Countdown to Universal Access
546 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]
Comprehensive information about progress made by each of the 20 countries in Eastern and Southern Africa
Key reports, declarations, fact sheets, presentations and press releases about Universal Access
Do you have comments or questions about Universal Access? Email frisonec@unaids.org Comments, questions and answers will be compiled weekly and posted here
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.
We, the Champions for an HIV-Free Generation, visited Namibia from June 14-17 on a regional mission to share experiences and encourage leadership to renew and revitalize the response to the HIV epidemic. We came to exchange views with government and civil society leaders on what can be done to arrest the spread of HIV and AIDS. We came to reach out to our peers and to find solutions together.
The 2009 HIV/AIDS Implementers' Meeting opened on June 10 in Namibia, drawing more than 1,500 HIV and AIDS implementers from more than 55 countries around the world to Windhoek. With the theme : "Optimizing the Response: Partnerships for Sustainability", this year's meeting focused on optimizing the impact of prevention, treatment and care programmes, enhancing programme quality, promoting coordination among partners and encouraging innovative responses to the AIDS pandemic.
HIV policy makers and programmers pledge to reduce the number of new HIV infections by 50% and to the virtual elimination of mother-to-child transmission of HIV by 2015
The Southern African Development Community (SADC) convened a meeting to take stock of where the SADC member states are in their prevention responses since the 2006 SADC Expert Think Tank on HIV Prevention, to look at progress against SADC and UNGASS indicators, and to share emerging evidence and information to intensify an effective response to turn off the tap of new infections.
In 2005, UNAIDS established regional Technical Support Facilities (TSF) as independent regional entities to build capacities and provide timely, high-quality and competitively priced technical assistance in support of national AIDS responses. Six TSF are currently operational. Contracts with the TSF host institutions in (1) East Africa (2) Southern Africa (3) West & Central Africa and (4) South-East Asia & the Pacific come to an end in December 2009. In accordance with procurement policies, UNAIDS is initiating a re-bidding process for indentifying potential contractors to manage the TSFs in above-mentioned regions.
Institutions or consortia are invited to tender for the management of the Technical Support Facility (TSF) in East and Southern Africa Tender documents, eligibility criteria and the required formats for tenders can be obtained by sending an e-mail to:
25 May 2009
If national HIV prevention strategies are to succeed, countries must understand the character and drivers of their epidemic and focus on proven need through sustained and effective interventions. However, there is often a mismatch between HIV prevention efforts and the actual factors driving new infections. This can lead to significant resources being invested in programmes of limited effect which do not reach those most at risk. To address this situation in five African countries, National AIDS Authorities, UNAIDS and the World Bank have produced a series of detailed reports that aim to characterize the true nature of the respective epidemics and their drivers, the existing HIV prevention response and the allocation of funding for prevention.
> Click here to visit the UNAIDS RST website section on the Modes of Transmission studies
Experts call for urgent action on PMTCT and Paediatric HIV Care and Treatment in Eastern and Southern Africa
NAIROBI, Kenya, 25 May 2009 - Governments from nine countries in Eastern and Southern Africa*, who last year accounted for half of the global new HIV infections, need to take urgent action to expand and strengthen existing Prevention of Mother-to-Child Transmission (PMTCT) services for pregnant women, and increase treatment to infected mothers and children. Experts agreed that these countries must reach 80% of all pregnant women, mothers and their children with services, halve the number of mothers and children lost to follow up, and double the number of HIV infected children on ART treatment if we are to succeed in halting the spread of the virus.
On 14 and 15 May 2009, UNAIDS and Soul City Institute co-convened the second of a series of meeting of HIV prevention communications practitioners working on discussing comprehensive HIV prevention efforts with a particular focus on addressing multiple and concurrent partnerships in Eastern and Southern Africa.
Click here to access meeting presentations. A meeting report will be published on this site soon.
UNAIDS and UNDP launch plan to increase access to HIV information and services
GENEVA, 15 May 2009 - Ahead of the International Day Against Homophobia (17 May), the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the United Nations Development Programme (UNDP) are launching a plan to encourage new and better approaches to HIV, specifically focusing on men who have sex with men and on transgender populations.
In many parts of the world HIV prevalence among men who have sex with men is more than 20 times higher than in the general population. Studies show that HIV prevention services reach only one tenth to one third of people who engage in male homosexual activity. In addition, a growing body of evidence shows that the majority of new infections in many urban areas are among men who have sex with men.
Yet, these same groups have limited access to HIV-related information and health services due to discrimination, violence, marginalization and other human rights violations. In many countries, they still face criminal sanctions and lack access to justice.
"Countries must be rigourous in moniotoring the evolution of their epidemics and recalibrate their HIV programming to respond to the needs of those most at risk. In many settings these will be men who have sex with men", said Paul De Lay, Deputy Executive Director ad interim, Programme, UNAIDS. "Responses must be based on local epidemiological and social realities to be effective," he added.
Related documents
Statement by Mr Michel Sidibé, Executive Director of UNAIDS, on occasion of the International Day Against Homophobia, 17 May
UNAIDS Action Framework: Universal Access for Men who have Sex with Men and Transgender People
Windhoek, Namibia and Washington, D.C. - On June 10, 2009, H.E. Hifikepunye Pohamba, President of the Republic of Namibia, will welcome more than 1,500 HIV/AIDS implementers from around the globe at the opening of the 2009 HIV/AIDS Implementers' Meeting in Windhoek, Namibia.
The five-day meeting will be hosted by the Government of Namibia, and co-sponsored by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR); the Global Fund to Fight AIDS, Tuberculosis and Malaria; The Joint United Nations Program on HIV/AIDS (UNAIDS); UNICEF; the World Bank; the World Health Organization; and the Global Network of People Living with HIV. Namibia was selected to host the 2009 conference in recognition of the country's bold leadership in fighting HIV/AIDS.
Southern Africa HIV and AIDS Information and Dissemination Service (SAfAIDS) with technical support from Health and Development Networks (HDN) and financial support from UNAIDS have launched the "Invigorating Universal Access" eForum within the context of the "Accelerating Prevention" eForum which has been running since April 2007.
The eForum discussion on Universal Access will run until the end of May 2009. It will be used as a public platform to solicit the opinions of HIV programme practitioners, People Living with HIV, academics, civil society and a broader public on universal access to HIV prevention, treatment, care and support. The discussion will bring sharper focus on identifying and proposing solutions for the challenges and obstacles that prevent the attainment of Universal Access.
To join the discussion on Invigorating Universal Access, please send a blank email to join-accelerating-prevention@eforums.healthdev.org
The eForum discussion can be viewed at http://www.healthdev.org/eforums/cms/individual.asp?sid=183&sname=Accelerating-Prevention
On 10 February the Executive Director of UNAIDS, Mr Michel Sidibé gave his first major global statement at a public meeting in Khayelitsha, a township on the outskirts of Cape Town in South Africa which has a population of approximately one million people.
Building on the commitment countries have made to reach universal access by 2010, Mr Sidibé set out his strategy for the future direction of UNAIDS and highlighted the need to invigorate global momentum, action and commitment towards achieving universal access to HIV prevention, treatment, care and support.
This section contains papers and briefs around emerging issues important to the Southern and Eastern African Region.
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This framework provides direction for enhanced action by the UNAIDS Secretariat and UNAIDS Cosponsors on male-to-male sex, transgender issues and HIV. The goal of this framework is to enable UNAIDS to facilitate and support the achievement of universal access to appropriate HIV prevention, care, treatment and support for men who have sex with men and transgender people.
This guidance document results from interactions with civil society in the region and collaboration between UNAIDS, the Harvard AIDS Prevention Research Project and the World Bank, including an expert meeting on MCP held on 28-29 January 2009 in Gabarone, Botswana. It arose from recognition of the need for regional guidance on the principles and good practice for MCP campaigning to assist national programmes, in particular, to strengthen HIV prevention efforts for MCP reduction.
This UNAIDS report estimates that an investment of US$ 25 billion will be required for the global AIDS response in 2010 for low- and middle-income countries-US$ 11.3 billion more than is available today.
The investment needs is based on the country-defined targets to reach universal access to HIV prevention, treatment care and support by 2010. The new report anticipates that nearly one third of this investment will come from domestic sources, with investments from multilateral and bilateral sources needed for the remaining US$ 17 billion.
| 07/19/2009 - 06/22/2009 | 5th IAS conf on HIV pathogenesis, treatment and prevention |
| 07/27/2009 - 07/30/2009 | Regional Multi-Agency Monitoring and Evaluation Workshop |