AIDS status & challenges of the epidemic
6. What strategies are recommended by UNAIDS to halt and reverse the epidemic?
- 6.1 Recommendation #1: Sustain and increase commitment and leadership
- 6.2 Recommendation #2: Sustain and increase financing
- 6.3 Recommendation #3: Aggressively address AIDS-related stigma and discrimination
HIV positive mother and child, Ukraine
is exceptional and the response to AIDS must be equally
exceptional. Over the last 25 years nearly 65 million people
were infected with
and about 25 million have died of AIDS-related illnesses. Today,
nearly 40 million people are living with HIV and the vast
majority of them do not know that they are infected.
Note: numbers are based on estimates made in 2005, which were revised in 2007. See the 2007 UNAIDS report for the latest estimates.
However, the considerable efforts made since 2001 are
insufficient and progress is uneven within and between countries
and regions. To be able to slow, stop and reverse the
countries need to plan the long-term fight against
rather than simply deal with crises.
UNAIDS makes a series of recommendations.
6.1 Recommendation #1: Sustain and increase commitment and leadership
is a matter of extreme national importance and therefore
governments and heads of state need to be active and outspoken
about their commitment to implement strategies that involve
Countries need to include programmes to fight
into their general development plans with the full and active
participation of civil society and the private sector, ensuring
full accountability of all partners and transparent reporting on
progress made in the country or region.
6.2 Recommendation #2: Sustain and increase financing
Although the overall spending on
has increased greatly, the money available today may be just
one-third of what will be required to deal with the growing
in a few years’ time.
National governments and international donors should give
significantly more money for
through the Global Fund and other mechanisms. Governments,
especially in middle-income countries, should continue efforts
to provide an important part of the money spent in their nation
from their national budgets. The money raised must be used as
efficiently and effectively as possible so that it works for
people in need, by coordinating national efforts around one
agreed AIDS action framework, one national coordinating
authority and one agreed country-level monitoring and evaluation
Innovative approaches, such as new international financing
mechanisms, are needed to ensure that money for
will be available in the future for a much stronger response to
6.3 Recommendation #3: Aggressively address AIDS-related stigma and discrimination
To stop the
it is essential to change the social norms, attitudes and
behaviours that contribute to its expansion. Action against
AIDS-related stigma and discrimination must be supported by top
leadership and at every level of society, and must address
women’s empowerment, homophobia, attitudes towards sex workers
and injecting drug users, and social norms that affect sexual
behaviour—including those that contribute to the low status and
powerlessness of women and girls.
Therefore, it is essential to pass, publicize, and enforce
laws and policies that protect women and
girls against discrimination and sexual violence and to prevent
discrimination against people perceived to be at a higher risk
such as sex workers, injecting drug users and men who have sex
with men. In addition, women need to be adequately represented
in policy and decision-making on
stigma, it is also essential that barriers to universal access
to education such as school fees, compulsory
school uniforms or textbook charges be addressed or