GENERAL DISCUSSION - QUESTION 1
In what areas does UNAIDS excel and add particular value to the AIDS response—globally, regionally and at country level?
You are encouraged to include your name, age, gender, and location when you participate, for statistical analysis purposes. Anonymous inputs are also welcome.
Jeff Tshabalala: Age 59:Male: South Africa
ReplyDeleteI have with UNAIDS at regional and national level in my capacity as the Technical Support Director and as a consultant for clarifying a community led and responsive responsive. The provision of quality assured technical assistance is an area UNAIDS and Co-sponsors should strengthen in order to ensure the design and delivery of community responsive interventions which are complimentary to health care delivery. This process could be coordinated by UNAIDS at global with the oversight of RSTs.
Community developed, led and owned health development: My work with the UNAIDS RST for the ESA region showed me the potential of this support and UNAIDS can coordinate with Co-Sponsors in leveraging national responses in this regard. I know that the RST ESA can build on the initiative it started in 2014 and inadvertently stopped. Mobilizing partnerships and resources to support national initiatives under the auspices of UNAIDS country offices working with UN country teams, governments and communities with support of CBOs could be the value add of RSTs.
Strengthening the institutional capacities, structures and systems of CSOs is the next step related to a community led and driven health development response.
Jeff Tshabalala: Age 59:Male: South Africa
ReplyDeleteI have worked with UNAIDS at regional and national level in my capacity as the Technical Support Director of the TSF in Southern Africa and as a consultant for clarifying a community led and responsive responsive. The provision of quality assured technical assistance is an area UNAIDS and Co-sponsors should strengthen in order to ensure the design and delivery of community responsive interventions which are complimentary to health care delivery. This process could be coordinated by UNAIDS at the global level with the oversight of RSTs.
Community developed, led and owned health development: My work with the UNAIDS RST for the ESA region showed me the potential of this support. UNAIDS can coordinate with Co-Sponsors in leveraging national responses in this regard. I know that the RST ESA can build on the initiative it started in 2014 and inadvertently stopped. Mobilizing partnerships and resources to support national initiatives under the auspices of UNAIDS country offices working with UN country teams, governments and communities with support of CBOs could be the value add of RSTs.
Strengthening the institutional capacities, structures and systems of CSOs is the next step related to a community led and driven health development response. This could entail repositioning of AIDS Service Organizations and networks of people living with HIV in order to ensure that they are fit-for purpose and capable of working with communities collaboratively.
I have been working on HIV sector for last 15 years and with UNAIDS since 2013 in Pakistan and Afghanistan. UNAIDS did lot much in terms of putting people on ARVs, in reducing infections and also supporting government in policy and strategic planning for effective response in order to achieve three 90s. With co-sponsors, UNAIDS took front lead at global, regional and country level. We need robust advocacy on resource mobilization efforts and work on effective partnerships in order to leverage on whatever mandates each UN agency has. We need to work creatively and innovatively for integrated approach among co-sponsors to be cost effective and strategic. For example, if all UN agencies are working is same province, then all should focus on strategic targeted approach to work with same right holders and duty bearers to make more effective response. UNAIDS can take lead in that and it has been proven that the more collaborated efforts will be taken, the more it can deliver and let's not drop the ball of HIV and continue with momentum. There is a dire need for all co-sponsors to work on community led approaches so that acceptance level can increase and stigma and discrimination can be reduced. Unless all the UN agencies (co-sponsors) work together on strengthening HIV response, work with communities and non-traditional partners, we will not be able to reduce new infections. In Fast Track countries like Pakistan, UNAIDS did invest in institutional capacity building of APLHIV and worked with communities to empower them. Legislations are being worked upon and there is long road map to achieve the set targets
ReplyDeleteMODERATOR COMMENT: Greetings participants! The first two posts mention the importance of UNAIDS support to community-led HIV responses. The critical role of communities in awareness-raising and service delivery is well-reflected in the UNAIDS Strategy, and we’re happy to see community responses identified as an area where UNAIDS adds value. As we move forward with the consultation, we would appreciate your thoughts on how UNAIDS can do better in this area and others.
ReplyDeleteI have worked for many decades on HIV in Asia an Africa. If the role of UNAIDS was relevant from 1996 for a period of 10 years, the last 10 years have witnessed a decline in its relevance as:
ReplyDelete- Countries are stronger and need less assistance;
- The Global Fund often leads an effective response in countries as the main donor for HIV;
- The support to civil society organizations in countries with strong centralized governments has been very limited and almost non-existent (i.e. Vietnam). It should have been one of the main objective of UNAIDS. Interestingly Global fund is becoming the main actor in this endeavor.
- In general, there is a decline in the trust to UN working on HIV (WHO, UNFPA, UNAIDS) as people in the countries say "it is all talk". Funding given to co-sponsors has always been limited specially in low prevalence countries.
I would recommend that UNAIDS close its offices in low-prevalence countries and concentrate on high-prevalence ones where they may be still relevant!
UNAIDS says there are 18.2 million people on treatment. AHF, as the largest implementer NGO with 683,000 clients in care in 39 countries, has serious concerns about the accuracy of this number. AHF South Africa makes up over 100,000 of these patients. We have learned to be hyper-vigilant and cross check patient numbers with dispensed medication to ensure we have accurate data.
ReplyDeleteWhen AHF is invited by governments to support struggling treatment programs, we conduct an audit of the patient census. It is not unusual for the reported number of patients on treatment to be overstated by as much as 30%. This happens because many programs don’t have the capacity to do a thorough, ongoing follow-up to identify patients who have left care or have died. Has UNAIDS considered commissioning an independent audit by a third party on a sample of treatment data from different countries to ensure that the total number of people on treatment is not inflated.
In order to keep up with our programme growth, AHF SA have had to increase spending, add additional staff and expand our infrastructure.
Since 2014, the UNAIDS treatment estimate has increased by 4.6 million people while funding from donor governments has declined by $1 billion and overall global AIDS funding is flat. How do the numbers keep growing while the funding is down? Also, where is the massive scale-up in procurement, human resources and testing that would be needed to identify and link this many more people to care? Our own experience tells us it is impossible without addition staff and resources, which makes us question your numbers. Can you explain?
Overstating the number of people on treatment around the world is detrimental because it understates the amount of resources that is still needed to fight AIDS. It creates a sense of progress toward the 90-90-90 goals even though there are still huge gaps on the ground like ARV stockouts, test kit and condom shortages and discriminatory policies that haven’t been addressed.
Larissa,
DeleteI work for UNAIDS as an epidemiologist in the Strategic Information and Evaluation Department, which is responsible for overseeing the validation and publication of the numbers of people accessing antiretroviral treatment.
I wanted to thank you for your comments and questions about how UNAIDS estimates the number of people accessing antiretroviral therapy and to let you know that we are working to make this process as transparent as possible. Here is a link to a December 2016 publication that describes a triangulation of data undertaken to verify the global estimate of people accessing antiretroviral therapy at the end of 2015 (http://www.unaids.org/en/resources/documents/2016/how-many-people-living-with-HIV-access-treatment).
UNAIDS has confidence in the accuracy of its current estimate of 18.2 million (16.1 million - 19.0 million) on treatment in June 2015, but we recognize that it is critical to continually review and validate the quality of the reported treatment data. UNAIDS relies on its many partners, including AHF, the Global Fund and PEPFAR, to check patient numbers with dispensed medication and to conduct other data quality reviews to ensure that data are accurately reported in national estimates. Countries that find specific data quality issues are supported to help improve quality by strengthening and expanding their HIV programme monitoring and surveillance systems.
Thanks,
Kim
UNAIDS adds value to the global AIDS response particularly in leveraging its convening role, coordination, political advocacy and technical support
ReplyDeleteUNAIDS has been a leader on human rights issues and UN engagement with civil society organizations. It has operated on a foundation of the latest science and evidence, within a human rights-based framework, never forgetting to those affected by HIV at the center of its work. This is particularly critical now, especially as there countries that are tightening their restrictions on civil society, and when we are seeing increasing conservatism and movement away from a progressive, rights-focused advancements.
ReplyDeleteOne of the critical areas where Unaids has been a key player is in pointing out the need of focussed approaches and to address barriers related to Human Rights. They talked about MSM, sexworkers and Trans long before their constituent agencies dared to do so.
ReplyDeleteUNAIDS is important in setting the global AIDS agenda. The secretariat plays a key role in bringing the unique multisectoral approach to the response. UNAIDS carries out its advocacy role very effectively from the political leadership to the communities directly affected by the epidemic.
ReplyDeleteFirstly, in advocating for groups that would otherwise be overlooked or ignored by governments for political, cultural, or other reasons. For example MSM and IDUs. Secondly, producing data which is high quality and accessible. Thirdly, seeing issues as more than country level, i.e. regional. The role of the regional offices is, in my opinion, undervalued.
ReplyDeletePARA COMBATIR LA EPIDEMIA DEL VIH, SE NECESITA INVERTIR MUCHO EN EDUCACION SEXUAL JUVENIL Y MOSTRAR LA GRAVEDAD A LA QUE SE EXPONEN
ReplyDeletePeter DAMA (PNG Youth Alliance on HIV/AIDS)
ReplyDeletePapua New Guinea
Programs Coordinator
I for one as working to reach young people in my country, see UNAIDS as exceling in both three areas. In a counrty UNAIDS provide technical adivce in interventions and assising the HIV prevelance rate as governemnt Health are skiiled by UNAIDS, to do that. Regional, UNAIDS office can assist the prevalence rate in different regions, which gives a clear picture what are the contributing factors that resulted in the trend of HIV in each country HIV epidemic in that particular region. Globally, I think want UNAIDS is doing which is good and it should keep doing it, is sharing of the success stories of other countries and how we can adopt to fight HIV in their own coutries.
HIV is Papua New Guinea (Asia-Pacific-Region) is still alaming and in gradually increase every year, currently we are reciving little government support for prevention and advocacy programs. This are the times like this, that the country response depend on other technical support which most of times comes from UNAIDS office. The UNAIDS office still has more to contribute to the HIV and it's surrounding issues in the ASIA Pacific, by providing technical support and sharing of best pratcise interventions. AS LONG AS HIV IS WITHIN OUR COUNTRY UNAIDS OFFICE SHOULD BE THERE TO ASSIST US, BECAUSE THEY (UNAIDS OFFICE) ARE CONCERN WITH AFFECTED COMMUNITIES (OR POPULATION) WITH THE COUNTRY.
I would sign out, by saying in my country and I'm sure in other countries too, UNAIDS over the years has been exist in their health system and that reliance has become permanent. Removing UNAIDS office now will have major implements on those exist dependency each country has on UNAIDS, in regards to HEALTH department, including other social issues which are crossing to HIV prevention and treatment and law (Human Rights) and order as well.
If there has been an area that I believe UNAIDS has excelled at is in connecting and linking groups/organizations/people together. Particularly around young people , UNAIDS has been pivotal in allowing young advocates/activists/PLHIV to link with national health ministries, or other UN agencies that can help advocates deliver on the needs of community.
ReplyDeletethe idea that communities need to be integrated UNAIDS into the HIV response is taken serious and promoted, even if its difficult and far from 100% perfect: it is an added value that helps as as the community at country level. I appreciate the work UNAIDS does related to HIV and Human rights, the guidance delivered regarding the development of standards, the sensitivity related to the vulnerabilities: to name MSM and prison population. UNAIDS work and seriousness related to the removal of HIV related travel restrictions - this is highly valued even if i think that UNAIDS should sometimes be a bit more political and step on the toes of countries that "underperform" and violate human rights. The papers UNAIDS delivers are helpful at country level.
ReplyDeleteFinland thanks for the possibility to participate in the consultation.
ReplyDeleteThe questions asked are broad and extremely complex. Replying to them in a manner that would serve the process in a system-based approach would require more background information.
At this point we identify the principles of and guidelines on how the UNAIDS core funding is distributed to the as the key questions to be addressed in the new business model.
In a situation where funds are and may continue being limited we would like see their use to be more clearly bound to the UNAIDS strategy and priorities identified based on gaps analysis.
Informed PCB decision making would require more clear division of work between the Secretariat and the co-sponsors, setting of priorities and objectives and reporting results back to the PCB, including co-sponsors’ work carried out by UNAIDS core funding,
We would like to point out that the advocacy role of the Secretariat, in particular as regards women and girls as well as sexual and reproductive health rights and services, continues to be a high priority for Finland.
We look forward to future possibilities to participate constructively in the development of the new UNAIDS business model to guarantee a continued coordinated UN HIV/AIDS response to achieve the SDGs.
As the convener of the Joint Programme. As a producer of information and data related to HIV; as the organisation that has managed to highlight the key and marginalized populations in the context of the AIDS response (however that has taken some doing). It has, despite growing donor indifference managed to keep alive the real health problem/issue of HIV infection, its prevention, detection, treatment and care and have been a shining light (despite prejudice and internal challenges) in convening sex workers (female, male and trans*), men who have sex with men, gay men, lesbians, trans* people, and people who use drugs. It has thrown a light on the challenges faced by incarcerated people and undocumented migrants in the context of HIV and HIV/TB co-infection. However, some of its recent slogans: 90-90-90 and Ending AIDS many not have been guided sufficiently by robust data and evidence. And it has of late, despite the continuing HIV issue, not been able to excite donors – a task that GFATM has done much, much better with its focus on specifics and data and delivery and accountability. At regionally and country-level their role has ranged for essential to inconsequential (e.g. in large countries like India) and has often been personality dependent rather than uniform.
ReplyDeleteOn a global level, UNAIDS has been an important advocate for attention to HIV. However, some of the recent language on "ending AIDS" and "getting to zero" and "fast tracking" seem to be interpreted broadly as "we're almost done with this work" and at country-level are interpreted by political leaders as "this seems to be handled by UNAIDS, GFATM and PEPFAR, so...". UNAIDS messaging needs to be smarter politically and factually - I see this as a challenge moving forward for UNAIDS; these messages were not only un-artful, but harmed our ability to draw in new leaders and new commitments for HIV and AIDS funding.
ReplyDeleteThere is a fundamental flaw with this "review process". UNAIDS and the heads of the Review Process should add to this website the latest reports on how UNAIDS has performed in reaching its intended results at global, country and regional level. How can anyone advise moving forward without a clear picture on where UNAIDS has achieved results and where they have not? Is this all a subjective and opinion based exercise? Or is it empirical?
ReplyDeleteMODERATOR COMMENT: As we consider the future of UNAIDS, it is indeed important to look back at what has been achieved by the Joint Programme. One place to look is the UNAIDS programmatic and financial reports to its board. For the lat budgetary biennium (2014-15) the Performance Monitoring (PMR) and Financial Reports are also available at http://www.unaids.org/en/resources/documents/2016/UNAIDS_PCB38_16.7 and http://www.unaids.org/sites/default/files/media_asset/20160530_UNAIDS_PCB38_16-8_Financial_Report_EN.pdf.
DeleteYou can find additional information from UNAIDS at https://results.unaids.org/.
Over the years that have been some independent reviews. For example, this one: http://www.mopanonline.org/assessments/unaids2012/.
The Panel recognizes that this is a challenge, and ways to improve results and financial reporting are being discussed. We would appreciate your thoughts on this in the "financing and accountability" section of the virtual consultation.
The joint programme is a best practice within the UN and this has been widely recognised including within the SDG discussions. Pulling together the expertise of various relevant UN agencies together with multi stakeholder modus operandi is the most effective way to ensure an effective, coherent and coordinated response at all levels. UNAIDS convening power as a technical agency strengthens the leveraging power, in terms of political advocacy, coordination and provision of technical assistance.
ReplyDeletele model de programme conjoint ONUSIDA vaut le coup d’être poursuivi car il a montré que les Agences onusiennes peuvent travailler ensemble pour faire face à un problème multifactoriel et ayant des conséquences sur le développement global. Le sida n'étant pas vaincu, la mission de l'ONUSIDA n'est pas terminée.
ReplyDeleteLe succès de ce programme réside dans le fait q'un secrétariat à été mis en place avec des ressources humaines compétentes et touts bord (de profil varié et cela repond à une des valeur de l'ONU qui est la diversité) à la différence des agences spécialisées où on trouve des spécialistes du domaine et qui se font des guerres d'idées et d'école au lieu de penser actions ou encore des fonds des Nations Unies qui entre en compétition avec des agences spécialisées sur des domaines communs ce qui empêche les équipes sur le terrain de travailler en complémentarité
From the perspective of ICMHD and the work it does with populations on the move, including uniformed services, the added value of UNAIDS has been its openness to work with groups and communities not typically reached or targeted in international development work, and in bringing these into the HIV debate as equal partners. In doing this, the UNAIDS has not only expanded the scope of HIV prevention and management, but has also given credibility to these new target groups as operational partners in the global response to HIV.
ReplyDeleteUNAIDS has the historic credibility to coordinate and facilitate regional, national and local responses.It is, nevertheless, a political organisation, and this has both advantages and disadvantages. What it does well is to create opportunities for facilitation, dialogue and planning. What it does not do so well is create systems of accountability at these various levels. Learnings can be gained from failure analysis. I am well aware of how political HIV and its affects are: but a role that belongs to UNAIDS is to name where the problems, barriers and constraints are. This carries risk, but also improved credibility. There are some systems of accountability in place- country auditing, for instance- and this is a very good thing.
ReplyDeleteGENERAL DISCUSSION QUESTIONS
ReplyDeleteIn what areas does UNAIDS excel and add particular value to the AIDS response—globally, regionally and at country level?
Partnership and coordination at global regional and national level and this is evident from existence of cosponsoring agencies, NGO UN partner organizations and UNAIDS country teams.
How can UNAIDS work better as a Joint Programme to support communities, countries and partners to end the AIDS epidemic?
Strengthen follow up mechanism especially at country level on the funds given to different programs to increase accountability./ creating accountable persons
How can UNAIDS improve the quality of the way it works, across the UN and the AIDS ecosystem, to deliver results for people in the era of Agenda 2030?
Strengthen follow up mechanism especially at country level on the funds given to different programs to increase accountability./ creating accountable persons
Governance
How can the UNAIDS Board help guide the wider global AIDS response?
By Increasing representation of the member countries on UNAIDS board, this would increase sharing experience from different parts where UNAIDS implements.
How can important stakeholders be given a more consistent voice in UNAIDS Board discussions?
Increasing personnelwho have important expertise pertaining to the issues at hand
How can the Committee of Cosponsoring Organizations improve policy coherence between UNAIDS and Cosponsor boards and better integrate efforts to deliver on the Sustainable Development Goals, including at country level?
Carry out policy reviews to match co-sponsoring board policies and UNAIDS policies to match with sustainable development goals.E.g cosponsors should revise policies to include funding injecting drug users on their sponsoring list in order to fulfill its agenda
Finance and accountability
How can UNAIDS raise sufficient resources to deliver against its strategy and workplan? How can its unique supporting role to the Global Fund be consistently financed?
Widening donor partnership to bring more funding into UNAIDS basket
Emphasize data for all targeted issues focused on the agenda in order to have evidence based funded issues.
How can the allocation of financial resources among Cosponsoring agencies and the Secretariat respond to performance and best reflect the needs of countries?
Financial allocation should focus on the AIDS burden where different agencies work focuses.
How can UNAIDS best report on the results of its work and how this work adds value to the global AIDS response?
Design and share user friendly reporting tools with all stakeholders
Joint working
How can UNAIDS Cosponsoring agencies and the Secretariat work together more effectively? How can UNAIDS Cosponsoring agencies and the Secretariat refine their division of labour and ensure optimal allocation of human and financial resources in countries?
Clearly stipulating the roles and responsibilities of UNAIDS cosponsoring agencies
Division of labour based on the need of the country e.g more financial resources should be directed to countries with more disease burden
How can the multisectoral nature of the Joint Programme be better leveraged to take AIDS further out of isolation and maintain the response as a global priority?
The joint programme should put more emphasis on key populations including the injecting drug users
How can UNAIDS better engage the range of stakeholders, including new partners, required to deliver on its 2016-2021 Strategy?
Involve them in the assessment and analyzing the burden of AIDS
UNAIDS excel and add particular value to the AIDS response—globally, regionally and at country level in advocacy, planning and vision
ReplyDeleteje voudrais tout simplement saluer l'action de l'ONUSIDA depuis sa création à ce jour. J'estime que cette action de connecter les agences du système des Nations Unies pour une meilleure réponse au VIH a été salutaire dans mon pays le Niger. En effet, grâce à cette action conjuguée, une réponse juridique au VIH s'est concrétisé avec l'adoption de plusieurs textes de lois et leur vulgarisation auprès des acteurs directement concernés par l'application. je reste convaincu qu'avec la continuation du plaidoyer de l'ONUSIDA, l'objectif "zéro discrimination liée au sida" ainsi que la protection des droits humains des populations clés sera atteint d'ici 2030.
ReplyDeleteI believe there is no more need to keep the UNAIDS Secretariat in its present structure, at global, regional and country level. In 1995 when UNAIDS was established, the idea was to have a harmonized joint UN response to HIV and ensure that all areas of HIV interventions are addressed by various UN agencies especially when it comes to human rights and socio economic aspects. At the time, there was a need for a strong effective input from all UN agencies to be coordinated by UNAIDS. However, UNAIDS was supposed to be a small coordinating structure, that will exist for few years until the UN co-sponsors have successfully integrated HIV into their core business. After 22 years, UNAIDS has expanded immensely, and has taken a prominent role in implementing technical activities, sometime even competing with the UN cosponsors.
ReplyDeleteToday, there is no need for an expansive UN programme on AIDS. There is no need to differentiate HIV from other public health problems. However, there is a great need to maximize resource effectiveness and utilization, and enhance integration of health programmes. UNAIDS should be transformed into a partnership programme like STB and RBM. A small secretariat could be kept in Geneva and all staff should be absorbed into various UN agencies to reinforce UN HIV capacity at country level.
UNAIDS is a great example of joining efforts of different UN agencies on one particular issue. It brings together valuable expertize from all agencies thus covering different aspects of HIV. It is heard by the governments and civil society organizations. It can impact country policies and strategies on HIV, especially when it comes to human rights issues but also access to testing and treatment as well as resource mobilization.
ReplyDeleteUNAIDS consists of 11 cosponsoring UN organizations and a secretariat. Through participation on the Board, UNAIDS also includes the perspectives of a broad array of state and non-state actors in the AIDS response. The greatest strength of UNAIDS is the diverse but complementary skills and expertise that can be brought to bear on the HIV epidemic in a coordinated way.
ReplyDeleteUNAIDS produces high-quality reports and data - such as the 2016 report "Do No Harm: Health, Human Rights and People Who Use Drugs" which put forward policy and operational recommendations for last year’s UNGASS on Drugs. However, they need to demonstrate greater commitment in practice, rather than just in writing, to their own recommendations - that all people who inject drugs (including those in prisons) have access to harm reduction services, that people who use drugs do not face punitive sanctions for drug use, etc.
ReplyDeleteUNAIDS is a remarkable example of partnership. It brings together 11 other UN agencies with different mandates and SDG priorities and using their individual contribution works on HIV. It had a strong advocacy platform especially for human rights and stigma and discrimination of PLHIV. The relations with Governments and First Ladies is helping putting HIV as a national priorities even during difficult emergency times. For West Africa the interaction with the OAS (Organisation ouest africaine de Sante) proved to be critical during the Ebola outbreak and now with the improved political engagement of West African states in the HIV response. Involving NGOs and network of PLHIV in PCB decisions has certainly a great impact on national policies in countries where civil society is strong represented (such as in Latin America). Finally UNAIDS as a secretariat is representing all actors that work on HIV. By putting a UNAIDS logo or banner this represents a common interest of all the 11 Cosponsors.
ReplyDeleteJorge Beloqui, Brazil, member of the National Netwoork of PWHA, And GIV, and ABIA
ReplyDeleteI congratulate UNAIDS for submitting itself to this kind of evaluation.
It is an example that other UN Agencies, and International Agencies should follow.
I think UNAIDS provides important epidemiological background. It has been important to use UNAIDS authority to challenge some governmental mortality data, for example. On the other hand, UNAIDS and the local UN agencies representatives do not follow the local epidemiological agenda to act locally. As an example, UNAIDS and other UN agencies did not fund The National Network of PWHA, but funded a Network for women, though the AIDS local proportion is 2 or 3 men with AIDS for each women with AIDS.
In my opinion, Latin America has been largely ignored in HIV/AIDS global policies. Of course, other continents face a critical situation in comparison, but this is not a reason to ignore Latin America. Here again UNAIDS has an important role to play.
Back in 2000 States committed to improve the situation regarding the role of peacekeeping in the spread of HIV and started to initiate measures to mitigate the risks of HIV amongst peacekeepers (first-ever resolution on HIV, UNSCR 1308). Outreach to local communities, mainstreaming the issue of AIDS into mission mandates, HIV sensitization and awareness training, including pre-deployment HIV training, but the measures did not suffice.
ReplyDeleteIn 2011 States thus decided to launch resolution 1983, urging States to “curb the impact” of HIV. The progress made is a great step forward but yet so much needs to be done in terms of awareness, at a time many States tend to forget that HIV is still alive, spreading death, combined with a very high level of sexual violence.
UNAIDS in that context has played an important role, with a focus on fragile States, conflict and post-conflict situations such as South Sudan, Côte d’Ivoire, Democratic Republic of Congo (DRC), Haiti, Central African Republic (CAR), Liberia, Darfur.
The UN, and UNAIDS for the specific context of HIV, sexual violence and fragile States, need innovative solutions (education, training and communication materials) that contribute even more to national AIDS response, HIV sensitization, awareness training to peacekeepers, national military and police, displaced population, peer educators, etc. While already looking at sustainable and cost-efficient solutions to rethink the future (2030 Agenda), let’s use the new virtual training technologies to add realism to the training while respecting the victims, and launch more effective and widespread training and sensitization tools with a coherent message across the board (e.g. pre-deployment, social media campaigns, etc.), as part of standard agreements with all actors, within the UN system, but of course with all national and regional key stakeholders.
UNAIDS is the only organisation positioned to coordinate the HIV response across the Joint Programme both globally out of Geneva and especially in country.And yet this does not seem to happen as effectively as it might. There seems to be a lot of competition between agencies and a reluctance for joint planning. This coordination would be especially useful at the country level where the issues in each country are different.
ReplyDeleteA country plan covering the Joint Programme and as far as possible engaging the country government in the process would be useful.
UNAIDS is also well positioned as the authority and agency responsible for the HIV response to try and influence national governments on best practice to address HIV in their country. This requires leadership and some diplomatic skills that in many cases are lacking at the country level.
UNAIDS is in a very strong position to support community organisations and other civil society players in engaging in country responses. This can be though capacity building and development, but more particularly by representing the need for their inclusion if responses in country are going to be effective.
The UNAIDS Joint Programme is certainly a best practice in the UN in terms of "working as one". Globally, the joint programme (Secretariat and Cosponsors), thanks to its convening ability, is best placed to ensure coordination and advocacy at the highest level in order to move the AIDS agenda forward. The clear division of labour among cosponsors, one banking on the technical comparative advantages of each organization, facilitates coordination and renders advocacy, coordination and technical assistance provision more efficient, coordinated and certainly more comprehensive in its approach. At the country level, in most country the joint programme certainly facilitate the coordination and serves as an entry point for Member States. It enables the cosponsors and secretariat to tackle challenges comprehensively and join forces to support specific initiatives. At the regional level, the case of such structure and coordination is harder to make. There is very little resources (funding and staff) allocated for such work (donors and UBRAF) and therefore coordination is at time artificial. Country level works best.
ReplyDeleteUNAIDS main value added is in the collection and dissemination of data on HIV/AIDS, national, regional and international advocacy and the provision of in-country technical advice.
ReplyDeleteCountry level
ReplyDelete- Data collection, technical assistance, high politicians advocacy, mediation in difficult negotiations, the role of the referee, holding information motivational national campaigns, ensuring communications community and the state, community involvement, strengthening of communities, NGOs, governmental structures capacity
Regional level
Collection of common trends in a region (problems, barriers, development opportunities), creation of competition between countries, description of the best/worst used practices, selection and description of the key advocacy challenges, raising awareness around them, and bringing them to the regional level and global level
Global level
After collecting the data, trends, key topics of advocacy within countries and regions - accumulate and analyze the factors that hinder the fight against the AIDS epidemic. To provide this information, the vision globally, to countries and donors, to improve understanding of the issues, attract additional attention, increasing funding to address these key problems and barriers.
Country level
ReplyDelete- Data collection, technical assistance, high politicians advocacy, mediation in difficult negotiations, the role of the referee, holding information motivational national campaigns, ensuring communications community and the state, community involvement, strengthening of communities, NGOs, governmental structures capacity
Regional level
Collection of common trends in a region (problems, barriers, development opportunities), creation of competition between countries, description of the best/worst used practices, selection and description of the key advocacy challenges, raising awareness around them, and bringing them to the regional level and global level
Global level
After collecting the data, trends, key topics of advocacy within countries and regions - accumulate and analyze the factors that hinder the fight against the AIDS epidemic. To provide this information, the vision globally, to countries and donors, to improve understanding of the issues, attract additional attention, increasing funding to address these key problems and barriers.
It's my view that UNAIDS has shown and still shows potential in convening various stakeholders at various levels (national, regional and international). Its collection of data and evidence with such a high quality standard has been unquestionable and made it a place to go for country HIV profiles. Some pieces are still missing though: the alignment of it's wonderful strategies and policies with what happens on the ground is something still to be seen. In many countries/regions for instance, UNAIDs team comprises a community mobilizer who does not have/develop ties and proximity with various communities. Although there is no room for generalization, the leadership seen from UNAIDS staff on mainstream questions of HIV prevention, care and support for the general population is limited when it comes to issues of key populations and human rights approach to HIV programming among key populations. Moreover, there are some ambitious indicators set by UNAIDS that are almost to measure and hold states accountable on. These are the zero-discrimination or leaving none behind target. Without measurement, these targets remains mere slogans.
ReplyDeleteUNAIDS adds particular value to the AIDS response, through its multi stakeholder modus operandi. UNAIDS convening power as a technical agency strengthens the leveraging power, in terms of political advocacy, coordination and provision of technical assistance.
ReplyDeleteGlobally: important work on advocacy, research on social and societal issues and resource mobilization.
ReplyDeleteFariba Soltani: UNAIDS adds particular value to the AIDS response, through its multi stakeholder modus operandi. UNAIDS convening power as a technical agency strengthens the leveraging power, in terms of political advocacy, coordination and provision of technical assistance.
ReplyDeleteUNAIDS' strength lays in it's power to convene global stakeholders to create common blueprints and strategies for the HIV response. It has demonstrated a strong commitment to the meaningful participation and engagement of the affected community in the global HIV response through the active participation of its NGO delegation to the PCB.
ReplyDeleteКазахстанский Союз Людей, Живущих с ВИЧ и Центрально Азиатская Сеть Людей, Живущих с ВИЧ на протяжении многих лет сотрудничает с ЮНЭЙДС; за эти годы офис ЮНЭЙДС на страновом уровне и на региональном уровне оказал и продолжает оказывать финансовую и техническую поддержку в развитии и становлении неправительственного сектора в регионе Центральной Азии.
ReplyDeleteНа глобальном уровне от ЮНЭЙДС мы по-прежнему ожидаем обеспечение участия неправительственных организаций в работе специальной сессии Генеральной Ассамблеи Организации Объединенных Наций По ВИЧ/СПИДу (ССГАООН) для того, чтобы проблемы ВИЧ и СПИД могли быть обсуждены на уровне Правительств различных стран; на региональном уровне мы ожидаем от ЮНЭЙДС обеспечение технической помощи и оказания экспертизы для решения региональных проблем, в первую очередь, связанную с мигрантами, особенно с предоставлением АРТ лечения для мигрантов. Для этого у ЮНЭЙДС есть все возможности для организации и проведения межстранового диалога для обсуждения не только вопросов по профилактики ВИЧ, но и проблем связанных с ВИЧ/ТБ, лечением и многих других.
На уровне стран, наши ожидания и пожелания офису ЮНЭЙДС продолжать оказывать поддержку неправительственному сектору, так на протяжении 2014-2016 гг. в Казахстане с помощью офиса ЮНЭЙДС в сотрудничестве с КазСоюзом был решен вопрос о закупе АРТ препаратов через международные механизмы (ЮНИСЕФ), что позволит вдвое увеличить количество пациентов на АРТ терапии с 6000 человек до 12 000. В настоящее время необходимы усилия по удержанию пациентов на лечении, необходимы мероприятия по улучшению приверженности пациентов, необходимы мероприятия по снижению уровня стигмы и дискриминации в обществе, в медицинских учреждениях. Нам необходимо, чтобы ЮНЭЙДС оказал помощь в организации и проведении мероприятий по снижению уровня стигмы и дискриминации по отношению к Людям, Живущим с ВИЧ на самом высоком уровне, с участием государственных чиновников, парламентариев и других лиц, принимающих решения.
Мы надеемся, что офис страновой офис ЮНЭЙДС в новом качестве суб-регионального офиса сможет оказывать большую поддержку Центрально Азиатской Сети Людей, Живущих с ВИЧ на уровне региона.
Работая в группе реализации проекта Глобального Фонда для борьбы со СПИД, туберкулезом и малярией в Казахстане, хочу сказать, что на уровне страны сотрудничество с ЮНЭЙДС более 10 лет. Хотелось бы отметить, что наше сотрудничество с ЮНЭЙДС всегда было плодотворным, офис ЮНЭЙДС принимает активное участие в разработке страновых заявок на получение финансирования республикой Казахстан, офис ЮНЭЙДС активно участвует в работе ССК, являясь заместителем председателя СКК, оказывал и продолжает оказывать техническую помощь в реализации мероприятий проекта Глобального Фонда.
ReplyDeleteНаши пожелания ЮНЭЙДС для улучшения работы на глобальном уровне следующие:
1) улучшить координацию между донорами, включая Глобальный Фонд для повышения эффективности международной помощи, предназначенной для борьбы с ВИЧ, СПИД и ТБ;
2) Продолжать оказывать техническую поддержку в предоставление национальной отчетности по СПИД странам в рамках отчетности о достигнутом прогрессе в осуществлении глобальных мер в ответ на СПИД, т.к. эти данные активно используется на уровне страны, как государственными структурами, так и неправительственными организациями и другими заинтересованными партнерами.
На уровне страны, в частности в Казахстане, мы бы хотели принимать активное участие в работе Тематической группы ООН по ВИЧ/СПИД, т.к. для нас важно обсуждения планов, промежуточных результатов, обсуждения пробелов и т.д. со всеми ООН-вскими агентствами, работающими по профилактики ВИЧ и СПИД на уровне страны.
Important contribution of UNAIDS into HIV response at all levels is promotion of human rights based approaches, putting emphasis on consideration of cost effectiveness of interventions.
ReplyDeleteOn national level UNAIDS played crucial role in engagement of civil society, particularly, key communities into HIV response, enhancing the voice of PLHIV.
There other valuable inputs, which UNAIDS made on global, regional and national levels, but I mentioned those in which UNAIDS is a champion.
Thank you for the possibility to participate in these consultations and express our gratitude for what UNAIDS is doing in our country.
ReplyDeleteAt country level we have benefited from UNAIDS strong political support in advocating for 90-90-90. Due to UNAIDS direct involvement in advocacy process the government committed to reach this goal by 2020. Due to UNAIDS facilitation efforts we succeeded to switch the procurement of ARV drugs (exclusively funded from the state budget) from local market to international market (through UNICEF). The reduction of prices we got will increase the ARV coverage.
As well UNAIDS assisted in the complicated processes of negotiations with GFATM before the grants were signed.
The last, but not the least is the strong technical support which is offered by the UNAIDS office in developing technical documents and leading technical processes aiming increasing the quality of data, their availability and interpretation to keep the response focused on priority areas of interventions.
UNAIDS is much underfunded at our country level which sometimes may reduce their mobility and promptness and possibilities to intervene.
My name is Yana, I am 19 years old and a young woman. I grew up and live in Ukraine.
ReplyDeleteI am the founder of the Union of adolescents and youth Teenergizer. I created this project with my friends, both HIV+ and HIV- teens, to intensify the youth participation in ending the HIV epidemic. The reason for that decision was my realization of the fact that if young people are ignored today, they will be infected tomorrow.
Many thanks to the UNAIDS for being the first ones to believe in the potential of our youth platform. Thank you very much that you support us financially and also have managed to become a vital element that connects us with the governments in EECA region.
The UNAIDS professionals are very experienced and always ready to share their knowledge with the youngest activists. For instance, anytime, I can get advice from the UNAIDS staff about our goals and new activities.
With the help of the UNAIDS experience, new HIV-initiatives in our region are becoming stronger, which leads to the effective communication between youth and the local government.
For these reasons, I believe that UNAIDS will continue to help us. Now, we are not a big community, but, with the help of UNAIDS, we will become a self-sufficient and powerful network, which will be able to solve the problems of young people independently.
Sur le plan global et régional ONUSIDA excelle dans les domaines suivant: orientation stratégique, mobilisation de ressources coordination, suivi évaluation. Sur le plan pays cette expertise est souvent retrouvée, mais il existe des pays avec une bonne expertise au niveau de la partie nationale et où on a besoin d'une grande présence de l'ONUSIDA surtout en cette période de rareté de ressources.
ReplyDeleteВ нашей стране ЮНЭЙДС играет роль агентства ООН, который координирует деятельность страновых партнёров, а также является организацией продвигающей инновационные стратегии по профилактике ВИЧ-инфекции. Важно обратить внимание на тот факт, что в ближайшие несколько лет, деятельность страновых офисов должна быть расширена, чтобы стать методологическими и аналитическими центрами по формированию государственной политики в области профилактики ВИЧ-инфекции.
ReplyDeleteАйнагуль Осмонова, ОФ «Аракет Плюс», Кыргызстан
ReplyDeleteЯ знакома и вовлечена в работу ЮНЭЙДС с 1994 года (тогда еще работала Глобальная Программа по СПИДу ВОЗ, но уже принято решение о создании ЮНЭЙДС). В ноябре 1994 года в регион прибыл региональный советник ЮНЭЙДС г-н Рудик Адамян. С этого времени началось развитие национальных программ по СПИДу не только в Кыргызстане, но и во всех 5 странах Центральной Азии, включая Казахстан, Таджикистан, Узбекистан и Туркменистан. ЮНЭЙДС внес значительный вклад в становление современных программ по СПИДу; развитие и продвижение новых инициатив, развитие национальной политики, многосекторального сотрудничества, а также первых программ для ключевых групп населения, включая программы снижения вреда в том числе ОЗТ. В настоящее время, в Кыргызстане активно продвигается новая стратегия ЮНЭЙДС 90-90-90. ЮНЭЙДС также много делает для развития международного сотрудничества, привлечения ресурсов, совершенствования системы МиО. Основой деятельности ЮНЭЙДС является поиск и продвижение новых подходов для того, чтобы остановить эпидемию ВИЧ-инфекции.
Какова должна быть роль ЮНЭЙДС на предстоящий период.
1. ЮНЭЙДС должна оставаться консолидирующей программой ООН, которая объединяет и направляет усилия не только организаций ООН, но и других доноров для достижения целей Политической декларации 2016 г. Только единство подходов и слаженная работа всех заинтересованных партнеров позволит достичь результата.
2. ЮНЭЙДС, учитывая ее потенциал, должна оставаться мировым лидером, определяющим новые эффективные подходы, стратегии и методологии по преодолению ВИЧ и СПИДа на глобальном, региональном и страновом уровне.
3. ЮНЭЙДС должна и далее использовать свой опыт и структуры по проведению мониторинга достигаемых результатов, планирования и прогнозирования развития эпидемии на глобальном, региональном и страновом уровне.
Добрый день.
ReplyDeleteСпасибо за возможность принять участие в глобальном обзоре ЮНЭЙДС. Это радует, что организация стремится стать лучше.
Я как представитель гражданского сектора, могу сказать о том, что ЮНЭЙДС необходимо наращивать своё присутствие в регионе и в странах ЦА, учитывая глобальные вызовы региону.Необходимо налаживать работу с организациями гражданского общества, вовлекать их в процесс принятия решений на региональном и глобальном уровнях.
Молодые люди живущие с ВИЧ, подростки нуждающиеся в открытии статуса, которые не имеют возможность говорить на русском или английском языках должны стать частью молодёжных инициатив ЮНЭЙДС.
ЮНЭЙДС должно остаться агентством ООН, которое лидирует и координирует всю деятельность в области профилактики ВИЧ-инфекции.
Инновации и новые тренды в профилактике ВИЧ, максимальная мобилизация человеческих и финансовых ресурсов - это те аспекты, которые ЮНЭЙДС должен развивать и дальше, не только на национальном, но и на региональном и международном уровнях.
The main strength of the joint programme is its multisectoral focus, which is based primarily on the work of the cosponsors. There are many technical areas that are critical for an effective response, and the respective contributions of the cosponsoring agencies requires more support, both for work within their own mandates and for joint work with others.
ReplyDeleteOperationally, the UNAIDS secretariat, especially at regional and country level, continues to consider Ministries of Health as the primary partner in the response. While this is obviously true for the considerable health and prevention issues, many opportunities are missed by not coordinating closely enough with cosponsors to tap other Ministries, sectors and partners that are not typically on Min of Health radar.
The secretariat and many of the cosponsors have done a good job in identifying links between HIV and various SDGs. Close attention and resources are needed to ensure that synergies continue to be identified and strengthened in operational ways -- otherwise sectoral silos will continue. The very core of UNAIDS is multisectoral work and there are relatively few examples of this in the UN system.
One of UNAIDS' key contributions to ending the AIDS epidemic is its systematic and comprehensive data collection and reporting at the national, sub-regional, regional, and global levels. The data they collect and disseminate has provided the essential evidence needed to make an effective case for political and financial resources for the AIDS response. The added analysis it provides in a wide range of thematic and annual reports is also extremely insightful and useful. Looking forward, it is extremely important for UNAIDS to have the resources to continue to carry out such a role so advocates can use the information to feed into the funding and prioritization decisions taken by governments and international institutions.
ReplyDeleteUNAIDS has also played a vital role in political mobilization for the AIDS response. In addition to putting and keeping the HIV epidemic on the global agenda, its strong support for particularly vulnerable populations has provided a political platform to those who might not otherwise have had a voice. While perhaps its direct and vocal support for some groups has been inconsistent, it should be encouraged to solidify and amplify this role in the future to stay true to its mandate and ensure the AIDS response reaches everyone.
Progress in the AIDS response is significant, 17 million PLHIV now have access to treatment and the world is set on a path to eliminate new HIV infections among children. Such progress is fragile and HIV continues to occupy a significant space within peace and security. UNAIDS role in strong advocacy coupled with providing leadership and strategic direction on emerging trends has been successful in various areas. Therefore a continued engagement in conflict and post-conflict settings as well as on fragile states is critical.
ReplyDeleteUNAIDS works with DPKO to scale up the AIDS response in peacekeeping countries has been challenging. Both agencies held on 7 June 2016 a side event in New York as part of the HLM: “HIV and security: past, present and future” aimed at addressing HIV in emergency contexts. Scaling up the HIV response in peacekeeping countries many of which are in conflict and/or post conflict situation remains a challenge although UNAIDS does not appear to have today a specific policy or strategy to guide its work in fragile states.
UNSCR 1983 has guided a more robust UN contribution to AIDS responses in conflict and post-conflict settings over the last five years. This has included HIV-related awareness and service delivery training to national military, police, ex-combatants and internally displaced people; training of peer educators within national uniformed services; and extension of voluntary HIV testing and counselling, treatment, care and support, condom distribution and post-exposure prophylaxis to the host population. Guidance should be provided for roll out of Pre Exposure Prophylaxis, a recent HIV prevention biomedical tool, in fragile states and contexts. Uniformed and civil security forces continue to play a critical role in the AIDS response in peace, keeping and humanitarian contexts. They strengthen health and social systems by assisting in maintaining peace and stability with payoff in reduction of factors that make people vulnerable.
UNAIDS’ successful advocacy to bring again HIV in the UN Security Council has been commendable. In a letter sent on 8 November 2016 to the President of the Security Council pursuant to UNSC resolution 1983, the UNSG called for an urgent and coordinated international action to curb the impact of the AIDS epidemic in conflict and post conflicts situations.
Additionally, UNAIDS’ work in developing and publishing technical guidance material for the provision of HIV-sensitive programmes in emergency settings, to ensure the provision of HIV treatment, care and support, prevention of sexual gender-based violence, and provision of nutritional support to people living with HIV proved to be successful. Examples of such guidance material developed include the HIV work in emergency context, the guidance on the prevention of mother-to-child transmission in humanitarian settings, guidelines for integrating gender based violence interventions in humanitarian action as well as guidelines for the delivery of antiretroviral therapy to migrants and crisis-affected persons in sub-Saharan Africa.
I think that UNAIDS must provide greater technical and advocacy support to non-governmental organizations working based on communities in the direction of more sooner achieving the 90x90x90 goals, quality analysis of public health programs in Ukraine which are implementing at this time, and implement new approaches in prevention, HIV testing, detection and HIV/AIDS treatment, especially among key groups.
ReplyDelete• Global target setting and arrival at 90-90-90 helped to set global framework for AIDS response and make very straightforward programmatic priority setting for country responses. Further prioritization of prevention and key populations is putting necessary pressure on the governments;
ReplyDelete• UNAIDS in EECA has been ongoingly supporting program development in the region countries, including GF NFM processes that helped to improve key population emphasis in country responses;
• Leading role of UNAIDS in determining international indicators in HIV and facilitating country reporting helped prioritize the importance of strategic information and various data collection efforts at national level;
• Technical consultations lead by UNAIDS in various thematic areas are of key importance in facilitating international exchange and developing relevant up-to-date guidelines and resources;
• Technical resources, guidelines and tools produced by UNAIDS serve as the ‘golden standard’ in HIV work in countries;
• Very appreciative of Fast-track cities initiative which brought AIDS response to a new pragmatic level of planning, monitoring, implementation and resourcing. A lot of political support has been generated and attracted to AIDS from municipalities thanks to this initiative. For example, in Ukraine already the second city is considering joining the initiative and overall EECA region has increased its interest with the GF supported regional Cities grant.
In regions where UNAIDS is engaged in concentrated, growing HIV epidemics, the role of UNAIDS is more important than ever. Here in Russia, UNAIDS is the only UN / international partner that is still engaged on the ground with all partners - federal and local governments, technical partners, NGOs and people living with HIV.
ReplyDeleteI hope that UNAIDS will further enhance its data collection and strengthen it from the practical point of view focusing on who and why can use these data. More data needed that can be used for advocacy in funding and in HIV programming to demonstrate the cost-effectiveness and impacts. Since global commitments now often miss the PLHIV, I think UNAIDS should pay more attention to including PLHIV on agenda everywhere as parts of broader categories or separately.
ReplyDeleteBased on working with UNAIDS regionally and nationally, I would like to stress three areas where UNAIDS has added - and can add more in the future, - such as gender mainstreaming, supporting communities of key affected populations in their advocacy, and in addressing systemic human rights violations of people living with HIV and key populations.
Series of gender assessments of HIV responses, launched by UNAIDS in a number of countries, should be continued - whether with own UNAIDS initiative or, - even better, - with country-driven interventions to include more gender-sensitive indicators in programming, monitoring and sensibilization.
Regionally and on Country Level, it's crucial that UNAIDS continues investing in community advocacy and communicates with countries issues of human rights to an increased extent, rather than in global declarations urging countries to concrete steps. It would be good to see the role of UNAIDS evolving from observation on the national level with regards to violation of human rights to an actor who is actively seeking to resolve systemic problems.
Мы группа молодых людей и активистов в сфере ВИЧ/СПИД из Узбекистана открыли эту страничку с целью того, чтобы Вы поддержали нас и присоединились к нашей кампании #Don’t close UNAIDS Country Office in Uzbekistan. В ближайшее время со стороны Штаб-квартиры ЮНЕЙДС планируется закрытие офиса в Узбекистане, и чтобы донести до руководства ЮНЕЙДС, что офис в Узбекистане не должен быть закрыт и нужно продолжить его работу мы решили открыть эту страницу. Напишите ключевые послания для руководства ЮНЕЙДС и разместите свое фото с посланием на данной страничке, тем самым Вы поддержите нас в нашей идее! Спасибо Вам за поддержку!
ReplyDeleteWe are- group of young people and HIV- activists from Uzbekistan open this page with the intention of you support us and join our campaign #Don't close the UNAIDS Country Office in Uzbekistan. We decided to open this page because In the near future UNAIDS Headquarters planned closure of the UNAIDS Country Office in Uzbekistan and we want to convey to the Executive Leaders of the UNAIDS should not be closе UNAIDS Country Office in Uzbekistan and need to continued its work. Write key messages to UNAIDS Executive Leaders and place your photo with messages on this page, thus you will support us in our Campaign! Thank You for your support!
https://www.facebook.com/Dont-close-UNAIDS-Country-Office-in-Uzbekistan-1630956803878974/
•Coordination of HIV across UN cosponsors;
ReplyDelete•Collaborating and consulting civil society;
•Large scale data collection and dissemination of up-to-date statistics on the epidemic;
•Raising awareness about HIV and AIDS and in preventing and combating the epidemic;
•Gathering political will to prevent and end the HIV epidemic;
•Promoting the rights of people living with HIV and communities most affected by HIV
Особая роль ЮНЭЙДС в Молдове и в других знакомых состоит в том что способствует развитию партнерств в области внедрения Национальной программы по профилактике и контролю ВИЧ СПИД, развитию стратегии по обеспечению устойчивости и продолжительности услуг, в том числе в сфере выделения государственных средств на программы профилактики в среде уязвимых групп. Считаю важным эту роль усилить и далее внедрять.
ReplyDelete• Brokering funding and technical support to reach out to KP organisations
ReplyDelete• Facilitate dialogue at country levels between governments and civil society, trought National strategic planning and Global Fund country dialogue
• Develop normative guidance on Key populations for uptake by country levels offices and country stakeholders
• UNAIDS guidance for partnerships with civil society, including people living with HIV and key populations
• Elevation of the focus on: gender equality and empowerment of women and girls; bundled combination HIV prevention and sexual health approaches; and the promotion of human rights and social protections
• UNAIDS is uniquely positioned to influence the global HIV response over the next five years
In addition to the many areas of impact by UNAIDS listed here, I'd like to add that UNAIDS is the only UN body in which civil society has a significant voice in governance. The NGO Delegation, which has committed to a focus on human rights and the needs of those most vulnerable to discrimination and other human rights abuses, has over the last few years had a majority of delegates openly living with HIV and has included young people, people who use drugs, sex works, and gay men and other men who have sex with men. The majority of decision points (60% or more) passed in the last few years have been either initiated by or significantly amended by the NGO Delegation. Any effort to weaken UNAIDS will lessen or remove the influence that communities have on the leadership and direction of the epidemic response.
ReplyDeleteЕвгений Воронин said...
ReplyDeleteЮНЭЙДС проводит очень большую работу! Четко определяет ориентиры, направленные на противодействие ВИЧ-инфекции. Очень важно,что ЮНЭЙДС учитывает особенности регионов! Не менее важно, что задачи,которые ставит ЮНЭЙДС, это не теоритические выкладки, о них рассказывают очень увлеченные, профессиональные, открытые к дискуссии люди, такие, как Мишель Сидибе, Лурес Луис, Виней Салдана.
Хотелось, чтобы ЮНЭЙДС еще больше уделял внимание вопросам Fast-Track Prevention. При поддержке ЮНЭЙДС более активно внедрялись в жизнь наиболее эффективные и современные методы профилактики!
ЮНЭЙДС очень много делает по поддержке вопросов перинатальной профилактики и благодаря этому, в мире достигнуты значительные результаты в этом направлении. Но хотелось бы, чтобы еще больше отстаивались права ВИЧ-инфицированных детей, в том числе в расширении антиретровирусных препаратов, которые могут использоваться у детей. При поддержке ЮНЭЙДС оказывалось моральное воздействие на фармацевтические фирмы по расширению производства детских форм антиретровирусных препаратов.
с уважением,
Е.Е.
Евгений Воронин said...
ReplyDeleteЮНЭЙДС проводит очень большую работу! Четко определяет ориентиры, направленные на противодействие ВИЧ-инфекции. Очень важно,что ЮНЭЙДС учитывает особенности регионов! Не менее важно, что задачи,которые ставит ЮНЭЙДС, это не теоритические выкладки, о них рассказывают очень увлеченные, профессиональные, открытые к дискуссии люди, такие, как Мишель Сидибе, Лурес Луис, Виней Салдана.
Хотелось, чтобы ЮНЭЙДС еще больше уделял внимание вопросам Fast-Track Prevention. При поддержке ЮНЭЙДС более активно внедрялись в жизнь наиболее эффективные и современные методы профилактики!
ЮНЭЙДС очень много делает по поддержке вопросов перинатальной профилактики и благодаря этому, в мире достигнуты значительные результаты в этом направлении. Но хотелось бы, чтобы еще больше отстаивались права ВИЧ-инфицированных детей, в том числе в расширении антиретровирусных препаратов,которые могут использоваться у детей. При поддержке ЮНЭЙДС оказывалось моральное воздействие на фармацевтические фирмы по расширению производства детских форм антиретровирусных препаратов.
с уважением,
Е.Е.