Agenda item 3. Follow up to the thematic segment from the 40th PCB Meeting
Delivered by Lumumbah Musah, NGO Africa
In line with Agenda 2030, healthy lives and well-being for all at all ages should be realized for women and girls, boys and men, as well as all members of key populations. However, we note that the world is at a critical moment in the history of the AIDS epidemic and the HIV response. We have only a two-year window of opportunity that represents a make-or-break moment to stop new HIV infections and end the AIDS epidemic by 2020.
Mr. Chair, Michel has just shared with us in his EXD’s report, that in Sub Saharan Africa, adolescent girls and young women account for over 70% of new HIV infections. In Eastern Europe and central Asia, as well as West and Central Africa, the situation is horrifying, as the epidemic is moving from being concentrated to more generalised.
For the past three decades we have engaged in a myriad of actions to help people who are easily ignored so that they can access HIV prevention services that meet their specific needs.
We have the models to reach our peers in schools and in different settings, through community mobilization, peer-support, referrals and linkage to care.
Unless we enable continuation of impactful community-led HIV prevention efforts in the HIV response, young people, women, girls, people who use drugs, sex workers, gay men and men who have sex with men, transgender people and other key populations’ access to comprehensive HIV services including their social protection will be undermined, especially in light of the dwindling global HIV finances.
Mr. Chair: A huge difference between estimated needs and actual spending on community led responses, continues to limit our efforts. In order to make significant progress therefore, the investments to enable the end of AIDS by 2030 need not only to be definitively earmarked, but also increased and front-loaded during the next two years towards PREVENTION 2020.
As it has been for the treatment agenda, with a popularised the 90/90/90 targets, we need leadership for success with and among key populations including;
- Leadership for measurable results for people left behind
- Creating a legal and policy environment conducive for utilisation of available services
- Mobilising adequate financial resources for a reinvigorating prevention activism and sensitisation of decision makers at all levels
- Strengthening the meaningful engagement and leadership of young people, women and men, people living with HIV and all members of Key populations including migrants and indigenous people
We reiterate that all the above, should be anchored on a strong and sustainable element of community empowerment, strengthening community systems as well as social protection, addressing gender inequality as well as stigma and discrimination.
We need quality education including comprehensive sexual and reproductive health, life skills including negotiation of safer sex, inclusiveness and human rights, to reduce inequalities in HIV prevention among young people, adolescent girls and women, boys and men as well as all members of key populations
Chair, we need to monitor progress against prevention targets including those related to HIV vulnerability and barriers to access as well as establishing accountability for achieving these, as a powerful monitoring tool in prevention 2020.