Partnerships between UNAIDS and the Faith-Based Community Sally Smith- Partnership Adviser. Micah Network: Global Consultation-Churches Living with HIV Pattaya Thailand October 2008 UNAIDS
Summary of 2008 Global Report Substantial increases in HIV prevention and treatment efforts- they are producing results in a number of heavily affected countries The number of new HIV infections has fallen in several countries. However the AIDS epidemic is not over in any part of the world HIV requires a long term response that is grounded in evidence and human rights. The AIDS response needs strong leadership at all levels of society as well as sustainable financing. UNAIDS
A global view of HIV infection 33 million people [30 36 million] living with HIV, 2007 Figure 2.2 2008 Report on the global AIDS epidemic
Selected events related to HIV prevention Gay community responses organized in many developed countries Prevention of Mother to Child Transmission (PMTCT) found to be effective in resource-poor settings and recommended for implementation globally Needle exchange programmes to reduce HIV transmission begin in Britain, Australia, Netherlands Thailand introduces 100% condom use programme nationally UN General Assembly Declaration of Commitment: prevention is the mainstay of the AIDS response First Male circumcision trial, Orange Farm, South Africa Global comprehensive prevention policy established Treatment Action Campaign in South Africa supports mass marches for prevention Universal Access to Prevention endorsed by UN General Assembly 34% of HIV-positive pregnant women are receiving antiretrovirals for PMTCT 40% of young males and 36% of young females have accurate knowledge about HIV prevention Millennium Development Goals Universal Access Targets 1982 83 1986 1991 1998 2001 2005 2006 2008 2010 2015 UN General Assembly Special Midway to Session on HIV/AIDS June 2001/ Millennium Development Goals 189 Member States signed the Declaration of Commitment Figure 4.1 2008 Report on the global AIDS epidemic
Selected events related to the treatment of AIDS First Global Fund Grants awarded for treatment 3 million people on treatment in developing countries Millennium Development Goals Introduction of HAART World Bank MAP II includes ART in developing countries Accelerating Access Initiative launched by UN/industry partnership WHO launches 3 x 5 initiative UN General Assembly Political Declaration on Universal Access to Prevention, Treatment care and support G8 Declaration for Universal Access to treatment Universal Access Targets 1996 2001 2008 2015 2000 2002 2003 2005 2006 2010 UN General Assembly Special Session on HIV/AIDS June 2001/ 189 Member States signed the Declaration of Commitment Midway to Millennium Development Goals 5.1 Figure 2008 Report on the global AIDS epidemic
Millions Estimated number of people living with HIV globally, 1990 2007 Number of people receiving antiretroviral drugs in low- and middle income countries, 2002 2007 40 30 20 10 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Year Figure - bar indicates the range 2008 Report on the global AIDS epidemic
UNAIDS Making a difference in Africa makes a global difference
Drivers of the epidemic: Southern Africa Conclusions: SADC Prevention Think Tank key drivers of the epidemic in southern Africa - multiple and concurrent partnerships by men and women with low consistent condom use and in context of low levels of male circumcision. male attitudes and behaviors inter-generational sex sexual and gender based violence stigma, denial, lack of openness untreated viral STI s Underlying context - gender and socio-economic inequalities, mobility, and other structural factors. These are issues that faith communities are well placed to address UNAIDS
Selected events related to social determinants of the HIV epidemic Paris meeting establishing the Greater Involvement of People with AIDS (GIPA) principle UN General Assembly Declaration of Commitment on HIV/AIDS recognizes human rights as essential element in the global response Establishment of UN Secretary General s Task Force on Women, Girls and AIDS Creation of the Global Coalition on Women and AIDS 1st Global Parliamentary Meeting on AIDS calls for rights-based response to the epidemic and end to HIV-related travel restrictions Tools for measuring gender inequitable norms and HIV related stigma established Universal Access Targets Millennium Development Goals 3rd international consultation on HIV and Human Rights makes first call for universal access to prevention, treatment care and support Over 100 country and regional consultations identified stigma, discrimination and gender inequality as major barriers to universal access 1994 20012002 2003 2004 2005 20072008 2010 2015 UN General Assembly Special Midway to Session on HIV/AIDS June 2001/ Millennium Development Goals 189 Member States signed the Declaration of Commitment Figure 3.1 2008 Report on the global AIDS epidemic
US$ Billions Resources needed in 2010 using a phased scale-up strategy towards universal access* 14 12 10 8 6 Program Support Orphans and Vulnerable Children Treatment and Care Prevention 4 2 0 Low Level (50) Concentrated (44) TYPE OF EPIDEMIC Generalized and Hyper endemic (44) * Estimates in 138 low- and middle-income countries for implementing the most effective programmatic services as determined by data derived from national efforts to know and act on your epidemic Figure 7.5 Source: UNAIDS, 2008. 2008 Report on the global AIDS epidemic
Outcomes An outline for a three-to-five year joint UNAIDS Strategy An ongoing UNAIDS (Secretariat-facilitated) working group on faith to provide information, advice and direction to joint work between UNAIDS and FBOs. UNAIDS
Strategic Framework Three levels- Religious leaders Faith inspired NGOs Local Faith Communities For each level on each issue- Two- to- four outcomes Two strategic approaches to partnership Nine issues- Working with people living with HIV Human Rights/justice Gender Work with Marginalized communities Stigma and discrimination Prevention Treatment Care and support Youth (We are now adding Children) UNAIDS
And Finally Micah- the challenge to you To come in from the sidelines of the response and engage with energy in the response to HIV- To partner with the marginalized, those vulnerable to and living with HIV- to let them lead the response To refuse to judge- to choose compassion and incarnation To partner North/ South To model gender equity eradicate patriarchy- and zero tolerance of gender based violence in evangelical communities of faith UNAIDS
Thank you Any questions smiths@unaids.org UNAIDS