Learnings from the Meeting on HIV/AIDS at the UN

I attended the 2008 High Level Meeting on AIDS at the UN. Here is some of what I learned.

The Good News
Progress in containing the HIV epidemic is now being seen in nearly all regions of the world. Even in some of the most resource-constrained settings, life-preserving HIV treatments are being scaled up and changes in sexual behavior are reducing the number of new infections. The world is starting to reap the benefits of the unprecedented investments made during the present decade in responding to the epidemic. These results illustrate what can be achieved when there is global resolve, political commitment and active engagement of people living with HIV  and affected communities.

The Bad News
These positive results are not uniform across or even within countries. In some parts of the world new infections continue to increase while coverage for HIV prevention, treatment, care and support remain far too low to have any impact on the course of the epidemic. The sad  truth is that for each person started on HIV treatment in 2007, 2.5 more persons were infected. An estimated 33.2 million people worldwide were living with HIV as of December 2007. Women represent half of all HIV infections among adults, but 61% of those infected in sub-Saharan Africa.

HIV and the Millennium Development Goals (MDGs)
The MDGs are linked. Progress in one leads to possibilities in another. While the response to HIV is specifically linked to MDG, 6 it supports the achievement of most of the other goals. In fact, unless we are successful in combating HIV/AIDS the achievement of the other goals will probably be impossible. HIV/AIDS is wreaking economic havoc across the world. It strikes the most productive members of society, killing them slowly, and drawing others from the workforce and out of school to care for them. The spread of HIV/AIDS in rural areas is having a dramatic impact on food security. When farmers are affected by the disease they tend to plant fewer crops.  HIV/AIDS and food security are entwined in a vicious cycle: food insecurity heightens exposure to HIV/AIDS infection, and HIV/AIDS heightens food insecurity.

The impact of HIV/AIDS on Goal 2 – the achievement of universal primary education has been devastating. In sub-Saharan Africa, more teachers are dying of AIDS than are being trained.

With more than half of HIV-infected infants dying before the age of two, the prevention of mother to child transmission and the provision of pediatric treatment will support progress toward Goal 4, to reduce child mortality.

What can be done?
The HIV/AIDS pandemic must be recognized as a public health as well as a development issue.
Therefore, an effective response to the pandemic must become a central feature of all development efforts. This means that strengthening public health systems, including by stemming the brain drain, must go hand in hand with a effective national strategies to combat HIV/AIDS.

An effective response to the epidemic must have human rights and gender equality at its core. The rights of people living with AIDS, and other vulnerable groups must be protected, including women’s rights to make informed decisions about their sexual health. Stigmatization and discrimination, including travel restrictions, drive the pandemic under-ground, from where an effective response becomes impossible.

Finally, there must be better access to prevention, treatment, and support services, especially for those populations at most risk. We must have better public education programs, particularly for young adults. Prevention and treatment must be more accessible to everyone, including drug users, sex workers, and sexual minorities. And, preventing HIV transmission from mother-to-child must be eliminated in developing countries, as it has almost been in developed countries.

Our response to the pandemic must be inclusive. Governments, community leaders, civil society and other international actors are all part of the same team. Our collective efforts must be joined-up, complementary and coherent. We must better integrate policies and approaches that address HIV/AIDS, TB and drug-use to reflect the multifaceted nature of the pandemic. The UN system must have the capacity to ensure that national efforts are coordinated and complementary.

Leadership and political accountability are the most important part of the solution. It is of particular importance to involve youth as an integral part of the solution as they have the most to lose.

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One thought on “Learnings from the Meeting on HIV/AIDS at the UN”

  1. MORE ON http://WWW.PLWHA.ORG

    There are some simple steps all HIV-positive tourists can take regardless of their destinations to minimize chances of undue customs delays or outright deportation:

    * Look healthy. Travelers who appear to be ill are likely to be targeted for indepth questioning or inspections.

    * Be discreet and polite.Don’t draw any undue attention to yourself that could cause customs officials to pull you aside.

    * Don’t advertise the fact that you’re HIV-positive. It pains me to have to give that kind of advice, but you might not want to wear a PLWHA t-shirt.

    * Keep your anti-HIV medications in their original bottles, and do not attempt to hide the containers. If you’re hiding them customs officials may think they contain contraband and may hold you to verify that they are permitted into the country.Opening packages or taking pills out of their prescription bottles will delay your time in security(more info).

    *Pack extra medicine and supplies when traveling in case you are away from home longer than you expect or there are travel delays.

    *If you are taking injectable medications (e.g., Fuzeon, insulin, testosterone) you must have the medication along with you in order to carry empty syringes(more info).

    *Depending on the circumstances it may be worthwhile taking along a doctor’s certificate (in English) which shows that the holder is reliant on the medication and that it has been prescribed by the doctor.Carry a copy of your prescriptions in your carry-on, purse, or wallet when you travel.

    *You can ask and are entitled to a private screening to maintain your confidentiality. Show copies of your prescriptions and/or your medication bottles and if you have any problems ask to see a supervisor.

    In general, the above points apply to entering countries with ambiguous or restrictive regulations: as long as HIV positive status does not become known, there will be no serious problems for a tourist. However, if someone is suspected of being HIV positive, or if the authorities have concrete reasons to believe they are, entry may be refused. Since october 2008 non-immigrant US visas are granted to HIV-positive people who meet certain requirements, instead of waiting for a special waiver from DHS(more info).

    My philosophy on the whole issue is that it’s not an issue, so I don’t present it as one.And I’ve never had any problems over the years of extensive travel.

    MORE ON http://WWW.PLWHA.ORG

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