UNIVERSAL ACCESS

Countdown to Universal Access

399 DAYS

Left to achieve universal access to comprehensive prevention programmes, treatment, care and support by the end of 2010

Universal access is part of a social and political movement to expand HIV prevention, treatment, care and support to reach a maximum of people in need of HIV services. It is both a concrete and joint commitment made by countries and the United Nations as well as renewed engagement from people around the world to jointly work together and reverse the course of the epidemic. [read more]

Consultative processes

A series of forums that are currently stimulating debate around the obstacles to and the opportunities for achieving Universal Access in Eastern and Southern Africa.

Monitoring country progress

Comprehensive information about progress made by each of the 20 countries in Eastern and Southern Africa

Key resources

Key reports, declarations, fact sheets, presentations and press releases about Universal Access

Comments and Q&A

Do you have comments or questions about Universal Access? Email frisonec@unaids.org Comments, questions and answers will be compiled weekly and posted here

Eight-year trend shows new HIV infections down by 17%—most progress seen in sub-Saharan Africa

Efforts towards universal access to HIV prevention, treatment, care and support are bringing AIDS out of isolation

Geneva / Shanghai, 24 November 2009 - According to new data in the 2009 AIDS Epidemic Update, new HIV infections have been reduced by 17% over the past eight years. Since 2001, when the United Nations Declaration of Commitment on HIV/AIDS was signed, the number of new infections in sub-Saharan Africa is approximately 15% lower, which is around 400,000 fewer infections in 2008. In East Asia, new HIV infections declined by nearly 25% and in South and South-East Asia by 10% in the same time period. In Eastern Europe, after a dramatic increase in new infections among injecting drug users, the epidemic has leveled off considerably. However, in some countries there are signs that new HIV infections are rising again.

The report, released today by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO), highlights that beyond the peak and natural course of the epidemic, HIV prevention programmes are making a difference.

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Men who have sex with men in Eastern and Southern Africa

Pretoria 23 November 2009 - Although little research has been conducted on the role of same-sex HIV transmission in Africa, recent studies presented at international AIDS conferences in Mexico and Canada indicate HIV prevalence is considerably higher among men who have sex with men than in the general population.

According to an article published in the Lancet in July, the proportion of HIV incidence (i.e. the number of new HIV infections) is estimated to be as high as 20% in osme west African countries. However, the latest UNGASS country reports (2008) show that only 12% of men who have sex with men are accessing HIV prevention services across Africa.

UNODC launches African HIV in Prisons Partnership Network

Johannesburg. 19 November 2009 - Worldwide, the high rates of HIV in prisons pose a serious threat for prison populations and in turn, the broader community. The lack of knowledge and education amongst prisoners regarding the risks of contracting and transmitting HIV, along with the absence of protective measures and proper health services in prisons, increases their risks of infection. Upon release, despite having been at high risk of exposure for HIV transmission whilst in prison, most return to the community where they may engage in pre-existing high risk activities for the transmission of HIV such as sexual behaviour of multiple concurrent partners and Injecting Drug Use (IDU), and as a result increasing the risks of HIV infection for the broader community.

President heralds new era in South Africa’s AIDS response

30 October 2009 - South Africa's response to AIDS received a powerful boost with President Jacob Zuma's landmark speech to the National Council of Provinces on 29 October 2009. The speech heralds the beginning of a new movement to accelerate access towards universal access to HIV prevention, treatment, care and support in the country which has the largest number of people living with HIV. In his speech the President calls on all leaders to work together and use evidence to inform the country's AIDS response.

Congratulating the President on his bold leadership, UNAIDS Executive Director Michel Sidibé said, "President Zuma has shown extraordinary vision in prioritizing AIDS as an issue of national importance. His call to end denialism and embark on a national mobilization campaign will saves thousands of lives."

More than four million people HIV-positive people now receiving life-saving treatment

30 Septmeber 2009 - Geneva / Paris -- More than 4 million people in low- and middle-income countries were receiving antiretroviral therapy (ART) at the close of 2008, representing a 36% increase in one year and a ten-fold increase over five years, according to a new report released today by the World Health Organization (WHO), the United Nations Children's Fund (UNICEF) and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector highlights other gains, including expanded HIV testing and counselling and improved access to services to prevent HIV transmission from mother to child.

"This report shows tremendous progress in the global HIV/AIDS response," said WHO Director-General Margaret Chan. "But we need to do more. At least 5 million people living with HIV still do not have access to life-prolonging treatment and care. Prevention services fail to reach many in need. Governments and international partners must accelerate their efforts to achieve universal access to treatment."

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Full report
Executive summary
Fact sheets
Highlights from Eastern and Southern Africa
Press release

‘Made in Africa’ - an opinion piece by Michel Sidibe, Executive Director, UNAIDS

02 July 2009

When African leaders discuss economic growth in Africa at this week’s African Union Summit, their options will be constrained by the growing AIDS epidemic and slow progress on reaching the Millennium Development Goals (MDG). For example, over the years we have seen agriculture output being impacted by people unable to till their fields or having to sell their land to take care of themselves and their families.

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UNAIDS Occasional Papers

This section contains papers and briefs around emerging issues important to the Southern and Eastern African Region.
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2009 AIDS Epidemic Update

According to the 2009 AIDS Epidemic Update, the number of people living with HIV worldwide continued to grow in 2008, reaching an estimated 33.4 million. The total number of people living with the virus in 2008 was more than 20% higher than the number in 2000, and the prevalence was roughly threefold higher than in 1990.

 

OUTLOOK 2010

UNAIDS Outlook 2010, a new publication launched today, explores new ideas and ways to use the data collected in the AIDS Epidemic Update companion report.

The publication also poses a number of bold questions that call for a response: How can we use our knowledge of the HIV epidemic and response for more effective programming at country level? How do we become smarter about HIV prevention to make a real difference? What is the anatomy of a bad law from a human rights perspective?

SADC HIV prevention meeting: achieveing prevention targets

As part of its commitment to HIV prevention, the SADC Secretariat HIV and AIDS Unit convened the SADC HIV Prevention Meeting: Achieving Prevention Targets on 7-9 June 2009 in Johannesburg, South Africa. This was three years after the SADC Expert Think Thank Meeting on HIV Prevention in High-Prevalence Countries in Southern Africa, Maseru, Lesotho, that identified key drivers of theepidemic and made recommendations for an intensified response.

The June 2009 meeting discussed the degree of implementation of the key recommendations of the Maseru meeting and of the SADC HIV Prevention Strategy, reviewed the progress against UNGASS indicators and the SADC Epidemic Report, 2008, reviewed the successes, bottlenecks and the challenges experienced to date, and identified emerging evidence and issues and the highest priorities for HIV prevention in the coming period.

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