All people, regardless of their age, gender, place of residence, sexual orientation or other status, have one body, one life. It does not matter if someone has HIV or breast cancer, a sexually transmitted infection or diabetes—people, no matter what their health needs, require comprehensive health solutions that are accessible, available, acceptable and of good quality. States have a duty to respect, protect and fulfil the right to health of everyone. And the world has committed to Sustainable Development Goal 3, to ensure good health and well-being for all.
The Road Map was prepared through a consultative process that brought together more than 40 countries and organizations, including civil society organizations, networks of people living with HIV, faith-based organizations, networks of key populations and international organizations and foundations, to chart the way forward to achieving global HIV prevention goals by 2020. Country assessments and national consultations were organized in participating countries towards reaffirming national leadership for HIV prevention, reviewing progress and discussing accelerated action for prevention. Thematic consultations and case study reviews were also conducted to develop key elements of the Road Map, most of which are also contained in a global results framework first proposed in a journal article in 2016.
Over the course of the three days of the meeting, a shared understanding was achieved that strong measures and targets for HIV service coverage and the impact target for ending AIDS as a public health threat are already in place. There was agreement that a new summary metric that signals countries’ progress towards ending AIDS as a public health threat and ultimately zero new HIV infections, zero discrimination and zero AIDS-related deaths would be a useful addition to (a) dispel the notion that AIDS is no longer a problem or that a tipping point of certain success will soon be reached, and (b) to help drive policy-makers and galvanize continued political commitment and financial investment in the HIV response.
This report compiles the latest body of evidence on how stigma and discrimination create barriers across the HIV prevention, testing and treatment cascades and reduce the impact of the AIDS response. The report also brings together best practices on confronting stigma and discrimination, providing a valuable resource for programme managers, policy-makers, health-care providers and communities. The evidence shows that the establishment of people-centred service delivery models, supportive legal and policy frameworks, monitoring and enforcement mechanisms, and sensitization training for health-care workers and other duty bearers can promote inclusion and increase access to services.
This report highlights existing key evidence on the relationship between disability and HIV. It discusses the concrete steps needed for a person-centred, disability-inclusive HIV response that allows for increased participation of people with disabilities and integrates rehabilitation within the continuum of HIV care.
Despite significant progress in combatting HIV, driven in large part by increased investments, the epidemic remains a global emergency and several challenges threaten future progress. One such challenge is an ongoing resource gap; UNAIDS estimates that although US$19.1 billion from both international and domestic sources was available to address HIV in low- and middle-income countries in 2016, US$26.2 billion will be needed annually by 2020 (to be gradually reduced by 9% by 2030) to meet global targets to end AIDS as a global publiche alth threat by 2030.
The primary purpose of antiretroviral therapy is to keep people living with HIV in good health. In the large majority of people living with HIV, antiretroviral medication can be chosen that reduce the amount of HIV in the blood to levels that are undetectable by standard laboratory tests.
People who use and inject drugs are among the groups at highest risk of exposure to HIV, but remain marginalized and out of reach of health and social services.
Under international human rights law, countries have a legal obligation to address discrimination in health care and the workplace. They are also obliged to refrain from withholding, censoring or misrepresenting health information—for example, stating that use of condoms does not prevent the spread of HIV and other sexually transmissible infections is not permitted.
By 2020, 90% of all people living with HIV will know their HIV status. By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy. By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.
