Agenda Item 5 – The Retargeting Process for Universal Access
Delivered by Bryan Teixeira, Europe NGO Delegate
However, the Delegation has ongoing concerns about how we go about achieving such targets, especially as they relate to discriminatory legislation. For example, what is evidence for saying 50% of countries repealing discriminatory laws is adequate in achieving the end of the epidemic by 2030? And what is the strategy for getting existing laws repealed?
The Delegation also notes that HIV is a disease that intersects with key vulnerable populations, racial disparities, and poverty. We would like to see this intersection addressed in the 90/90/90 targets. We would like to see age-disaggregated and gender disaggregated data, particularly data pertaining to our transgender communities. And, of course, it is essential that as we fast track the HIV response, we must make sure that we do not leave children and adolescents behind.
The Delegation is impressed by the Latin American and Caribbean example of collaborative work among many Networks and Organizations confronting HIV. Over 900 organizations signed a Pronouncement on new guidelines regarding the beginning of early treatment and the fulfillment of the goals of the continuation of care. This regional Pronouncement illustrates what ambitious but realistic retargeting could include, e.g., voluntary and confidential access to services, usage of purchasing mechanisms that include safeguards from TRIPS, empowerment of women and girls, and active involvement of civil society.
The AIDS movement is concerned that rates of stigma, discrimination and criminalization of the populations most affected by HIV/AIDS remain very high. A key aim of the retargeting process must be to ensure that people who are living with HIV, gay men and other men who have sex with men, transgender people, sex workers, people who use drugs, the imprisoned, indigenous peoples and migrants, and other vulnerable and affected populations are not left behind in the retargeting process, especially as this process begins to be fast tracked.