GENEVA, 29 September 2023—The topic of the global AIDS response—including its successes and invaluable lessons for handling pandemics—permeated many discussions during last week’s United Nations General Assembly (UNGA) in New York. From three High-Level meetings on health, to the Sustainable Development Goals (SDG) Summit to remarks given to the General Assembly and at High-Level Side events, the lessons from 40 years of responding to HIV—including the principle of leaving no one behind—were repeatedly referenced in the context of a future of health and equality for all.

In his remarks to the General Assembly, United States President Joe Biden referenced success against AIDS as a platinum example of what global solidarity and shared responsibility can achieve. “HIV/AIDS infections and deaths plummeted in no small part because of PEPFAR’s work in more than 55 countries, saving more than 25 million lives,” said President Biden. “It’s a profound testament to what we can achieve when we act together when we take on tough challenges and an admonition for us to urgently accelerate our progress so that no one is left behind.”

At the opening of the SDG Summit, Irish prime minister, Leo Eric Varadkar noted that half-way to the 2030 targets we are not where we would wish to be with only 15% of the SDGs on target. He added that despite this there is progress. “More than 800 million people have been connected to electricity since 2015, 146 countries have met or are on track to achieving the under-five mortality target, and effective HIV treatment has halved global AIDS-related deaths since 2010,” said Mr Varadkar. “This progress shows that change is possible, that backsliding is not inevitable, and that poverty, pollution and gender inequality are not pre-ordained. They are trends that can be reversed, problems that can be solved and tragedies that can be averted.”

While celebrating the collective success against AIDS, UNAIDS urged leaders to keep HIV high on political agendas for three reasons. “Firstly,” said Winnie Byanyima, Executive Director of UNAIDS, “The job is not yet done—43 years into the pandemic, there are still more than 9 million people waiting for life-saving treatment, more than 1.3 million new HIV infections every year and AIDS took a life every minute in 2022. Secondly: We know how to end AIDS and, we have the path and the power to do it. And thirdly: The AIDS response is a smart investment yielding other health, social and economic impacts.”  

A number of ministers and heads of state spoke about the economic challenges they face as the result of multiple and concurrent crises, and the need for cooperation and solidarity to overcome these crises while continuing to make critical investments in development and health. Many political leaders noted that while the political will is there, there are not enough domestic resources to invest in health, education and social protection.

The UN Secretary-General Antonio Guterres reminded the international community that there is an urgent need to rethink—and reconfigure--the international financial architecture in order to achieve the SDGs. The same is true for UNAIDS's mission to end AIDS as a public health threat and ensure those gains are sustained well beyond 2030. Ending AIDS requires new and sustained resources, and a different political discourse on funding for development. UNAIDS highlighted the importance for maintaining bilateral funding for PEPFAR and multilateral funding for the Global Fund to Fight AIDS, TB and Malaria.

UNAIDS stressed that as we develop a global architecture for pandemics prevention, preparedness and response, we need to draw from over 40 years of responding to AIDS, because the AIDS response is pandemic prevention, preparedness and response.

The importance of community-led responses as essential to reaching marginalized groups and people most affected by pandemics was emphasized. UNAIDS highlighted that the Pandemic Accord must acknowledge the central role of community-led responses and commit member states to include communities and civil society in decision-making, planning, preparation, implementation and monitoring. 

The call to end inequalities was a central theme to UNAIDS’ messaging at UNGA. UNAIDS highlighted the need for equitable, affordable access to life saving medical products and how inequality drives, and prolongs, pandemics. UNAIDS advocated metrics, targets and accountability systems for focusing the response and additionally for advancing human rights to improve public health and warned that human rights violations undermine trust and drive people away from health services.

Finally, UNAIDS called for a multisectoral/whole of society approach to effectively prevent, prepare for and respond to pandemics because pandemics are not merely health crises—they also present political, social and economic challenges which require transformative action by all.

The Executive Director of UNODC, Ms Ghada Waly, on behalf of UNAIDS’ cosponsoring organizations acknowledged that, “The multi-sectoral partnership on HIV/AIDS is as important as ever, bringing together the expertise, assets and comparative advantages of 11 Cosponsors in an exemplary partnership for the development approach of the SDGs.”

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, 21 September 2023—UNAIDS has designated the First Lady of Botswana, Neo Jane Masisi, as a UNAIDS champion for the empowerment and engagement of adolescent girls and young women. UNAIDS Executive Director, Winnie Byanyima, confirmed the appointment during a meeting with Mrs Masisi during the 78^th session of the United Nations General Assembly in New York.

“Her Excellency Mrs Masisi has a deep understanding of the structural barriers that are making adolescent girls and young women so vulnerable to HIV infection in Botswana and right across Africa,” said UNAIDS Executive Director, Winnie Byanyima. “Mrs Masisi is a fierce advocate for the rights of young women and girls and for the need to support them to stay in school, finish their education and receive the knowledge they need to help them thrive.”

Mrs Masisi has already been working closely with UNAIDS for several years as an advocate for young people. In her new role, Mrs Masisi will champion Education Plus, an initiative launched by UNAIDS, UNESCO, UNICEF, UNFPA and UN Women to prevent HIV infections through free universal, quality secondary education for all girls and boys in Africa, reinforced through comprehensive empowerment programmes. Botswana joined the initiative in June.

In Botswana, young girls aged 15-19 years old are seven times more likely to become infected with HIV than their male counterparts. During the meeting the First Lady said that surveys showed that between 2015 and 2019 young women and girls accounted for 36% of all new infections in Botswana and 19 are boys and 43 girls become infected every week.    

“I will be serving with this special title at a crucial moment. The SDGs are just around the corner and it is the last sprint to end AIDS by 2030,” said Mrs Masisi. “We will be discussing some hard issues to protect our children and young people. But the good thing about our communities today is that they realise that these are not ordinary times, and they know that doors that were closed, mouths that were sealed—its time they were opened. I remain resolute in directing energies to supporting young people in my country.”

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, 20 September 2023—UNAIDS, the Governments of Botswana and the United States of America, together with the European Commission have joined global partners to urge world leaders to get on the path that ends AIDS. This, they say, will also accelerate progress to reach many other of the Sustainable Development Goals.

The call was made at a high-level event, Celebrating Global HIV Progress to End AIDS and Advance the Sustainable Development Goals, held during the 78^th United Nations General Assembly in New York. Participants underscored the life-saving impact of the global HIV response as well as the need for continued support, funding and commitment, including for the United States President's Emergency Plan for AIDS Relief (PEPFAR).

“PEPFAR is a symbol of the compassion of the American people,” said Ambassador John N. Nkengasong, U.S. Global AIDS Coordinator and Senior Bureau Official for Global Health Security and Diplomacy. “Through PEPFAR, we have changed the course of the AIDS pandemic and advanced SDG 3. The programme’s value added has been well documented and advances progress toward other SDGs including 4 and 5. The ongoing work with our partner governments will help countries achieve UNAIDS’ treatment targets and contribute to SDG 10.”

The AIDS response has yielded dividends far beyond HIV, including for broader health, economic and development outcomes. SDG 3 (Good Health and Wellbeing) which includes SDG 3.3 (of which ending AIDS is a part), is within sight. The AIDS response has also generated momentum towards achieving several other SDGs, notably SDG 4 (Quality Education), SDG 5 (Gender Equality) and SDG 10 (Reduced Inequalities).

The AIDS response has brought societies back from the brink. Successful HIV programmes have supported the incomes of households affected by HIV by improving wealth and labour market outcomes boosting progress towards SDG 8 (Decent Work and Economic Growth).

“Ending AIDS is an indelible legacy that the leaders of today can etch into history by 2030,” said Winnie Byanyima, Executive Director of UNAIDS. “You wield the power to save millions of lives while advancing health, development and pandemic preparedness. Let us commit to ending AIDS as a reality, not just a dream, to forge a world that is healthier, more equal and more just.”

UNAIDS data show that new HIV infections are the lowest they have been since the 1980’s, having been reduced by almost 60% since the peak in 1995. AIDS-related deaths have been reduced by almost 70% since the peak in 2004, and around 30 million people now have access to HIV treatment, with 9 million still requiring access.

She announced that five countries are already on the path to end AIDS by 2030, having achieved the interim goals set for 2025 some three years early. A further 16 countries are close to reaching those goals.

“I stand before you as an example of the success of the global HIV response,” said Florence Anam, Co-Executive Director, GNP+. “However, structural and social barriers, stigma and discrimination, violence and criminalization continue to negatively impact access to prevention and treatment for many of us. I ask for your continued leadership and commitment to keep your promises to end AIDS and sustain all the gains made in the response so that millions of people can dream and have a bright future.

Despite the remarkable progress, HIV remains a global pandemic—claiming a life every minute in 2022 when 630 000 people died of AIDS-related illnesses and 1.3 million people became newly infected with HIV. Women and girls remain disproportionately affected, particularly in sub-Saharan Africa. Globally, 4000 young women and girls became infected with HIV every week in 2022, 3100 were in sub-Saharan Africa. Stigma, criminalization and discrimination are continuing to keep key populations, including gay men and other men who have sex with men, people who use drugs, transgender people and sex workers, out of reach of HIV services.

Highlighting the benefits of decriminalizing same sex sexual relations, the Minister of Health of Botswana Dr Edwin Dikoloti said, “The decriminalization of same sex relations in Botswana has paved the way for an increase in seeking of HIV services. As such, the government can ensure that HIV treatment is universal.”

He went on to congratulate the work of UNAIDS saying, “We thank UNAIDS for its leadership in the AIDS response and in particular for its presence at country level to ensure coordination of partners and supporting the implementation of the global AIDS strategy which remains key in order to end AIDS. We call on the international community to maintain its development assistance including ensuring a fully funded UNAIDS.”

Affirming commitment from the European Union (EU), Dubravka ŠUICA, Vice-President for Democracy and Demography of the European Commission said, “Under our Global Health Strategy, the EU is firmly committed to advancing global health in a human rights-based approach, supporting stronger health systems and universal health coverage. This includes addressing the major public health threat still posed by HIV, in a comprehensive way.”

Partners made a strong call for:

• Unflinching political commitment and leadership to end AIDS.   
• Willingness to follow the science, the data, and the evidence.
• Human rights-based approaches, tackling the inequalities holding back progress, including harmful laws and policies, stigma and discrimination, and gender inequalities.
• Supporting, engaging and enabling community leadership and a community-led response.
• Sufficient and sustainable funding and a focus to protect the HIV gains into the future.

Closing the meeting Martin Chungong, Secretary General of the Inter-parliamentary Union (IPU) offered a powerful platform to mobilize the governments. He said, “I want to ask Ms Byanyima to reach out with me to all speakers of the parliaments of this world to ask them to ensure that we maintain and uphold the momentum that has been achieved in the global effort to fight AIDS. I want to confirm the IPU General Assembly as a platform for making sure parliaments place HIV high on the political agenda.”

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 2023—UNAIDS has named the First Lady of Sierra Leone, Fatima Maada Bio, as a UNAIDS champion for the empowerment and engagement of adolescent girls and young women in Sierra Leone. UNAIDS Executive Director, Winnie Byanyima, confirmed the appointment during a meeting with Mrs Maada Bio and her husband President Julius Maada Bio at the 78th session of the United Nations General Assembly taking place in New York.

“I am delighted to welcome Her Excellency Mrs Fatima Maada Bio to the UNAIDS family as a champion for adolescent girls and young women,” said Ms Byanyima. “The First Lady is a strong advocate for the empowerment of women and girls. I look forward to continuing to work together to end gender inequalities that drive HIV including sexual and gender-based violence, and to ensuring that our girls and young women have all the information and knowledge they need to lead healthy lives.”

Mrs Maada Bio is a leading advocate for the Hands Off Our Girls Campaign, a movement launched by President Maada Bio in December 2018 to ban early child marriage and end sexual violence against women and girls. In 2022, she spearheaded the adoption of the first ever World Day for the Prevention of, and Healing from Child Sexual Exploitation, Abuse and Violence, which is commemorated annually on 18 November.

Mrs Maada Bio is also a champion of Education Plus, an initiative launched by UNAIDS, UNESCO, UNICEF, UNFPA and UN Women to prevent HIV infections through free universal, quality secondary education for all girls and boys in Africa, reinforced through comprehensive empowerment programmes.

“My hope is for a future where all women have equal rights,” said Mrs Maada Bio. “Where women and men can sit at the same table and make decisions together, where women are given the space to lead. That is my hope because then we will know that real equality has arrived 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.

Partners call for urgent action to reverse an explosion in inequalities which are endangering us all

18 July 2023—The Centre for International Cooperation at the University of New York, Development Finance International, Oxfam and UNAIDS are calling for urgent action to save Sustainable Development Goal (SDG) 10: Reduced Inequality.

COVID-19 caused the largest rise in income inequality in three decades, as poorer countries lacked financing to support the incomes of the poor or to confront the COVID-19 and AIDS pandemics. During the COVID-19 pandemic and global inflation crisis, inequality of income, wealth and health outcomes rose sharply. Without seriously tackling inequality, we will not end AIDS by 2030 (SDG 3.3), and the SDGs on poverty, gender and education will be strongly compromised.  

In his 2023 SDG Progress Report, the United Nations Secretary-General announced that SDG10 is one of the worst performing SDGs. Action has never been more urgent on this goal.

For SDG10 to be successful in reducing inequality, it is vital that the international community takes concerted action during the current review of the SDGs which will culminate at the United Nations (UN) General Assembly SDG Summit taking place on 18-19 September 2023.

Action includes better monitoring the inequality of income and wealth within and between countries. This requires using indicators which are used by all member states and institutions including the UN or the World Bank, these indicators are called the Gini coefficient and the Palma ratio.

The official start to the call to action will take place during a high-level meeting on 18 July at the UN in New York, with representatives from government and civil society. H.E. the President of Namibia, Hage Gottfried Geingob, and H.E. the President of Sierra Leone Julius Maada Bio, have expressed their support and willingness to co-sponsor this call to action to Save SDG10 and fight inequality.

In addition, more than 230 leading global economists, political leaders and inequality experts, including former UN Secretary General Ban Ki Moon, Nobel prize laureate Joseph Stiglitz, Thomas Piketty, Jayati Ghosh, Helen Clark and Jose-Antonio Ocampo, are sending an open letter to the UN Secretary-General and the World Bank President urging them to include the incomes and wealth of the rich in monitoring inequality by using Gini and Palma, and to ensure trends in inequality are monitored annually in all countries. This will allow the world to see the true picture of growing extreme inequality, and to strengthen its efforts to promote anti-inequality policies.

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, 13 July 2023—A new report released today by UNAIDS shows that there is a clear path that ends AIDS. This path will also help prepare for and tackle future pandemics and advance progress towards achieving the Sustainable Development Goals. The report, ‘The Path that Ends AIDS’, contains data and case studies which highlight that ending AIDS is a political and financial choice, and that the countries and leaders who are already following the path are achieving extraordinary results.

Botswana, Eswatini, Rwanda, the United Republic of Tanzania, and Zimbabwe have already achieved the “95-95-95” targets. That means 95% of the people who are living with HIV knowing their HIV status, 95% of the people who know that they are living with HIV being on lifesaving antiretroviral treatment, and 95% of people who are on treatment being virally suppressed. A further 16 other countries, eight of them in sub-Saharan Africa, the region which accounts for 65% of all people living with HIV, are also close to doing so.

“The end of AIDS is an opportunity for a uniquely powerful legacy for today’s leaders,” said Winnie Byanyima, Executive Director of UNAIDS. “They could be remembered by future generations as those who put a stop to the world’s deadliest pandemic. They could save millions of lives and protect the health of everyone. They could show what leadership can do.”

The report highlights that HIV responses succeed when they are anchored in strong political leadership. This means following the data, science, and evidence; tackling the inequalities holding back progress; enabling communities and civil society organizations in their vital role in the response; and ensuring sufficient and sustainable funding.

Progress has been strongest in the countries and regions that have the most financial investments, such as in eastern and southern Africa where new HIV infections have been reduced by 57% since 2010.

Thanks to support for and investment in ending AIDS among children, 82% of pregnant and breastfeeding women living with HIV globally were accessing antiretroviral treatment in 2022, up from 46% in 2010. This has led to a 58% reduction in new HIV infections among children from 2010 to 2022, the lowest number since the 1980’s.

Progress in the HIV response has been strengthened by ensuring that legal and policy frameworks do not undermine human rights, but enable and protect them. Several countries removed harmful laws in 2022 and 2023, including five (Antigua and Barbuda, the Cook Islands, Barbados, Saint Kitts and Nevis, and Singapore) that have decriminalized same-sex sexual relations.

The number of people on antiretroviral treatment worldwide rose almost fourfold, from 7.7 million in 2010 to 29.8 million in 2022.

However, the report also sets out that ending AIDS will not come automatically. AIDS claimed a life every minute in 2022. Around 9.2 million people still miss out on treatment, including 660 000 children living with HIV.

Women and girls are still disproportionately affected, particularly in sub-Saharan Africa. Globally, 4,000 young women and girls became infected with HIV every week in 2022. Only 42% of districts with HIV incidence over 0.3% in sub-Saharan Africa are currently covered with dedicated HIV prevention programmes for adolescent girls and young women.

Almost one quarter (23%) of new HIV infections were in Asia and the Pacific where new infections are rising alarmingly in some countries. Steep increases in new infections are continuing in eastern Europe and central Asia (a rise of 49% since 2010) and in the Middle East and North Africa (a rise of 61% since 2010). These trends are due primarily to a lack of HIV prevention services for marginalized and key populations and the barriers posed by punitive laws and social discrimination.

Funding for HIV also declined in 2022 from both international and domestic sources, falling back to the same level as in 2013. Funding amounted to US$ 20.8 billion in 2022, far short of the US$ 29.3 billion needed by 2025.

There is an opportunity now to end AIDS by increasing political will by investing in a sustainable response to HIV through financing what matters most: evidence-based HIV prevention and treatment, health systems integration, non- discriminatory laws, gender equality, and empowered community networks.

“We are hopeful, but it is not the relaxed optimism that might come if all was heading as it should be. It is, instead, a hope rooted in seeing the opportunity for success, an opportunity that is dependent on action,” said Ms Byanyima. “The facts and figures shared in this report do not show that as a world we are already on the path, they show that we can be. The way is clear.”

In 2022, an estimated:

• 39.0 million people globally were living with HIV
• 29.8 million people were accessing antiretroviral therapy
• 1.3 million people became newly infected with HIV
• 630 000 people died from AIDS-related illnesses

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, 28 June 2023—The 52nd meeting of UNAIDS’ Programme Coordinating Board (PCB) concluded today in Geneva, Switzerland with Board members showing strong support to fully fund the Joint Programme and a commitment to overcome the barriers to ending AIDS by 2030.

In her opening remarks to the meeting, the Executive Director of UNAIDS, Winnie Byanyima, described the AIDS response as being under severe strain with the multiple challenges caused by what has been termed ‘polycrisis’. She revealed that in 2021, debt repayments for the world’s poorest countries reached 171% of all spending on healthcare, education and social protection combined—choking countries’ capacities to respond to HIV.

She also highlighted major challenges across a broad spectrum of human rights issues worldwide including women’s rights and gender equality, sexual and reproductive health and rights, the human rights of LGBTQI people, civil society’s freedom of association and more.

“Human rights challenges affect our ability to connect people to health services to control AIDS and all pandemics,” said Ms Byanyima. “We must halt and reverse these harmful trends. Doing so requires longer-term funding as such efforts do succeed over time and funding is critical to stay ahead of the curve.”

She called for global solidarity and a renewed commitment from all partners to get the job of ending AIDS done, for everyone, everywhere. “The work we do together to end AIDS is not only crucial to overcoming pandemics broadly. The global AIDS response is the pathway to advancing progress on other Sustainable Development Goals (SDG’s),” she said.

She noted that just 12% of the SDG’s are on track and that one of the only examples of progress is towards achieving SDG 3 – To ensure healthy lives and promote well-being for all ages – and specifically the progress made towards SDG 3.3, which includes ending AIDS.

Further to the UK’s announcement last year of an increase in funding to UNAIDS from £2.5 million in 2021 to £8 million in 2022, the UK recommitted to maintaining funding for 2023 at £8 million which was warmly welcomed by UNAIDS. As was the announcement of a multiple year 10 million Euro commitment to UNAIDS from Ireland.

Ms Byanyima emphasized the enormous efforts UNAIDS has made to reduce costs including a 10% reduction in total staff costs and the reconfiguration of regional support to countries in Eastern Europe and Central Asia as well as in the Middle East and North Africa. Despite these efforts she raised serious concerns over the US$ 51 million shortfall against UNAIDS core budget of US$ 210 million saying, “We have exhausted all options for achieving greater efficiency in our delivery. There is no scope for ‘doing more with less’.”

A thematic segment was held on the third and final day of the Board meeting on Priority and key populations, especially transgender people, and the path to 2025 targets. This provided the Board with an opportunity to discuss the inequalities preventing progress in the AIDS response for key populations and how the HIV response can more effectively reduce the risk and impacts of HIV among these populations.

Erika Castellanos, Director of Programmes at the Global Action for Trans Equality told her story growing up as a transgender person and her experience living with HIV. She talked about the enormous challenges she faced growing up and why she has committed her life to helping others. Her moving and passionate speech received a standing ovation from Board members.

“We need to do better. We need to stop demonizing - sexualizing and hating trans and gender diverse people, said Ms Castellanos. “More than allies, we need our fellow humans, our family, our friends, our work colleagues, to see us as equal to, as same as, not different from. When we view the world through the lens of what unites us, rather than what divides us, we have a much better chance of improving the lives, health and human rights of all persons on this earth. And after all, is that what we all really want most of all? To love, and to be loved?”

Also, during the thematic discussions was the powerful intervention of Justice Edwin Cameron who formerly served as Justice of the Constitutional Court of South Africa. He urged countries to, “create a legal environment that enables, a system of law that doesn’t disable marginalized and vulnerable groups. To employ the law to empower rather than oppress. It means scrapping pointlessly moralistically, punitive criminal laws. It means equality before the law.” Reflecting how central community-led responses are to the HIV response, the PCB non-governmental delegation reminded all present that communities ‘aren’t just targets of interventions, we are the intervention.’

The Board meeting also provided an opportunity to launch the Compendium of Promising Practices on the role of African faith community interventions to end paediatric and adolescent HIV. HIV prevalence among children and adolescents in Africa remains a deeply concerning issue. As does access to treatment where more than three quarters of all adults living with HIV are accessing treatment compared to only half of children. The Compendium will highlight successful models and best practices implemented by faith-based organizations to share knowledge and strengthen the response to HIV for children and adolescents.

The meeting was chaired by Germany, with Kenya serving as the Vice-Chair and Brazil as Rapporteur. The report to the Board by the UNAIDS Executive Director, the reports for each agenda item and the PCB’s decisions can be found at: UNAIDS Executive Director's report to the 52nd UNAIDS Programme Coordinating Board. The 53rd meeting of the PCB will take place in Geneva on 12-14 December 2023.

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.

MAPUTO, MOZAMBIQUE, 16 June 2023 – Ambassador Dr. John N. Nkengasong, U.S. Global AIDS Coordinator and Special Representative for Global Health Diplomacy, visited Maputo June 14-16. Ambassador Nkengasong was accompanied by UNAIDS Executive Director Winnie Byanyima, who leads the United Nations’ efforts to end the AIDS pandemic by 2030, and Head of Grant Management at the Global Fund Mark Edington. This historic joint visit, the first time that these three organization leaders visited Mozambique together, underscores the strong commitment to combat HIV/AIDS over the past 20 years as well as the critical importance of a sustainable HIV/AIDS response.

During their visit, the delegation met with Prime Minister Maleiane, Economy and Finance Minister Tonela, and Health Minister Tiago, as well as civil society organizations. In those meetings, the delegation emphasized the need to develop a sustainable HIV/AIDS response, the importance of protecting human rights, and the need to work across several ministries when addressing the HIV/AIDS epidemic in Mozambique. The group also visited Primeiro de Maio, a high-volume health facility in Maputo supported by PEPFAR and the Global Fund that aims to prevent new HIV and TB infections and increase access to quality care and treatment services for people living with HIV.

“Saving lives and ending HIV/AIDS as a public health threat in Mozambique – and globally – by 2030 requires a sustainable HIV/AIDS response,” stated Ambassador Nkengasong. “The United States, Global Fund and UNAIDS are united in our partnership with Mozambique to see this through. Through country leadership, collaboration with bilateral and multilateral partners, and strong engagement from civil society, Mozambique can achieve the UNAIDS HIV treatment targets by 2030.”

“This joint visit to Mozambique has inspired us all,” noted Winnie Byanyima, UNAIDS Executive Director. “The end of AIDS is possible, but only by working together as government, civil society, international partners and UN, by empowering women and girls, and by ensuring no one is stigmatized nor excluded. In a country where the face of HIV is that of a girl, where every 20 minutes an adolescent girl or young woman is infected, we have seen how by scaling up the lessons of effective programs we can overcome the inequalities holding back the end of AIDS. To reach everyone, it will take all of us.”

“Mozambique has made solid gains in reducing the spread of HIV and it has been impressive to see some of the work behind the progress on this trip,” said Mark Edington, Head of Grant Management at the Global Fund. “We are deeply committed to helping Mozambique end HIV/AIDS as a public health crisis, but sustaining and scaling this progress so far will take strong engagement from all partners, the government and civil society.”

The U.S. government, the Global Fund, and UNAIDS have provided significant, ongoing support for Mozambique in its fight against HIV/AIDS since they were founded. Each year, the United States invests more than $400 million in PEPFAR funding to Mozambique aimed at ending HIV/AIDS as a public health threat by 2030. Over the next three years, the Global Fund plans to invest $770 million for HIV, TB, and Malaria. The U.S. government has supported Mozambique in its fight against HIV/AIDS since the Mozambique PEPFAR Coordination Office opened in 2003.

UNAIDS welcomes the issuance of Resolution 881 of 2023 by the Ministry of Health of Colombia, which initiates the administrative procedure to evaluate the existence of reasons of public interest for issuing a compulsory license for dolutegravir (DTG)-based regimens. According to the ministerial resolution, the impact of this measure could mean a significant reduction of more than 80% of DTG’s price.

Dolutegravir (DTG) is an antiretroviral integrase inhibitor, recommended by the World Health Organization (WHO) as a first-line treatment option for people living with the human immunodeficiency virus (HIV). Regarding viral suppression and disease reduction, treatments incorporating DTG-based regimens have demonstrated greater adherence due to their lower incidence of adverse events while presenting enhanced effectiveness, safety, and reduced likelihood of resistance development.

Compulsory licensing is a provision in the World Trade Organization (WTO) Agreement on Trade Related Aspects of Intellectual Property Rights (“TRIPS Agreement”), that enables governments to supply its citizens with generic versions of patented treatments either through domestic production or imports, ensuring drug prices are affordable. WTO Inter-ministerial 2001 Doha Declaration reaffirmed the rights of member states to make use of all flexibilities in the agreement to protect public health, including compulsory licenses, “and the freedom to determine the grounds upon which such licenses are granted.” More recently, in the 2021 Political Declaration of the United Nations General Assembly High-level Meeting on AIDS, countries have committed to make use of TRIPS flexibilities “specifically geared to promoting access to medicines.”

"This resolution is a step forward to provide equal and sustainable access to best HIV treatment options for all people living with HIV in Colombia, nationals and migrants. This action shows the government’s commitment to close the treatment gap with assured quality affordable essential medicines which are easy to take and very well tolerated.”, says Andrea Boccardi, UNAIDS Director for the Andean Countries (Peru, Ecuador, Bolivia, and Colombia. "The government issued national guidelines in 2021, in line with WHO recommendations, but until now high prices of DTG have remained an obstacle to make it widely accessible to people living with HIV in Colombia."

The Colombian League for the Fight against AIDS and the IFARMA Foundation also celebrated the decision from the Colombian government. Both institutions participated on behalf of civil society in the updating of the Clinical Practice Guidelines (CPG) based on scientific evidence for the care of HIV/AIDS infection in adults, pregnant women and adolescents.

"The decision validates past initiatives of civil society in Colombia to achieve greater coverage of simplified treatments with fewer adverse effects at the lowest possible price, while at the same time it will reinvigorate the efforts of community-based organizations in education and promotion of adherence to ARVs, recognizing that structural barriers are factors that facilitate or hinder adherence to antiretroviral treatments", says Jorge Pacheco, Director of the Colombian League for the Fight against AIDS.

“Through this measure Colombia is taking an important step to guarantee people’s access to the most appropriate medication for them in line with international recommendations and commitments”, says Luisa Cabal, UNAIDS Regional Director for Latin America and the Caribbean. "Timely access to effective HIV treatment can save lives, improve health outcomes, enhance the quality of life, and contribute to the overall well-being of individuals living with HIV. This measure shows commitment to the global effort to combat inequalities in access to health."

UNAIDS commends and supports the Ministry of Health for its proactive approach to pursuing public interest and urges all stakeholders to collaborate in implementing Resolution 881 of 2023. 

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, 13 June 2023—The Executive Director of UNAIDS Winnie Byanyima has been presented with the prestigious Amsterdam Dinner Award 2023 for her activism and work to end stigma and discrimination around HIV. The annual Amsterdam Dinner, initiated in 1992, is the Netherlands largest fundraising event for HIV and has raised millions of euros to support HIV projects around the world.

Delivering remarks on behalf of Liesje Schreinemacher, Minister for Foreign Trade and Development Cooperation, Loiza Lamers said, “The situation in Uganda makes clear once again that the struggle for equal rights is far from over and proof that the world needs more people like her and more than ever. I am proud that the Netherlands is her ally in this fight. Being who you are and loving who you love should never be a crime.”

“We are grateful that the Netherlands stands strong on LGBTIQ rights and the rights of women and girls and that you are our steadfast ally in this fight,” said Ms Byanyima. 

This year’s event shone a spotlight on work for women by women and highlighted the disproportionate impact HIV is having on women and girls. Around the world a young woman aged between 15 and 24 becomes infected with HIV every two minutes and in sub-Saharan Africa young women and girls are 3 times more likely to become infected with HIV than their male peers. 

Ms Byanyima is a fierce advocate for the rights of women and girls as well as for the rights of key populations most affected by HIV.  “I share this honour with thousands of passionate, fearless activists around the world who daily fight stigma and discrimination and defend the right to health of every human being. I share it with my UNAIDS colleagues,” said Ms Byanyima.

The event held on 10 June in Amsterdam raised 1.3 million euros for projects for women living with HIV in Mozambique and the Netherlands.

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.