondary Syphilis
California Rates, 1990–2012
500
Rate per 100,000 population
Chlamydia
400
448.9
(N=169,797)
300
200
100
0
1990
'92
'94
'96
'98
2000
'02
'04
'06
Gonorrhea
89.3
(N=33,780)
P&S Syphilis
7.8
(N=2,936)
'08
Year
>206,000 cases of bacterial STIs reported in California
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
2010
'12
Mistimed or Unwanted Pregnancy
MIHA 2011
Nearly 1/3 of pregnancies in CA are unplanned
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Chlamydia Among Females, 2012
Ages 15-24, By County
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Chlamydia among females (2012)
vs Unplanned Pregnancy (2011)
1) LA County
2) Southeastern CA
3) San Joaquin Valley
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Genital Herpes—Initial Visits to Physicians’
Offices, 1966–2012
NOTE:
The relative standard errors for genital herpes estimates of more than 100,000 range from 18% to 30%. SOURCE: IMS Health, Integrated
Promotional Services ™. IMS Health Report, 1966–2012.
2012-Fig 48. SR, Pg 45
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
STIs in Women
Women are disproportionately
affected by genital herpes
1 in 5 women
1 in 9 men
Source: CDC MMWR April 23, 2010 / 59(15);456-459
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
What you can do?
SHARE
Spread the news about life saving MPTs with your colleagues and
networks. Visit our website to access factsheets, PowerPoint
presentations, MPT meeting reports and other resources.
COLLABORATE
Join the IMPT and help move the research, policy, funding and
education efforts forward to save lives – learn more on our
website.
CONTRIBUTE
Your financial and in-kind support can accelerate MPT education,
research and introduction.
Visit www.cami-health.org or www.MPTs101.org to learn more!
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Collaboration, advocacy & research to advance MPTs
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Collective Impact Approach
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Questions?
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Acknowledgements

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Bill & Melinda Gates Foundation
Mary Wohlford Foundation
USAID
World Health Organization
The generous support from individual
donors like you!
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California
Thank You!
Support for this project is made possible by the generous support of the American people through the
United States Agency for International Development (USAID) under the terms of the HealthTech
Cooperative Agreement #AID-OAA-A-11-00051, managed by PATH. The contents are the responsibility
of CAMI/PHI and its partners and do not necessarily reflect the views of USAID or the US Government.
Women’s Health in Women’s Hands: The Promise of MPTs
2 July 2014 – Oakland, California