NEW YORK/GENEVA, 27 September 2024—At the 79^th United Nations General Assembly (UNGA79) and the Summit of the Future in New York, global leaders called for the revitalization of multilateralism to address pressing global crises, drawing on the success of the global AIDS response as a model of hope and global solidarity.

"Multilateralism is not a theory – it is the way we save lives and keep the world secure,” Winnie Byanyima, Executive Director of UNAIDS, told the General Assembly. “When leaders work together for a common mission – anything is possible.”

At a special event convened by UNAIDS, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria on 24 September 2024, leaders from governments, communities, business, and international organizations all testified to how multilateralism had driven the extraordinary gains made in the fight against AIDS, and how the path to addressing other global challenges had been illuminated by the global HIV response.

“The AIDS response shows what is achievable when leaders unite, when communities are empowered, when inequalities are tackled, when human rights are protected and when science-based policy is backed by political will,” said United Nations Deputy General-Secretary, Amina Mohammed.

UNAIDS data shows that at the end of 2023, more than 30 million people were accessing life-saving HIV treatment, compared to just 7.7 million in 2010. The data also show that since 2010, AIDS-related deaths have been halved, and new HIV infections among children have been reduced by 62%.

Across the week of the UN General Assembly, leaders set out concrete commitments to ending AIDS by 2030. These include closing gaps in access to HIV prevention, treatment and care, ending stigma and discrimination, accelerating innovation and access to new HIV technologies, and mobilizing domestic and donor resources for the HIV response.

UNAIDS set out how ensuring the end of AIDS as a public health threat, and enabling the success of the Sustainable Development Goals, require bold action to tackle global inequalities. Ms Byanyima shone a light on the financing crisis which is choking sub-Saharan Africa, leaving health and HIV services chronically underfunded. "Public debt needs to be urgently reduced and domestic resource mobilization strengthened to fully fund the global HIV response and end AIDS by 2030," said Ms. Byanyima.

Two young HIV activists, Ibanomonde Ngema from South Africa and Jerop Limo from Kenya, supported by UNAIDS to meet leaders at the UN General Assembly, called on governments to work with young people as partners. "Young people are key to ending AIDS. Leaders need to listen to us and include us in policy-making to ensure the progress made is sustained," said Jerop Limo.

Watch Special Event: Revitalized Multilateralism: Recommitting to Ending AIDS Together

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.

Global leaders unite to recommit to ending AIDS during the 79^th United Nations General Assembly in New York

NEW YORK/GENEVA, 24 September 2024—The extraordinary advances made in the global HIV response are a success story of multilateralism. At the end of 2023, 30.7 million people out of a total of 39.9 million people living with HIV worldwide were on life-saving treatment — four times higher than the 7.7 million who were on treatment in 2010. Since 2010, AIDS-related deaths have been halved and new HIV infections among children have been reduced by 62%.

At a special event at the UN General Assembly, co-convened by the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria, leaders pledged to sustain and accelerate investments, political leadership and policy reforms that will continue the momentum needed to end AIDS and sustain progress beyond 2030.

UNAIDS data shows that the end of AIDS as a public health threat is achievable by 2030, if countries, communities and partners close the gaps holding back progress.

The United Nations Deputy General-Secretary, Amina Mohammed, said the AIDS movement stood out as a beacon of hope and resilience and thanked leaders for committing to end AIDS by 2030: “The AIDS response has been a powerful testament to what is achievable when leaders unite, when communities are empowered, when inequalities are tackled, human rights are protected and when science-based policy is backed by political will.”

UNAIDS Executive Director Winnie Byanyima told the leaders making commitments, “you have proven the power of global solidarity, you have shown that multilateralism is not a theory – it is the way we save lives and keep the world secure. Ending AIDS is a political and financial choice. Today I am confident that you will make it a reality.”

Jerop Limo, a young Kenyan activist living with HIV, reminded leaders about the life-changing impact of progress in the HIV response: “As world leaders, your achievement in the HIV response is not only measured in numbers. Those numbers are me.”

Countries, communities and partners from around the world shared renewed commitments, include ensuring HIV prevention and treatment reaches everyone in need; ending HIV-related stigma and discrimination; accelerating research and innovation; and mobilizing additional domestic resources for HIV to sustain the progress in the HIV response.

A selection of quotes from leaders

President George W. Bush, in a video message recorded for the event, emphasized the need for steadfast commitment to reach global goals:

“In 2003, my administration launched PEPFAR with bipartisan support from Congress. Nearly 22 years later, PEPFAR has saved more than 25 million lives, and more than 5 million babies have been born HIV free. We are on the verge of an AIDS-free generation but at this critical moment the people of Africa still need our support. We should be proud of PEPFAR’s tremendous successes, and we should keep going until the job is done.”

William Ruto, President of Kenya:

“The undeniable success and impact of Kenya’s response to HIV demonstrates the potential of strong partnership. I must emphasize that our steadfast commitment to multilateralism has been the cornerstone of these achievements, enabling us to implement high impact interventions that have saved lives.”

Russell Dlamini, Prime Minister of Eswatini:

“The HIV response is our collective responsibility. Our journey is far from over and HIV/AIDS remains unfinished business. The 2030 target of ending AIDS as a public health threat may not be achieved unless we revitalize multilateralism and multisectoral approaches. Predictable and sustained funding for HIV/AIDS must be increased. Today I would like to take this opportunity to ask all stakeholders to recommit to supporting the HIV response.”

Terrance Michael Drew, Prime Minister of St Kitts and Nevis:

“It will be challenging for the Caribbean to maintain the gains we have made without the continued relationship with the international community. We have gained much but if we take our eyes off the ball we can lose much and what we have gained we should try not to lose. We cannot take our foot off the pedal but must continue to press until we get to the point where HIV/AIDS is no longer a public health crisis.”        

John Nkengasong, Ambassador-at-Large and Coordinator of United States Government Activities to Combat HIV/AIDS Globally:

“We cannot be tired in the fight against HIV/AIDS. HIV/AIDS will not be tired with us. It is here with us. On behalf of PEPFAR we are committed to sustaining people on life saving treatment. Second, we are committed to working in partnership with everyone here to ensure we close the inequity gaps.”

Peter Sands, Executive Director of the Global Fund to fight AIDS, TB and Malaria:

“Two decades ago, AIDS was claiming millions of lives with devastating consequences for families and communities around the world. Together, we joined forces and rejected this injustice, forcing this disease into retreat. That remarkable progress we have made can be an inspiration for ending AIDS as a public health threat for good. It is a goal within our grasp. That requires reaching all people in need of HIV prevention and treatment services and breaking down all barriers to health services.”

Ms. Minata Cessouma Samate, African Union Commissioner for Health, Humanitarian Affairs & Social Development:

“There has been major progress in the last four decades of the AIDS response but to end AIDS this commitment must continue. On the African continent we need continued engagement and funding—for primary healthcare and to end AIDS. The AU commission is engaged but we need international support to ensure that everyone has access to quality HIV treatment and healthcare services and we need the transfer of technologies to be able to produce quality treatments on the continent. It is multilateralism that will allow us to end AIDS in Africa.”

Dr. Aaron Motsoaledi, Minister of Health of South Africa:

“South Africa has the largest burden of HIV in the world with 7.8 million people living with HIV and 5.8 million are on antiretroviral treatment, and we are in the process of putting 2 million more people on treatment. With domestic financing and with solidarity from multilateralism we are very confident that we can end AIDS by 2030.”

Dr. Shrimati Anupriya Patel, Minister of State for Health of India:

“This platform emphasizes the multilateralism needed to achieve the SDG goal of ending AIDS as a public health threat by 2030. Breaking the silence and building synergies is the mantra of the government of India and we are committed to achieving the target of ending AIDS as a public health threat by 2030. It is imperative to consolidate the gains made in this journey. I’m confident that with our collective efforts and genuine partnerships, we can build a future towards a healthier world.”

Mr. Pierre Dimba Minister of Health of Côte d’ Ivoire, Public Hygiene and Universal Health Coverage:

“Today’s focus on multilateralism is critical, because multilateralism has enabled important progress in the fight against AIDS. But the last few miles will be difficult because the challenges are many. We have put in place a plan, including a financing plan and have strengthened our surveillance systems and integrated health services which allows us to work more globally in our approach to HIV prevention, testing and treatment. But we need support from partners to strengthen our capacities and to allow us to benefit from new innovations so that our country isn’t left behind.”

Dame Emma Walmsley, Chief Executive Officer, GSK: 

“Our commitment to get ahead of HIV together and ending the AIDS epidemic by 2030 is underpinned by three simple priorities. First, we believe in innovation, inspired by what matters most to the people that we serve. We are developing longer acting options exploring new types of innovative drugs that offer the option to treat at home and our focus on finding a cure is relentless. Secondly, we are committed to enabling access to our medicines, there is no point in innovation without it, regardless of who you are or where you live.  Lastly, and that is what this is all about here today, we get ahead of disease together with the power of partnership. Working across sectors we enable the fastest rollout of a child friendly treatment now available in 90 countries and our commitment to communities is unwavering.”

Daniel O'Day, Chief Executive Officer, Gilead Sciences:

“Upon approval our intention is to make Lenacapavir available at no profit to Gilead in the countries where the need is greatest and until voluntary licensing partners can supply high-quality low-cost versions. We are working around the clock to finalize the direct voluntary licensing costs agreements that will facilitate rapid transfer of technology, allow Gilead to support licensees and getting up to speed quickly and help provide a robust network of manufacturers that is able to produce high volumes at competitive costs. It is my great hope and belief that we are on the brink of the next great advancement in the global fight to end HIV/AIDS.” 

Silas Holland, Executive Director, Infectious Disease and Neuroscience Policy, Merck:

"Since 1985, Merck has been engaged in research and development efforts that have led to significant discoveries transforming the way that HIV is treated. The company is committed to continuing to invest in all stages of R&D to discover, develop and enhance access to innovative HIV treatments and prevention options, as well as developing novel agents for a cure, aiming to improve the lives of people living with HIV. Merck remains committed to collaborative efforts to end AIDS as a public health threat by 2030."

Rev. Gibstar Makangila, Executive Director, Circle of Hope, and Faith Representative, Zambia: 

“Our commitment in the faith community and faith-based organizations is that by 2050 we expect 1 billion young people to be living in Africa. What are we going to do about that? What we propose is a new energy, a new engagement that is based on equity, love, tolerance and inclusiveness. As faith-community we are cognizant of the changing dynamics on the ground and therefore our commitment is that we will support all programmes based on an inescapable responsibility and also empathy, compassion, integrity, passion and ethics.” 

Ms. Youk Sambath, Secretary of State, Ministry of Health, Cambodia:  

“Cambodia has made huge progress in its national AIDS response. New HIV infections have been reduced by 46% and AIDS deaths by 36% from 2010 to 2023. Cambodia is one of seven countries worldwide to first reach the targets of 90-90-90 in 2017. I thank PEPFAR, the Global Fund, UN agencies and UNAIDS, without whom these results would not have been possible.” 

Ms. Laura Rissanen, State Secretary, Ministry of Social Security, Finland:

“Today we are still facing many challenges—the global HIV response is at a crossroads and there is no time to waste. The ambitious goal to end AIDS by 2030 as a public health threat can only be achieved by putting human rights and gender equality at the core of HIV response efforts. Finland is strongly committed to enhancing human rights, in particular the rights of women and girls, LGBTQI people, and people living with HIV. We therefore value and support the human rights advocacy efforts of UNAIDS. We must all continue to pull together in these difficult times to ensure that we will reach the finish line leaving no-one behind.”

Mr. George Ternes, Director General for Development Cooperation and Humanitarian Aid, Ministry of Foreign Affairs, Luxembourg:

“We have all the tools and knowledge. We have everything we need to end AIDS by 2030. The message is that Luxembourg will be there. You can count on our continued support. It is normal that at the end of a fight, you confront the most difficult task. Now there are some really critical ones and the stigma that keeps you from living a normal life in society because you are under treatment for HIV/AIDS – it’s still existing, it’s a major obstacle.” 

Ms. Carina Connellan, Director of the Multilateral Unit in the Development Cooperation and Africa Division, Department of Foreign Affairs of Ireland:

“UNAIDS is a longstanding and highly valued partner of Ireland. Ireland is committed to HIV prevention, especially for those at risk including adolescent girls and young women. Health systems strengthening is a priority for Ireland and we know that effective collaboration among global health actors is vital for strong and resilient health systems. It is very important to acknowledge successes, but we know that significant challenges remain. Ireland’s focus will be very much on reaching those who are furthest behind first. Ireland will continue to be a close partner of UNAIDS, and we will work together with affected communities and all stakeholders to end AIDS.”

Mr. Jean Bernard Parenteau, DG for Health and Nutrition, Global Affairs Canada: 

“What really concerns us is the increased vulnerability of women and girls due to the stigma of accessing sexual and reproductive health services, which continues to threaten progress. This is one of the reasons that motivates Canada to commit to making the Global Fund replenishment a success. This also motives Canada to continue its 10-year commitment to global health and rights in the fight against AIDS. Comprehensive sexual and reproductive health and rights are key to the AIDS response. With a feminist approach, a rights-based approach, Canada is committed to 2030 and beyond.”

Mr. Haoliang Xu, Associate Administrator, UNDP, on behalf of UNAIDS co-sponsors:

“The Summit of the Future is about the future of multilateralism, so this is the first concrete step to follow up on the implementation of the pact for the future. For HIV we know the job is not done. Every minute someone dies of AIDS and 1.3 million new HIV infections occur every year so there is a lot still to be done. The co-sponsors of UNAIDS commit to multilateralism and to ending HIV as a public health threat by 2030 and to sustain progress beyond 2030. We are committed to scaling up programmes to achieve results because HIV is about livelihoods, it’s about rights and it’s about dignity. We are committed to working effectively to achieve the task we set out to achieve.”  

The quotes shared above are only a sample from an event which featured commitments by dozens of leaders which are being compiled. UNAIDS will continue to update and share details.

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.

GENEVA, 19 September 2024—Growing public debt is choking sub-Saharan African countries, leaving them with little fiscal room to finance health and critical HIV services. A new report by UNAIDS, Domestic revenues, debt relief and development aid: Transformative pathways for ending AIDS by 2030 Eastern and Southern Africa | Western and Central Africa , shows that the debt crisis is putting in jeopardy progress made towards ending AIDS.

Sub-Saharan Africa accounts for the largest number of people living with HIV, with more than 25.9 million people of the 39.9 million living with HIV globally. The region’s success in having reduced new HIV infections by 56% since 2010 will not be sustained if fiscal space is constrained. 

The report, released ahead of the 79^th session of the United Nations General Assembly in New York, shows that the combination of growing public debt payments and spending cuts set out in International Monetary Fund agreements in the next three to five years will, if unaddressed, leave countries dangerously under resourced to fund their HIV responses.

“When countries cannot effectively look after the health care needs of their people because of debt payments, global health security is put at risk,” said UNAIDS Executive Director Winnie Byanyima. “Public debt needs to be urgently reduced and domestic resource mobilization strengthened to enable the fiscal space to fully fund the global HIV response and end AIDS.”

Debt servicing now exceeds 50% of government revenues in Angola, Kenya, Malawi, Rwanda, Uganda, and Zambia.  Even after debt relief measures, Zambia will still be paying two-thirds of its budget on debt servicing between 2024 and 2026.

There has been a noted decline in HIV response spending since 2017 in Western and Central Africa, from 0.3% of GDP in 2017 to just 0.12% in 2022.

Western and Central Africa will need to mobilize US$ 4.18 billion to fully fund the HIV response in 2024. This will climb to US$ 7.9 billion by 2030 unless efforts are scaled up today to stop new HIV infections.

While US$ 20.8 billion was available for the HIV response in 2022 in low and middle-income countries through both domestic and international sources, this funding was not enough to sufficiently finance the HIV response. Western and Central Africa for example had a funding shortfall of 32% in 2022.

In 2024 alone, Eastern and Southern Africa will need to mobilize almost US$ 12 billion to fully fund the HIV response. This amount will climb to around US$ 17 billion by 2030 unless new HIV infections are reduced.

To enable increased domestic resource mobilization for countries to respond effectively to their pandemics, sub-Saharan African countries will need to strengthen their tax systems, including closing tax exemptions which currently cost countries an average of 2.6% of GDP in lost revenue across the region.  Donors need also to scale up financial assistance for health and the HIV response between now and 2030, while creditors should offer debt relief to heavily indebted countries to ease the burden.

“World leaders cannot let a resource crunch derail global progress to end AIDS as a public health threat by 2030,” said Ms Byanyima.

Report launch

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.

NEW YORK/GENEVA, 19 September 2024—With support from UNAIDS, two young social media influencers living with HIV are on their way to the United Nations General Assembly and the Summit of the Future in New York to urge world leaders to partner with them in the response to HIV. Ibanomonde Ngema from South Africa and Jerop Limo from Kenya will call on leaders to invest in youth-friendly health systems, provide holistic services for young people living with HIV, and to partner with young people and communities, allowing them to lead in the response to HIV.

“Young people’s powerful and vibrant activism has driven so much of the progress made in the HIV response,” said Winnie Byanyima, Executive Director of UNAIDS. “They know what works for them. It is essential for leaders to listen to them to understand the specific challenges that young people face and how those challenges can be overcome. Leaders can only successfully plan how to end AIDS and sustain the advances made by partnering with young people living with HIV.”

“I am representing not only the voices of 1.5 million Kenyans living with HIV but all people living with HIV,” said Jerop Limo, a young Kenyan HIV activist. “I want leaders to leave New York knowing that we are not beneficiaries, we are equal rights holders. We have a voice, we have skills and expertise and we need an equal playing field where our data is valued, where our input is valued and where our voices are heard. We want meaningful and ethical engagement of adolescents and young people in all spaces of the AIDS response.”

Young people, especially adolescent girls and young women, are disproportionately affected by HIV. Globally, 44% of all new HIV infections were among women and girls (all ages) in 2023 and every week 4000 young women and girls around the world are infected with HIV—3100 are in sub-Saharan Africa. In 2023, some 3.1 million adolescents and young people (15-24 yrs) were living with HIV—1.9 million were adolescent girls and young women.

“Governments meeting here in New York cannot end AIDS alone. They need to involve us to find solutions. We have lived experiences of HIV, from treatment to mental health, because we navigate life with HIV every day. We need to be included in policymaking so that we can take full ownership of ending end AIDS as a public threat,” said Ibanomonde Ngema, a young South African AIDS activist. “The world can only benefit when young people are included in the global HIV response. No conversation about HIV should take place without us, from policy to practice in communities.”

Too often young people report facing stigma and discrimination, including from doctors and healthcare workers, when they access sexual and reproductive health and HIV services. This discourages them from seeking support and crucial information about their health, putting them at risk of HIV infection or of defaulting on treatment for those who are living with HIV.

Involvement of young people in the HIV response

Young people living with HIV play a critical role in the fight against AIDS in communities. They offer support and share important information about HIV that schools or parents might not talk about. They also challenge stigma and discrimination through social media, helping to save lives and encourage young people to stay on treatment.

They drive innovation in communities, for example, a self-funded project by the Youth Empowerment Group uses e-bikes to deliver antiretroviral medicines, food and adherence support to young people who often cannot attend clinics because their schooling hours conflict with clinic opening times in Namibia.

However, their transformational work is being held back because it is not being sufficiently supported. Youth-led HIV responses often operate with little or no financial and political support. At the UNGA the two young people will call on world leaders to fully support and fund their work. They will also urge leaders to uphold the human rights of young people as key to ending AIDS as a public health threat—they will call on them to protect young people’s right to healthcare, education, freedom of speech, and to provide social support to young people living with HIV.

“Providing treatment is not enough, young people living with HIV need an education and they need a job to survive,” added Jerop Limo. “We need to be seen as equal contributors and partners, and we need investment to allow us drive change. We are the leaders of the future and we need to be included now to help shape a better future for us all.”

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.

GENEVA/MUNICH, 26 July 2024—At the 25th International AIDS Conference (#AIDS2024), UNAIDS urged all participants to stay committed because the end of AIDS is within grasp. UNAIDS called on leaders to embrace new scientific developments to prevent HIV, ensure that the work to end AIDS is fully resourced, and to ‘stand for justice’ to end harmful laws preventing people from accessing lifesaving HIV services.

On the first day of the conference, UNAIDS released a new report, ‘The Urgency of Now: AIDS at a Crossroads’ showing that the decisions taken by world leaders this year will decide the fate of millions of people and determine whether world leaders will meet their commitment to end AIDS as a public health threat by 2030. Data from the report was used to highlight this critical message in sessions and plenaries throughout the conference.

At the opening ceremony, the Executive Director of UNAIDS Winnie Byanyima set a tone of determination and collective action saying, “The path that ends AIDS is well sign-posted, it is proven and it has been promised. Success or failure will be determined by which path leaders take today. Let us continue walking the path of solidarity, together and with urgency.”

A major focus of the conference was on lenacapavir, an injectable medicine taken once every six months which has shown in trials to be 100% effective in preventing HIV. UNAIDS called the new drug a ‘game-changer’ and urged manufacturer Gilead to make it affordable and available as soon as possible to the millions of people who could benefit from it.

“We still have 1.3 million new HIV infections per year. We want this 'miracle' prevention drug to reach all those who need it, now - not in 6 years!” said Ms Byanyima. “Gilead needs to move quickly to license lenacapavir to generic producers. Generic producers bring the price down and serve all countries where the majority of people who are at risk live.”

UNAIDS called for equity and human rights, engaging discussions on reducing stigma and discrimination, and ensuring human rights for all people affected by HIV, particularly the most marginalized and the most vulnerable to HIV including women and girls, men who have sex with men, sex workers and people who use drugs.

Echoing this call the German Chancellor Olaf Scholz said, “What we really have to keep working on is the fight against discrimination and stigma. This applies to each and every individual living with HIV.” He added, “Every single person must be protected – no matter where they come from, no matter how healthy they are, no matter who they love.”

He announced that Germany would be joining the UNAIDS Global Partnership for Action to Eliminate all Forms of HIV-related Stigma and Discrimination and that Germany would ‘continue to be a reliable partner to UNAIDS’.

UNAIDS also highlighted the leadership role communities play in reaching people with HIV services and countries to ensure that community organizations are fully engaged, fully funded and have a seat at the table in all decision-making processes affecting people living with and at risk of HIV.

Across, the conference programme, UNAIDS collaborated with PEPFAR on the shared priorities in the AIDS response, as we work together to accelerate toward 2030 and sustain the gains beyond. UNAIDS is grateful to Ambassador Nkengasong for his continued leadership and partnership in the response to HIV.

This year's conference, which took place in Munich, Germany from 22-26 July 2024, brought together 15 000 global leaders, scientists, advocates, and communities under the theme Put People First! to advance progress towards the shared global goal of ending AIDS by 2030.

Winnie Byanyima expressed her gratitude to all participants and reaffirmed UNAIDS' commitment to ending AIDS. "This conference has been a testament to the power of unity, innovation, and resilience. Together, we have made significant strides, and we leave Munich with renewed energy and determination to achieve our goal of ending AIDS by 2030," said Ms Byanyima.

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.

GENEVA/MUNICH, 24 July 2024—An estimated 1.3 million people became infected with HIV in 2023, three times more than the target of fewer than 370 000 by 2025. While there has been marked progress in sub-Saharan Africa, for the first time, in 2023 more than half of the new HIV infections occurred outside of sub-Saharan Africa.

Rising new HIV infections are evident in several countries, particularly in countries where key populations including men who have sex with men, sex workers, transgender people and people who use drugs, are most affected, and investment in prevention was lower. Key populations and their sexual partners now represent the majority (55%) of new HIV infections globally, up from 44% to 2010.

The Global HIV Prevention Coalition (GBC), established in 2017, is addressing the HIV prevention crisis. Focusing on 40 countries the GPC, a coalition of United Nations Member States and partners including UNAIDS, donors, civil society and private sector organizations, is working to strengthen and sustain political commitment for HIV prevention.

“The HIV epidemic has evolved – now more than ever, we need resilient capacity to deliver and manage integrated, differentiated and equitable HIV prevention interventions,” said Prof. Sheila Tlou, GPC Co-chair and Former Minister of Health, Botswana.

There has been great variation in progress among GPC member countries; the biggest declines occurred in countries within eastern and southern Africa including Kenya, Malawi and Zimbabwe, where new HIV infections were reduced by more than 66% and which are on track to achieve the global target of 90% reduction by 2030 – and, to a lesser extent, in western and central Africa. Expansion of access to effective HIV treatment, combined with an ongoing focus on primary prevention, are driving those achievements.

“The moment of opportunity for HIV prevention is now,” said Angeli Achrekar, UNAIDS Deputy Executive Director for Programmes. “Today, we have a wider range of prevention options including new long-acting antiretroviral prevention—with the new results about lenacapavir—a twice yearly injection to prevent HIV—providing a promising game-changing option—and new opportunities to communicate about HIV prevention and health.”

Long-acting technologies like pre-exposure prophylaxis (PrEP) will play a major role in preventing new infections in the coming years. Access is increasing, but only in a few countries. Around 3.5 million people were accessing PrEP (antiretroviral medicine which prevents HIV) in 2023 up from just 200 000 in 2017, but this remains far short of the 10 million target set for 2025.

New HIV prevention products in the pipeline such as long-acting injectable cabotegravir (CAB-LA) and most recently, lenacapavir, are raising expectations due to their combination of convenience and high efficacy. However, the key is accessibility and affordability. The cost of the new long-acting injectable PrEP options, and the speed with which they are made available to potential users in the countries with the most need will be critical in expanding access to these life-saving technologies.

Persistent gaps remain in HIV prevention coverage (only 61% of areas with high incidence of HIV have programmes for young women, less than half of sex workers, and only about a third of gay men and other men who have sex with men and people who inject drugs regularly access prevention in GPC focus countries).

Condoms remain the most effective low-cost HIV prevention tool, however global condom procurement or distribution in low- and middle-income countries declined by an average of 27% between 2010 and 2022 and procurement by major donors fell by an average 32% in that period. Socially marketed distribution declined from a peak of about 3.5 billion condoms in 2011 to about 1.8 billion in 2022.

Condoms, PrEP, post exposure prophylaxis, antiretroviral therapy to ensure viral suppression thus preventing transmission of the virus, harm reduction and voluntary medical male circumcision are all HIV prevention options that should be real choices available for people at risk of HIV infection. Addressing structural and gender inequalities faced by these priority and key populations is essential in ensuring access to prevention services. The urgency to secure and sustain gains for HIV prevention cannot be overemphasized – programmes need to be community-led and country-led.

“No matter how good the science or community leadership, HIV will not end unless we have significant policy change to reverse criminalization and lessen stigmatization of affected populations. If we can’t protect human rights, then we can’t end HIV. This is never just about the virus—it’s about people, and the people must lead,” said Mitchell Warren, GPC co-chair and Executive Director, AVAC.

An enormous unmet need for resources for HIV prevention and societal enabler programmes in almost all regions persists. An estimated US$ 2.4 billion was available for primary prevention programmes in low- and middle-income countries in 2023 compared to the estimated need of USD 9.5 billion in 2025. Investing in HIV prevention now is essential to scale up programmes.

If 1.3 million people continue to acquire HIV every year, the response will become more challenging, more complex and more costly in 2030 and 2050. Increased investments in HIV prevention, strengthened political leadership, enabling legal and policy environments are urgently needed to effectively implement programmes. The time to act is now!   

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.

MUNICH, 22 JULY 2024 – A new United Nations report released today shows that the HIV response in Eastern Europe and Central Asia is critically off track. Data in UNAIDS’ global report The Urgency of Now: AIDS at a Crossroads reveals that in this region, new HIV infections have risen by 20% and AIDS-related deaths have risen by 34%, since 2010. Only half of the 2.1 million people living with HIV in the region are accessing treatment, and only 42% of all people living with HIV in the region have suppressed viral load, the lowest rate globally. The report shows that it is still possible to end AIDS as a public health threat by 2030, but only if governments reform laws to protect everyone’s human rights and increase resources to ensure services are available for all.

“The promise to end AIDS is off track in Eastern Europe and Central Asia. But leaders can get on the path that ends AIDS. Programmes need to focus especially on people most affected by HIV, who are often the most marginalized and vulnerable. Community organizations need to be properly funded, supported and enabled to provide HIV services to people affected by HIV. The barriers of stigma and discrimination need to be broken down,” said Winnie Byanyima, UNAIDS Executive Director. 

The new data shows that in 2023, there were 140,000 new HIV infections across the region, with 93% occurring in Russia, Ukraine, Uzbekistan, and Kazakhstan. Eight out of 13 countries in the region reported increases in new infections.

Because stigma, discrimination and harmful punitive laws obstruct marginalised communities’ access to vital services, 94% of new infections were among people from key populations - including men who have sex with men, people who inject drugs, and sex workers - and the sexual partners of people from key populations. Only 58% of sex workers, 43% of gay men, 52% of people who inject drugs, and 65% of transgender people receive HIV prevention services. Only 12% of resources are dedicated to prevention programmes for key populations.

The criminalization of small amounts of drug possession for personal use, of sex work, and of HIV transmission and exposure, are driving the people most in need underground and out of reach of HIV services. All 16 countries in the region criminalize sex work, 13 criminalize the non-disclosure, exposure, or transmission of HIV, and 7 criminalize small amount of drug possession for personal use. Studies show criminalization increases HIV prevalence among key populations. Unless countries can ensure fear-free access to HIV prevention services for everyone, new infections will continue to grow.

“Restrictive legal environments and stigma are obstructing progress in the region,” said Eamonn Murphy, UNAIDS Regional Director for Eastern Europe and Central Asia and Asia Pacific. “Restrictive laws, along with aggressive policing and stigma, push people away from medical care. If people are pushed underground, the HIV response will not succeed.”

Powerful prevention technologies like PrEP are also not widely accessible for the same reason.  Criminalization fuels stigma, with many avoiding medical care due to discrimination. Nearly half of people surveyed who inject drugs in Kyrgyzstan and 32% of people living with HIV in Tajikistan reported avoiding medical care due to stigma and discrimination. UNAIDS data shows that people in key populations are experiencing high levels of violence.

"Supporting the leadership of communities is essential for reaching marginalised people providing vital outreach services. Without community leadership and the integration of community services into the health system, reaching these groups is too difficult," said Yelena Rastokina, lead of the ‘Answer-Kazakhstan’ Association.

Recent years have seen worrying restrictions of civic space and limits to communities’ involvement in public health initiatives, including those related to harm reduction, access to public health services for LGBTQ+ people, sex workers and other marginalised people. Restrictive systems at local, national, and regional levels are holding back communities’ contribution to public health.

Ganna Dovbach, Executive director of the Eurasian Harm Reduction Association, highlighted: “The shrinking of civic space and attacks on human rights threaten our response to HIV, which is based on community-led or civil society provided services. Addressing these interconnected issues is essential for a sustainable response to the AIDS epidemic in our region.”

The region’s HIV response has also been hurt by the war in Ukraine.

But despite the conflict, Ukraine remains committed to its HIV response. Through a strong coalition of the government, civil society, international organizations and donors, HIV services have been maintained, with 143,600 people receiving treatment in 2023. This collaboration has ensured vital supplies of antiretroviral and tuberculosis medicine, and opioid agonist therapy, contributing to uninterrupted HIV treatment and other services. As of January 2024, 7,900 Ukrainian refugees in other countries and 1,900 returnees were accessing antiretroviral therapy.

Many community organizations working on HIV in Ukraine refocused their efforts to addressing humanitarian issues and supporting community members while continuing national advocacy for access to HIV services and the protection of human rights.

With support from the UNAIDS and other donors ALLIANCE.GLOBAL oversees a network of five specialized shelters across the country, providing shelter, humanitarian aid, and access to specialised services, including HIV prevention and treatment, for key populations and LGBTQ+ people who are internally displaced.

Despite the war, ALLIANCE.GLOBAL together with other community-led organisations continue advocating for laws that better protect LGBTQ+ people from intolerance and from hate crimes, to enhance access to public health services, including HIV-related services.

UNAIDS new report calls on leaders to develop sustainable plans for the HIV response to2030 and beyond. These plans should include enabling legal environments, support for community-led response and a boost in domestic funding. Repealing laws and norms that prevent people from accessing services is crucial.

“Ensuring access to services and treatment for all is how we end AIDS,” said Mr Murphy.

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.

Despite significant gains in many countries, critical gaps continue to undermine efforts to end AIDS in children

GENEVA/MUNICH, 22 July 2024—Despite progress made in reducing HIV infections and AIDS-related deaths among children, a new report released today by the Global Alliance for Ending AIDS in Children by 2030 shows that an urgent scale up of HIV services in countries worst affected by the pandemic is required to end AIDS by 2030.

The report, Transforming Vision Into Reality, shows that programmes targeting vertical transmission of HIV have averted 4 million infections among children aged 0-14 years old since 2000. Globally, new HIV infections among children aged 0-14 years old have declined by 38% since 2015 and AIDS-related deaths have fallen by 43%.     

Among the 12 Global Alliance countries, several have achieved strong coverage of lifelong antiretroviral therapy among pregnant and breastfeeding women living with HIV, with Uganda nearing 100%, United Republic of Tanzania at 98%, and South Africa at 97%. Mozambique has achieved 90% coverage, with Zambia at 90%, Angola at 89%, Kenya at 89%, Zimbabwe at 88%, and Cote d'Ivoire at 84%.

“I applaud the progress that many countries are making in rolling out HIV services to keep young women healthy and to protect babies and children from HIV,” said UNAIDS Executive Director, Winnie Byanyima. “With the medicines and science available today, we can ensure that all babies are born – and remain – HIV-free, and that all children who are living with HIV get on and stay on treatment. Services for treatment and prevention must be ramped up immediately to ensure that they reach all children everywhere. We cannot rest on our laurels. The death of any child from AIDS related causes is not only a tragedy, but also an outrage. Where I come from, all children are our children. The world can and must keep its promise to end AIDS in children by 2030.”

Global Alliance countries are innovating to overcome barriers and accelerate progress towards ending AIDS in children. However, despite advances neither the world nor Global Alliance countries are currently on track to reach HIV-related commitments for children and adolescents and the pace of progress in preventing new HIV infections and AIDS-related deaths among children has slowed in recent years.

“Accelerating the delivery and uptake of HIV services for children and adolescents is a moral obligation, and a political choice,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “Twelve countries are demonstrating they have made that choice, but significant challenges remain. While we have made progress in increasing access for pregnant women to testing and treatment to prevent vertical transmission of HIV, we are still far from closing the paediatric treatment gap. We need to further strengthen the collaboration and reach of the Global Alliance, and we must do this work with focus, purpose and in solidarity with all affected mothers, children, and adolescents.”

Around 120 000 children aged 0-14 years old became infected with HIV in 2023, with around 77 000 of these new infections occurring in the Global Alliance countries. AIDS-related deaths among children aged 0-14 years old numbered 76 000 globally with Global Alliance countries accounting for 49 000 of these unnecessary deaths. Vertical transmission rates remain extremely high in some locations, particularly in Western and Central Africa, with rates exceeding 20% in countries including Nigeria and the Democratic Republic of the Congo.

“In the fight against HIV, we must do a much better job for children,” said Peter Sands, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, which provides funding for HIV programmes in over 100 countries through a country-led partnership model. “In support of national programmes, we have been procuring the latest dolutegravir-based paediatric treatment regimens at negotiated prices. Our investments in laboratory systems are helping ensure exposed infants are rapidly tested and that those that test positive are quickly initiated on age-appropriate antiretroviral treatment. Differentiated testing and treatment approaches are helping close the diagnostic gap and ensuring more child-centred service delivery.”

It is concerning that the treatment gap between adults and children continues to widen.

“Just 57 per cent of children living with HIV receive life-saving treatment, compared to 77 per cent of adults,” said UNICEF Associate Director HIV/AIDS, Anurita Bains. “Without early and effective testing and treatment, HIV remains a persistent threat to the health and well-being of children and adolescents and puts them at risk of death. To close the treatment gap, we must support governments to scale up innovative testing approaches and ensure children and adolescents living with HIV receive the treatment and support they need.”

In 2023, there were 210 000 new infections globally among young women and girls aged 15—24 years old (130 000 in Global Alliance countries), four times higher than the 2025 goal set at 50 000. Preventing new infections among this age group is critical both to protect the health and wellbeing of young women and to reduce the risk of new infections among children.

Gender inequalities and human rights violations are increasing women’s vulnerability to HIV and diminishing their ability to access essential services. Globally, nearly one in three women have encountered some form of violence during their lifetime, with adolescent girls and young women disproportionately affected by intimate partner violence. In the four Global Alliance countries with available data, countries are not currently on track to achieve the target of ensuring that by 2025 less than 10% of women, key populations and people living with HIV experience gender-based inequalities and gender violence.

"It has been remarkable to see how many more children's lives can be saved when all stakeholders and partners come together to commit to end AIDS in children. While much progress has been made, notably through the successful introduction of pediatric dolutegravir, large gaps still remain across the pediatric cascade and we must recommit ourselves with purpose and innovation to fulfill the promises we have made by 2025 and beyond,” said Ambassador John N. Nkengasong, United States Global AIDS Coordinator and Special Representative for Global Health Diplomacy.

The Global Alliance for Ending AIDS in Children by 2030 was launched in 2022 by WHO, UNICEF and WHO to reinvigorate the paediatric HIV agenda. It has now grown, and in addition to the United Nations agencies, the alliance includes civil society movements, including the Global Network of People living with HIV, national governments in the most affected countries, and international partners, including PEPFAR and the Global Fund. Twelve countries are members: Angola, Cameroon, Côte d'Ivoire, The Democratic Republic of the Congo (DRC), Kenya, Mozambique, Nigeria, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe.

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.

GENEVA/MUNICH, 22 July 2024—A new report released today by UNAIDS shows that the world is at a critical moment that will determine whether world leaders meet their commitment to end AIDS as a public health threat by 2030. The report, The Urgency of Now: AIDS at a Crossroads, brings together new data and case studies which demonstrate that the decisions and policy choices taken by world leaders this year will decide the fate of millions of lives and whether the world’s deadliest pandemic is overcome.  

Whilst the end of AIDS is within our grasp, this decade, currently the world is off track. Globally, of the 39.9 million people living with HIV, 9.3 million, nearly a quarter, are not receiving life-saving treatment. As a consequence, a person dies from AIDS-related causes every minute.

Leaders pledged to reduce annual new infections to below 370 000 by 2025, but new HIV infections are still more than three times higher than that, at 1.3 million in 2023.  And now cuts in resourcing and a rising anti-rights push are endangering the progress that has been made.

“World leaders pledged to end the AIDS pandemic as a public health threat by 2030, and they can uphold their promise, but only if they ensure that the HIV response has the resources it needs and that the human rights of everyone are protected,” said UNAIDS Executive Director, Winnie Byanyima. “Leaders can save millions of lives, prevent millions of new HIV infections, and ensure that everyone living with HIV can live healthy, full lives.”

The report finds that if leaders take the bold actions needed now to ensure sufficient and sustainable resourcing and protect everyone’s human rights, the number of people living with HIV, requiring life-long treatment, will settle at around 29 million by 2050 but if they take the wrong path, the number of people who will need life-long support will rise to 46 million (compared to 39.9 million in 2023). 

The report shows continued (although slower) progress in rolling out medicines to people living with HIV with 30.7 million people now on treatment, more than 3 in 4 people living with HIV. As recently as 2010 treatment coverage stood at just 47%. The expansion of people accessing treatment is a landmark public health achievement that has seen AIDS-related deaths halved since 2010—from 1.3 million to 630 000 in 2023.

However, the world is off track to meet the 2025 target of reducing AIDS-related deaths to below 250 000.

Although tremendous progress has been made in preventing new HIV infections which have fallen by 39% since 2010 globally, and by 59% in eastern and southern Africa, the report shows that new HIV infections are rising in three regions, the Middle East and North Africa, Eastern Europe and central Asia and Latin America, and gaps and inequalities persist.

“Countries are making enormous progress to end the AIDS epidemic by 2030, however there have been many challenges that could slow our efforts,” said Dr Anthony Fauci, Former Scientific Advisor to the US President. “We must do everything we can to be continually vocal and proactive. Failure is not an option here. In fact, it is unthinkable. If we all work together, we shall meet our common goal. I for one will continue to work with all of my strength to make sure that we do indeed end the AIDS epidemic and I implore all of you to commit to the same.”

Gender inequality is exacerbating the risks faced by girls and women and driving the pandemic. HIV incidence among adolescent girls and young women is still extraordinarily high in parts of eastern and southern Africa and western and central Africa.

Because stigma and discrimination against marginalized communities create barriers to vital prevention and treatment services, key populations, including sex workers, men who have sex with men and people who inject drugs, represent an increased proportion at (55%) of new infections globally compared to 2010 (45%).

The report demonstrates that HIV prevention and treatment services will only reach people if human rights are upheld, if unfair laws against women and against marginalized communities are scrapped, and if discrimination and violence are tackled head on.

UNAIDS calculations show that whilst 20% of HIV resources should be dedicated towards HIV prevention for populations most affected by HIV, just 2.6% of total HIV spending went towards interventions for key populations in 2023.

Around the world funding is shrinking, holding back progress and even leading to rising epidemics in certain regions. In 2023, total resources available for HIV (US$ 19.8 billion) dropped by 5% from 2022 and were US$ 9.5 billion short of the amount needed by 2025 (US$ 29.3 billion). Domestic funding in low- and middle-income countries—­which make up 59% of total resources for HIV—is being constrained by the debt crisis and fell for the fourth consecutive year, with a 6% decline from 2022 to 2023.

Increased resource mobilization is needed, especially in Asia and the Pacific—where the numbers of people living with HIV are projected to almost double by 2050—and in Eastern Europe and Central Asia, Latin America and the Middle East and North Africa, regions with growing epidemics, but where funding for HIV has decreased significantly. Around half of the total resources needed by 2025, and 93% of the current HIV funding gap, are outside of sub-Saharan Africa.   

The Urgency of Now: AIDS at a Crossroads shows that decisions taken this year will determine if global targets are met, AIDS is ended as a public health threat by 2030, and a sustainable HIV response is built.

“The fraying of solidarity between and within countries is putting progress in danger, but the path that ends AIDS is a path that has been proven, and is a path that leaders have promised to take. Whether leaders fulfill their pledge to end AIDS is a political and financial choice. The time to choose the right path is now,” said Ms Byanyima.

Video playlist

Report launch

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.

GENEVA, 12 July 2024— UNAIDS welcomes the adoption, by consensus, of a critical resolution on human rights in the context of HIV and AIDS at the 56^th session of the UN Human Rights Council.

The 2024 resolution 56/20 Human Rights in the Context of HIV and AIDS, recognizes the centrality of human rights to the HIV response. The resolution reaffirms that, “the full realization of all human rights and fundamental freedoms for all is an essential element in the global response to the HIV epidemic and its sustainability.”

It also recognizes the importance of human rights and community leadership in the HIV response, ensuring access to available and affordable HIV prevention, testing and treatment services for all, without discrimination.  The resolution also calls on countries to tackle discriminatory attitudes and punitive laws and policies that prevent access to health services and to support community-led organizations as well as protect civic space.

This ground-breaking text includes the first unqualified recognition of sexual and reproductive health and rights in a UN resolution and calls on countries to scale up comprehensive education on sexual and reproductive health with information on, “sexuality and comprehensive HIV prevention, gender equality and women’s and girls’ empowerment, human rights, and physical, psychological and pubertal development, to enable them to build self-esteem and risk reduction skills and to empower them in their decision-making, communication and development of respectful relationships, in order to enable them to protect themselves from HIV infection.” .

Every week, 4000 adolescent girls and young women (aged 15–24 years) became infected with HIV worldwide. 3100 of these infections occurred in sub-Saharan Africa, also where 6 out of 7 new HIV infections in adolescents (aged 10–19 years) were among girls.

UNAIDS Executive Director, Winnie Byanyima said, “We would not be where we are today in the HIV response, with 29 million people on treatment and a 56% reduction in new HIV infections, without having human rights and communities at the center of the response. However, the status quo is not enough. All stakeholders need to scale up action to respect, protect and fulfil human rights in the HIV response if we are to end inequalities and end AIDS for everyone.”

Human Rights Council members expressed concern that key populations face multiple and intersecting forms of discrimination, stigma, violence and abuse. This affects their access to clinics and/or peer-led drop-in centers and called on member states to take action to ensure access to non-stigmatizing health services free from discrimination and legal barriers.

The resolution recognizes the importance of the Global AIDS Strategy’s societal enabler targets and calls on countries to take action to remove punitive legal and policy frameworks, and end stigma. This also includes   addressing gender-based violence and inequalities, as well as changing gender stereotypes and negative social norms.

The societal enabler targets, outlined in both the 2021 Political Declaration on HIV and AIDS and the Global AIDS Strategy, 2021-2026, commit countries to the following targets: that by 2025, less than 10% of people living with HIV and key populations experience stigma and discrimination, less than 10% experience gender-based inequalities and violence and less than 10% of countries have punitive laws and policies.

Progress towards the 2025 milestone has been mixed, with many countries failing to make significant progress required to be on track to meet these targets and other human rights goals.

This resolution is an important commitment by countries to re-double their efforts to ensure human rights are at the center of a sustainable HIV response.

Going forward the resolution calls on OHCHR and UNAIDS, in collaboration with other stakeholders to hold a panel at the 58^th session of the Human Rights Council in 2025 to discuss the realization of human rights in sustaining and increasing the gains made in the HIV response. The session will include recommendations to countries and will be followed by a report on sustainability and human rights to be presented at the 60^th HRC session.

In 2025, countries are set to develop a new Global AIDS Strategy that will take the world to the 2030 deadline to meet the Sustainable Development Goals, which includes ending AIDS as a global health threat by 2030.

UNAIDS commends the leadership of Brazil and the other members of the core group, Colombia, Portugal and Thailand, for continuing to lead the resolution on HIV at the Human Rights Council and their significant success in bringing consensus back to this relevant resolution.

More information here: OHCHR | 56th regular session of the Human Rights Council: Resolutions, decisions and President’s statements

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.