Events

Less than 40% of countries report having training programmes at the national level for law enforcement personnel on human rights and HIV

29 March 2021

Effective HIV responses require legal, policy and social environments that empower people living with HIV, those at higher risk of HIV infection and others affected by the epidemic to claim their rights and receive redress when those rights are violated.

Those who are responsible for enabling such legal, policy and social environments need to be properly trained. However, country reporting to UNAIDS in 2020 shows that training programmes on human rights and non-discrimination legal frameworks applicable to HIV are operating at scale at the national level for police and other law enforcement personnel in only 40 out 102 reporting countries, for members of the judiciary in 36 out of 100 reporting countries and for lawmakers and parliamentarians in 30 out of 97 reporting countries.

Representatives of people living with HIV, key populations and other affected communities selected to join the multistakeholder task force for the high-level meeting on HIV

29 March 2021

Following a public call for nominations, UNAIDS and the Programme Coordinating Board nongovernmental organization delegation has selected 16 representatives of civil society and the private sector from all regions to join the multistakeholder task force for the high-level meeting on HIV.

More than 560 nominations were received and the task force has been established with a broad and diverse expertise. There are at least two members per region. More than 50% of the members are women and 25% are under the age of 30 years. Six are openly living with HIV and all key populations are represented.

The United Nations General Assembly will hold its first high-level meeting on HIV since 2016 on 8–10 June 2021. In the run-up to the meeting, before the end of April 2021, an interactive multistakeholder hearing will be held with the participation of communities and other stakeholders, who will also participate in other activities before and during the high-level meeting itself. The task force will advise UNAIDS on the format, theme and programme of the multistakeholder hearing and will help to identify speakers for the hearing and high-level meeting plenary and panel discussions.

 

Multistakeholder task force members

Andrew Spieldenner, US PLHIV Caucus and MPact Global Action, United States of America

Souhaila Bensaid, MENA-ROSA, Tunisia 

Aaron Sunday, African Network of Adolescents and Young Persons Development and Association of Positive Youth Living with HIV in Nigeria, Nigeria 

Adilet Alimkulov, Kyrgyz Indigo, Kyrgyzstan

Jacqueline Rocha Cortes, MNCP National Movement of WLWA, Brazil

Phelister Abdalla, Key Affected Populations Health and Legal Rights Alliance, Kenya

Aleksey Lakhov, Humanitarian Action and Coalition Outreach, Russian Federation  

Judy Chang, International Network of People who Use Drugs, Italy

Sonal Mehta, International Planned Parenthood Federation, India

Yasmina Chan Lopez, Red Juvenil de AMUGEN, Guatemala

Alia Amimi, International Treatment Preparedness Coalition–MENA, Morocco 

Jacques Lloyd, Afrique Rehabilitation and Research Consultants NPC, South Africa 

Severin Sindizera, Indigenous Peoples Global Forum for Sustainable Development, Burundi

Angela Lee Loy, Aegis Business Solutions, Trinidad and Tobago

Jules Kim, Programme Coordinating Board nongovernmental organization delegation and Scarlet Alliance, Australia

Gideon B. Byamugisha, International Network of Religious Leaders Living with and/or Personally Affected by HIV, Uganda

Call for nominations of people living with HIV, key populations and other affected communities to join the multistakeholder task force for the high-level meeting on HIV

10 March 2021

The United Nations General Assembly will hold its first high-level meeting on HIV since 2016 on 8–10 June 2021.  

In the run-up to the meeting, before the end of April 2021, an interactive multistakeholder hearing will be held with the participation of communities and other stakeholders, who will also participate in other activities before and during the high-level meeting itself.

To ensure the involvement of civil society and ensure an open, transparent and participatory process, UNAIDS is forming, by the end of March, a multistakeholder task force comprised of representatives of civil society and the private sector. The task force will advise UNAIDS on the format, theme and programme of the multistakeholder hearing and will help to identify speakers for the hearing and high-level meeting plenary and panel discussions.

Different constituency networks are asked to use their own networks and selection processes to nominate people to be considered for the task force. UNAIDS and the Programme Coordinating Board nongovernmental organization delegation will select individuals for each of the categories of members:

  • One representative openly living with HIV of networks of people living with HIV.
  • One representative openly living with HIV of networks of women living with HIV.
  • One representative openly living with HIV of networks of young people.
  • One representative of each of the key populations (people who use drugs, sex workers, transgender people, gay men and other men who have sex with men, people in prison settings).
  • One member of the UNAIDS Programme Coordinating Board nongovernmental organization delegation.
  • A representative of a women’s organization, particularly working on sexual and reproductive health and rights.
  • A representative of a young’s people organization, particularly working on sexual and reproductive health and rights.
  • A representative of the private sector.
  • A representative of a faith-based organization.
  • A representative of networks or organizations of indigenous people.
  • A representative of networks or organizations of people with disabilities.
  • A representative of an organization working with tuberculosis and HIV. 

“The engagement of people living with HIV, key populations and other priority communities is fundamental for the success of the high-level meeting. Communities have led the way in the HIV response since the beginning and know what is needed to make sure that all people everywhere have what they need to prevent new HIV infections and to ensure that people living with HIV can survive and thrive. The task force represents an important platform for participation in the preparatory phase for the meeting. As the task force is necessarily limited in size, we are particularly interested in nominations of people from networks, who are closely linked across their communities and across regions, to be able to bring a deep and broad perspective. Additional opportunities for people living with HIV, key populations and other affected groups to engage with be made available throughout the lead-up to the high-level meeting,” said Laurel Sprague, UNAIDS Chief/Special Advisor, Community Engagement.

Civil society networks and relevant stakeholders are asked to submit nominations here by 16 March 2021 at 18.00 CET. The call for nominations with detailed information can be accessed here.

UNAIDS welcomes the United Nations General Assembly decision to hold a high-level meeting on HIV and AIDS in 2021

25 February 2021

GENEVA, 25 February 2021—UNAIDS welcomes the United Nations General Assembly decision for a high-level meeting on HIV and AIDS to take place from 8 to 10 June 2021. The high-level meeting will review the progress made in reducing the impact of HIV since the last United Nations General Assembly high-level meeting on HIV and AIDS in 2016 and the General Assembly expects to adopt a new political declaration to guide the future direction of the response. The high-level meeting will take place as the world marks 40 years since the first case of AIDS was reported and 25 years of UNAIDS.

“World leaders must seize the opportunity offered by this new United Nations General Assembly high-level meeting on HIV and AIDS to maintain their focus and commitment on ending AIDS as a public health threat as part of the 2030 Agenda for Sustainable Development,” said Winnie Byanyima, UNAIDS Executive Director. “The AIDS epidemic is unfinished business and must be ended for everyone everywhere, including for young women and adolescent girls and for other groups of people disproportionately affected by HIV. The right to health belongs to all of us.”

Progress towards ending the AIDS epidemic as a public health threat by 2030 as part of the Sustainable Development Goals has been highly uneven and the global goals for 2020 adopted in the 2016 United Nations Political Declaration on Ending AIDS were not met. Stigma and discrimination, the marginalization and criminalization of entire communities and a lack of access to health, education and other essential services continue to fuel the epidemic. Women and girls in sub-Saharan Africa and key populations (gay men and other men who have sex with men, sex workers, transgender people, people who inject drugs and people in prison) and their partners globally continue to be disproportionately affected by the HIV epidemic.

UNAIDS is currently developing a new global AIDS strategy for 2021–2026 through a process that is inclusive of all stakeholders in the AIDS response. The final draft strategy will be considered for adoption by the UNAIDS Programme Coordinating Board in March 2021. The new global AIDS strategy will include new targets to ensure that no one is left behind in ending AIDS, wherever they live and whoever they are. By achieving these targets, the number of people newly infected with HIV would fall to 370 000 by 2025, and the number of people dying from AIDS-related illnesses would be reduced to 250 000 in 2025.

Even the gains already made against HIV are threatened by the disruptions caused by the COVID-19 pandemic. The high-level meeting creates an opportunity to ensure that the world bolsters the resiliency of the HIV response to date, commits to rapid recovery post-COVID-19 and applies the lessons learned from the colliding epidemics of HIV and COVID-19 to create more resilient societies and health systems that are ready to meet future health challenges.

“The AIDS response has taught us that global solidarity is critical to making sustained progress against the impact of health threats like COVID-19,” said Ms Byanyima. “There must be concerted international efforts to reduce inequalities between countries and within them to strengthen the world’s capacity to absorb and defeat future global health challenges that put lives and livelihoods at risk everywhere.”

UNAIDS expresses its appreciation for the hard work of the high-level meeting co-facilitators, the permanent missions to the United Nations of Australia and Namibia, in the adoption of the resolution as well as to the President of the General Assembly for leading the process.

Given the constraints imposed by measures taken to contain the COVID-19 pandemic, it has not yet been decided if the high-level meeting will be in-person, virtual or a hybrid of the two. In line with the resolution, UNAIDS encourages the highest level of participation of United Nations Member States and the inclusion of civil society organizations and people living with or at risk of HIV in delegations to the high-level meeting. UNAIDS also looks forward to the multistakeholder hearing as a key opportunity to hear the voices of people living with, at risk of and affected by HIV, including key populations.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS Geneva
Michael Hollingdale
tel. +41 79 500 2119
hollingdalem@unaids.org

Islamic Republic of Iran bans stigma and discrimination against people living with HIV in health-care settings

27 January 2021

The Islamic Republic of Iran has issued a new regulation prohibiting stigma and discrimination against people living with HIV in health-care settings.

Global experience has shown that stigma and discrimination limits access to HIV services at every step and stops people exercising their basic human rights, including the right to health. Studies in the Islamic Republic of Iran have identified health-care settings as an important venue where HIV-related stigma and discrimination needs to be addressed. 

In 2019, the Islamic Republic of Iran joined the Global Partnership for Action to Eliminate all Forms of HIV-Related Stigma and Discrimination and set three priority areas—health settings, humanitarian settings and communities—for action. This new regulation is a direct result of the work in the partnership by both the country and UNAIDS.

The regulation covers all private and public health institutions and requires them to protect people living with HIV and key populations from stigma and discrimination. The regulation also covers a number of other areas, including raising awareness about HIV and the rights of people living with HIV, protecting the rights of people living with and affected by HIV and ensuring the discrimination-free provision of health care and treatment to people at higher risk of HIV and people living with HIV.

“This important breakthrough in the national response to HIV lays the ground for significantly controlling HIV in the country in the future,” said Fardad Doroudi, the UNAIDS Country Director for the Islamic Republic of Iran.

The UNAIDS country office has supported the efforts to eliminate stigma and discrimination in the country over many years. In 2010, to help understand the problem, the country office, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) through the United Nations Development Programme (UNDP) and the National AIDS Programme (NAP) supported the Iranian Research Center for HIV and AIDS (IRCHA) and the Global Network of People Living with HIV (GNP+) to conduct the first People Living with HIV Stigma Index study, which clearly showed that people living with HIV faced discrimination in health-care settings. A follow-up study conducted in collaboration with Harvard University on the root causes of stigma introduced a mathematical model on discrimination and showed the route to overcoming stigma. Currently, an Iranian coalition of people living with HIV, with support from NAP, IRCHA, GNP+, ICW, Johns Hopkins University and the UNAIDS country office, is conducting the country’s second People Living with HIV Stigma Index, using the updated 2.0 methodology.

With the knowledge from these studies, UNAIDS has worked against stigma and discrimination in the country in a variety of ways. With support of the Global Fund through UNDP, UNAIDS established “positive clubs” to provide services by and with people living with HIV in a stigma-free environment, advocated with policymakers and religious leaders and held national sensitization campaigns on stigma and discrimination in collaboration with civil society. UNAIDS also invested in the next generation of medical students, working with the International Federation of Medical Students through a series of workshops and courses to help to change the attitude of university students about HIV and stigma and discrimination.

In 2020, the UNAIDS country office technically and financially supported NAP to develop an ethical framework for the fifth National HIV Strategic Plan (2021–2025), as well as the anti-discrimination regulation, in a process backed by a team of national experts in the fields of law and ethics.

“It has been a long journey to get to this stage, but this is what I have waited so long for—a structural change, something that we could refer to if discrimination occurs in a health-care setting,” added Mr Doroudi.

UNAIDS continues to support and collaborate with the Government of the Islamic Republic of Iran to achieve its objectives to eliminate HIV-related stigma and discrimination in other areas.

“I pledge not to allow any interruption to occur on delivery, quality or quantity of HIV services across the country,” said Saeed Namaki, the Minister of Health and Medical Education of the Islamic Republic of Iran.

Related: Online games fighting HIV stigma and discrimination in the Islamic Republic of Iran

First-ever Jamaica transgender strategy looks beyond health

08 January 2021

Imagine using a health-care system that has no concept of you as a person, or of your unique needs. Nurses might not ask important questions. Doctors might overlook the solutions you really require. You might feel unwelcome.

That has always been the reality for transgender people in Jamaica. A new strategy seeks to change this.

With support from UNAIDS and the United Nations Population Fund (UNFPA), TransWave Jamaica has launched the Trans and Gender Non-Conforming National Health Strategy, the first of its kind in the English-speaking Caribbean. The five-year plan is a rights-based road map for how the health and well-being of transgender people can be advanced. It moves beyond recommendations for the health-care system to the structural and societal changes necessary to achieve equitable access to services and opportunities for the transgender community.

“Too many transgender people stay home and suffer or change who they are to access public health-care spaces,” explained TransWave Associate Director of Policy and Advocacy, Renae Green. “We need improvement to basic services, including psychosocial support. And we need transgender people to be able to access public health services as their authentic selves.”

Through the Unified Budget, Results and Accountability Framework Country Envelope for Jamaica, UNAIDS collaborated with UNFPA to support a robust year-long process of research, community engagement and strategy development, including a monitoring and evaluation framework. The strategy development process was informed by a multisectorial steering committee composed of civil society organizations, international cooperation partners and government authorities.

HIV is a major priority for the Jamaica transgender community. Around 50% of transgender women participants in two recent studies were living with HIV. But there are other pressing concerns. Two surveys found that around half of transgender respondents were unemployed. One third skip meals. One in ten sells sex to survive. Research conducted in 2020 by TransWave found that half of respondents had been physically assaulted in the past year, with 20% reporting sexual assault. More than 80% had been verbally abused.

“The needs go beyond HIV and health care. Other factors affect people’s ability to be safe, to be adherent or to remain HIV-negative. We should take into account the whole person, not just a part,” said Denise Chevannes-Vogel, HIV and AIDS Officer for the UNFPA Sub-Regional Office for the Caribbean.

“We value the fact that we were able to bring together the community to have a discussion about their needs beyond HIV,” said Ms Green.

The TransWave team led the community needs assessment. Some community requests, such as hormone replacement therapy or gender assignment surgery, are unique. But others are common to all people. They want access to health care and housing, education and employment. And they want to see themselves represented in the civil society spaces where many access care and support.

“We will not reach any AIDS-related targets if we do not prioritize transgender health as a whole. People are dying because of violence, living on the streets, lack of jobs and lack of opportunities. Even the HIV prevention knowledge that most people would acquire through formal education settings is not available to transgender people when they are bullied and forced to drop out. So this process was about reflecting on the impact indicators. What would it take for them to live longer, better lives?” said Ruben Pages, UNAIDS Jamaica’s Community Mobilization Adviser.

But what chance does this comprehensive and forward-thinking strategy have of succeeding in a country famed for its social conservatism? The partners are optimistic. On one hand, the approach calls for longer-term goals, including law reform around issues such as gender identity recognition and decriminalizing sex between same-sex partners. But the strategy is also a practical guide for transgender inclusion in systems and frameworks that are already in place. With targeted action there can be quick wins.

Manoela Manova, the UNAIDS Country Director for Jamaica, said the strategy will help the country accelerate progress to end AIDS.

“Going forward, there will be renewed focus on ensuring that excellent prevention, testing and treatment outcomes are achieved across all communities, especially key and vulnerable populations,” Ms Manova said. “This is an opportunity to make good on our commitment to leave no one behind.”

Navigating Lesotho’s legal system to address gender-based violence

08 March 2021

When Lineo Tsikoane gave birth to her daughter, she was inspired to intensify her advocacy for gender equality to give Nairasha a better life as a girl growing up in Lesotho.

“I think a big light went off in my head to say, “What if the world that I’m going to leave will not be as pure as I imagine?” I ask myself, “What kind of world do I want to leave my daughter in?”” she says.

As a result, Ms Tsikoane champions for women’s social, economic and legal empowerment at her firm, Nairasha Legal Support. It offers legal support for women in small and medium enterprises and women who are survivors of sexual and gender-based violence.

“Our main focus is gender-based violence, because this happens to be a country that has one of the highest incidences of rape and intimate partner crime in the world,” she says.

Even before the COVID-19 outbreak, violence against women and girls had reached epidemic proportions globally.

According to UN Women, 243 million women and girls worldwide were abused by an intimate partner in the past year. In Lesotho, it is one in three women and girls.

Less than 40% of women who experience violence report it or seek help.

As countries implemented lockdown measures to stop the spread of the coronavirus, violence against women, especially domestic violence, intensified—in some countries, calls to helplines increased fivefold.

In others, formal reports of domestic violence have decreased as survivors find it harder to seek help and access support through the regular channels. School closures and economic strains left women and girls poorer, out of school and out of jobs, and more vulnerable to exploitation, abuse, forced marriage and harassment.

The United Nations Population Fund (UNFPA) works together with UNAIDS, the United Nations Children’s Fund and the World Health Organization on 2gether4SRHR, a joint programme funded by the Swedish International Development Cooperation Agency, to address HIV and sexual and reproductive health in Lesotho.

During Lesotho’s lockdowns, UNFPA worked with Gender Links, the Lesotho Mobile Police Service and others to support efforts to prevent and respond to incidences of gender-based violence.

“We are ensuring that a helpline, where people experiencing gender-based violence can call, is in place and is working and we are also providing relevant information through various platforms for people to access all the information they need on gender-based violence,” says Manthabeleng Mabetha, the UNFPA Country Director for Lesotho.

Mantau Kolisang, a local policeman from Quthing, Lesotho’s southernmost district, characterized by rolling hills and vast landscapes, says one reason why gender-based violence is prevalent in Lesotho is because the law is not heeded in the rural areas.

“It’s difficult to implement the law since these are remote areas,” he says, adding that while he has made arrests, he has no transport to access far-flung areas in the small mountainous region. 

Lesotho’s law states that a girl can marry at the age of 16 years. However, Mr Kolisang says cultural practices, coupled with contraventions of the law, has made some men believe a 13-year-old girl “can be a wife”, exposing Basotho girls to violence.

“Men don’t regard it as a crime,” he says, adding that girls have been abducted from the mountains for forced marriages.

Between 2013 and 2019, 35% of adolescent girls and young women in sub-Saharan Africa were married before the age of 18 years. Girls married before 18 years of age are more likely to experience intimate partner violence than those married after the age of 18.

Because of poverty, gender inequality, harmful practices (such as child, early or forced marriage), poor infrastructure and gender-based violence, girls are denied access to education, one of the strongest predictors of good health and well-being in women and their children.

In Lesotho’s legal system, women are regarded as perpetual minors. This categorization infantilizes women, Ms Tsikoane says. A man who abuses a woman can often walk away unscathed from the justice system if he says the woman in question is his “wife”, she adds.

“This makes women vulnerable to commodification because a child can be passed around,” she says.

Ms Tsikoane says there is a direct link between the minority status of women and HIV infection in Lesotho. In 2019, there were 190 000 women 15 years and older living with HIV in Lesotho, compared to 130 000 men. 

Adolescent girls and young women between the ages of 15 and 24 years are particularly vulnerable. They accounted for a quarter of the 11 000 new HIV infections in Lesotho in 2019.

“My hypothesis is women cannot negotiate safe sex,” says Ms Tsikoane.

The dangerous reality that Basotho women live in worries Mr Kolisang. But due to a lack of institutional support and resources, he feels his actions have limited effect.

“I feel for these children. I feel for these women. I do feel for them. I can help, but the problem is how?” he laments.

Ms Tsikoane says she finds “trinkets of opportunities” for her and her colleagues to help their clients and navigate a legal system that is not favourable towards women.

“So, if you are not being well assisted at a police station, if you feel like someone is dragging your case and you are struggling to get an audience, we are there. We will support you and we will fight with you,” she says. 

World AIDS Day 2020 message from UNAIDS Executive Director Winnie Byanyima

01 December 2020

World AIDS Day 2020 will be like no other.

COVID-19 is threatening the progress that the world has made in health and development over the past 20 years, including the gains we have made against HIV.

Like all epidemics, it is widening the inequalities that already existed.

Gender inequality, racial inequality, social and economic inequalities. We are becoming a more unequal world.

I am proud that over the past year the HIV movement has mobilized to defend our progress, to protect people living with HIV and other vulnerable groups and to push the coronavirus back.

Whether campaigning for multimonth dispensing of HIV treatment, organizing home deliveries of medicines or providing financial assistance, food and shelter to at-risk groups, HIV activists and affected communities have again shown they are the mainstay of the HIV response. I salute you!

It is the strength within communities, inspired by a shared responsibility to each other, that has contributed in great part to our victories over HIV.

Today, we need that strength more than ever to beat the colliding epidemics of HIV and COVID-19.

Friends, in responding to COVID-19, the world cannot make the same mistakes it made in the fight against HIV, when millions in developing countries died waiting for treatment.

Even today, more than 12 million people are still waiting to get on HIV treatment and 1.7 million people became infected with HIV in 2019 because they could not access essential services.

That is why UNAIDS has been a leading advocate for a People’s Vaccine against the coronavirus.

Global problems need global solidarity.

As the first COVID-19 vaccine candidates have proven effective and safe, there is hope that more will follow, but there are serious threats to ensuring equitable access. We are calling on companies to openly share their technology and know-how and to wave their intellectual property rights so that the world can produce the successful vaccines at the huge scale and speed required to protect everyone and so that we can get the global economy back on track.

Our goal of ending the AIDS epidemic was already off track before COVID-19. We must put people first to get the AIDS response back on track. We must end the social injustices that put people at risk of contracting HIV. And we must fight for the right to health. There is no excuse for governments to not invest fully for universal access to health. Barriers such as up-front user fees that lock people out of health must come down.

Women and girls must have their human rights fully respected, and the criminalization and marginalization of gay men, transgender people, sex workers and people who use drugs must stop.

As we approach the end of 2020, the world is in a dangerous place and the months ahead will not be easy.

Only global solidarity and shared responsibility will help us beat the coronavirus, end the AIDS epidemic and guarantee the right to health for all.

Thank you.

Winnie Byanyima

Executive Director of UNAIDS

Under-Secretary-General of the United Nations

 

World AIDS Day 2020 playlist

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

This year's campaign

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Peer consultants helping the AIDS response in Kyrgyzstan

10 June 2020

When the son of Kymbat Toktonalieva (not her real name) was finally diagnosed with HIV after numerous visits to the hospital over many months, it was only the beginning of the fight.

Her husband left her, leaving her to look after their child on her own. She fought for her son and his rights, for justice. She went to court, attended rallies, wrote letters, worked with other like-minded people and helped other women in the same situation.

For the past six years, Ms Toktonalieva has channelled that campaigning zeal into working as a peer consultant in a multidisciplinary team in a family medical centre in Osh, Kyrgyzstan, helping people living with HIV to get services, providing support and motivating them to adhere to their HIV treatment. There are 10 multidisciplinary HIV teams in the country, which were formed by UNAIDS in 2013; they all include a specialist in infectious diseases or a family doctor, a nurse and peer consultants.

The peer consultants come from the same environments and backgrounds as the people who they work with and have faced similar problems. They may be people who are living with HIV or people who have been affected by HIV. They have decided to act, helping themselves and others, often serving as a bridge between the medical workers and people living with HIV.

“Working as a peer consultant has given me an opportunity to help people to overcome their problems, many of which I have come across myself in the past,” said Ms Toktonalieva.

The peer consultants work with the medical staff, directing, prompting, helping, talking and listening. They are trained to be non-judgemental and help people who have recently been diagnosed as HIV-positive to accept their status and to learn to live with the virus.

The role of the peer consultants is being expanded by the COVID-19 pandemic. From the very beginning of the pandemic they were in contact with people living with HIV, delivering medicine to people’s homes so they could stay on treatment during the lockdown, distributing food packages and providing psychological support.

Another peer consultant, Kalmurza Asamidinov, who works in Kyzyl-Kiya, said, “My work brings good, but I can’t say that everything works out perfectly. We work with different people. Some need to be persuaded to adhere to their HIV treatment because they don’t believe in the treatment, while others are tired of taking antiretroviral therapy—we have to find a different approach for everyone. People are increasingly in need of simple human communication. Many clients miss mutual help and the support groups, which we cannot provide during the COVID-19 lockdown.”

The peer consultants working in the 10 multidisciplinary teams each have a different story to tell. Mannap Absamov, one of the peers in the multidisciplinary team in Osh, said, “Initially it was difficult. We were not able to understand the medical staff, and they could not understand us. But slowly we found points of contact. The main thing is that almost simultaneously, both on our side and the doctors’ side, there became a clear understanding that we all have one goal. It is important that their patient and our client go to the medical facility and start getting treatment.”

Both during COVID-19 and after, one thing is certain—peer consultants will continue to play a vital role in bringing HIV services to people living with HIV in Kyrgyzstan. 

Five UNAIDS country directors taking the lead in the COVID-19 response

11 June 2020

The experience of the UNAIDS Country Director for El Salvador, Celina Miranda, a trained medical doctor, has been very useful during the COVID-19 outbreak. When the United Nations Resident Coordinator nominated her to be the COVID-19 response team leader within the United Nations in the country, she was honoured.

“I accepted the challenge, since the experience of working at UNAIDS on HIV has given me the skills needed to handle these types of situations,” she said.

To date, she has handled six confirmed COVID-19 cases of United Nations personnel from different agencies. “Some went to hospital, while others self-quarantined, and all are already emerging from the acute stage,” Ms Miranda said.

A main task for COVID-19 coordinators is to determine whether local hospitals could admit and treat United Nations personnel and their dependents. El Salvador was not ready for the pandemic, she said, which added to the pressure.

Ms Miranda, along with four other UNAIDS country directors, has been nominated by the United Nations Country Teams as COVID-19 coordinators in their respective countries.

Vladanka Andreeva in Cambodia, Yafflo Ouattara in Chad, Job Sagbohan in Burkina Faso and Medhin Tsehaiu in Kenya have all felt honoured to take on such a responsibility.

Ms Andreeva explained how in early March the United Nations in Cambodia set up a United Nations Internal COVID-19 Preparedness and Response Team, and she was asked to lead the efforts in ensuring that more than 2500 United Nations staff and their dependents have access to the latest COVID-19 information, treatment, care and support. She developed a contingency plan for the United Nations family and supported the establishment of a medical evacuations process and mental health support services for staff.

Mr Sagbohan, a trained medical epidemiologist who has worked for the World Health Organization during Ebola and yellow fever outbreaks, said he spent a lot of time reassuring employees in order to overcome stress and fear. “Staff were scared, so during the lockdown period I got up to 300 calls a week despite the regular virtual town hall briefings for staff across Burkina Faso.”

He explained that despite UNAIDS’ size and lack of resources compared to other agencies, knowing about infectious diseases has helped greatly. He quickly requested focal points from different organizations and set up a United Nations taskforce against COVID-19. “I have been able to tap into a solid group of motivated people to help me and it has made all the difference.”

For Yafflo Ouattara, the COVID-19 coordinator role suits UNAIDS country directors perfectly. “We are used to getting buy-in from our Cosponsors, so joint teamwork is part of our DNA,” he said. His main task in Chad has been expanding intensive care units and setting up a strong referral system for the management of severe cases. Nearly 7000 United Nations employees and dependents are spread out across the country, some in places where there is no overnight care.

Like others, he also helped out with the national COVID-19 contingency plan to ensure that people living with HIV have access to treatment and care.

He said that the pandemic highlighted gaping holes in the country’s health system. “Not only were key investments in intensive care never made, some of the basics, like gloves, masks, soap, have been missing all along.”

Living in a COVID-19 world means a lot of readjustments. “We have an opportunity to step in and make our voices heard to overhaul systems,” Mr Ouattara said.

Medhin Tsehaiu agrees. She has been proud to see UNAIDS be part of the greater discussion.

“We are present and we are very actively and willingly doing our share,” she said. But she believes that COVID-19 has forever changed how people work.

All the virtual meetings and no travel has meant that people were much more available, so there was non-stop communication, but it was very time-consuming, she explained. “The crisis brought us together, whether we like it or not, and that has required a lot of collaboration,” Ms Tsehaiu said.

Aside from her long list of tasks as a COVID-19 coordinator, she and a few others started the United Nations Kenya solidarity fund. After much back and forth, they opened a bank account where staff can choose to contribute money during a three-month period that will be dispatched to people in need.

“It’s a way for employees to show empathy and support to the Kenyan people during these difficult times,” she said.

Speaking of solidarity, Ms Andreeva said that the pandemic really tested United Nations reform at the country level, not just in terms of responding to the pandemic but also regarding duty-of-care issues. According to a survey in May, 90% of the staff in Cambodia said that the United Nations leadership at the country level is making the right decisions managing the crisis.

During a virtual town hall meeting of 300 United Nations staff members in El Salvador recently, there was also positive feedback. Ms Miranda said she doesn’t ask for accolades or additional thanks. “I just enjoy helping people and seeing them recover, living their lives fully.”

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