Cross posted from: EQUIDAD@listserv.paho.org
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)