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[afro-nets] Towards universal access: Scaling up priority HIV/AIDS interventions in the health sector

Cross posted from:

Towards universal access: Scaling up priority HIV/AIDS interventions in the 
health sector* *Progress report 2010*

*WHO; UNAIDS; UNICEF- September 2010*


“……This year’s report on HIV/AIDS interventions in the health sector presents 
strong evidence of progress in the global effort to fight HIV/AIDS, but it also 
makes clear how much work remains to be done.

In 2009, countries, partners and communities succeeded in scaling up access to 
HIV prevention, treatment and care. Important gains have been made towards the 
goal of eliminating mother-to-child transmission of HIV by 2015. Over half of 
all pregnant women living with HIV in low- and middle-income countries received 
antiretrovirals to prevent HIV from being transmitted to their babies, and more 
children living with HIV are benefiting from treatment and care programmes.

Community-driven, rights-based prevention programmes have contributed to 
lowering the number of HIV infections. WHO’s revised guidelines for 
antiretroviral therapy now recommend initiation of therapy at an earlier stage 
of disease and, once fully implemented, these changes will help to further 
reduce the morbidity and mortality due to HIV.

These advances are all cause for encouragement. Nevertheless, this report also 
demonstrates that, on a global scale, targets for universal access to HIV 
prevention, treatment and care will not be met by 2010. Only one third of 
people in need have access to antiretroviral therapy, coverage of prevention 
interventions is still insufficient, and most people living with HIV remain 
unaware of their serostatus. Stigma, discrimination and social marginalization 
continue to be experienced daily by people who are the most affected by HIV and 
hardest to reach in many countries, including people living with HIV, sex 
workers, injecting drug users, men who have sex with men, transgender people, 
prisoners and migrants.

At the same time, the financial crisis and resulting economic recession have 
prompted some countries to reassess their commitments to HIV programmes. 
Reduced funding for HIV services not only risks undoing the gains of the past 
years, but also greatly jeopardizes the achievement of other Millennium 
Development Goals, especially those related to maternal and child health.

While the global HIV response may have exposed the shortcomings of current 
health systems, it has also driven more concerted action towards addressing 
broader systemic issues, including human resource capacity, physical 
infrastructure, supply chains, health financing and information systems. As 
many countries have shown, the ongoing scale-up of HIV programmes can be 
successfully leveraged to tackle longstanding systemic bottlenecks that have 
prevented other health outcomes from being achieved. We must also strategically 
integrate HIV/AIDS interventions into national health services, strategies and 
plans, including those for sexual, reproductive, maternal and child health, 
tuberculosis, sexually transmitted infections and harm reduction.

Special approaches remain necessary to address the particular circumstances and 
needs of those populations at greater risk for HIV infection. Rights-based 
national strategies must include special efforts to reach the poorest and those 
who are socially excluded. Programmes must be designed and delivered in ways 
that ensure equity in access, including for children and women…..”

*Download report in chapters*

-          Cover and table of contents [pdf 
- Chapter 1: Introduction [pdf 
- Chapter 2: HIV testing and counselling [pdf
- Chapter 3: Health sector interventions for HIV prevention [pdf 
- Chapter 4: Treatment and care for people living with HIV [pdf 
- Chapter 5: Scaling up HIV services for women and children [pdf 
- Chapter 6: Beyond 2010 [pdf 

Ruggiero, Mrs. Ana Lucia (WDC)

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