Each year, the NGO Delegation submits a report to the UNAIDS Programme Coordinating Board (PCB) to bring the perspectives of affected communities from the grassroots level to the board. Broad input collected by the NGO Delegates from civil society informs the NGO report.
At the XIX International AIDS Conference on July 26th, the NGO Delegation officially launched the publication of the results from its 2011 Report to the UNAIDS Board. Delivered at the 29th meeting in December 2011, the report focuses on the importance of the legal environment to national HIV responses. For its findings, the NGO Delegation conducted a series of 27 focus groups, involving more than 240 participants from every region of the world.
Today is the launch of the much anticipated Global Commission on HIV and the Law report on how law and human rights can transform the global AIDS response with evidence-informed solutions for protecting the health and human rights of people affected by HIV. Over the past year and a half, the NGO Delegation has been posting about and has been involved in the regional consultations that have provided evidence for the report’s research.
The Report findings found that:
- In more than 60 countries, it is a crime to expose another person to or transmit HIV. More than 600 HIV-positive people across 24 countries have been convicted of such crimes. These laws and practices discourage people from seeking an HIV test and disclosing their status
- 78 countries criminalise same-sex sexual activity. These laws make it difficult to prevent HIV amongst those most vulnerable to infection.
- Even though they may provide harm reduction services informally, laws in some countries criminalise some aspects of proven harm reduction services for injecting drug users. In contrast, countries that legalise harm reduction services have almost completely stopped new HIV infections among injecting drug users.
- More than 100 countries criminalize some aspect of sex work. The legal environment in many countries exposes sex workers to violence and results in their economic and social exclusion. It also prevents them from accessing essential HIV prevention and care services.
- Laws and customs that dis-empower women and girls, from genital mutilation to denial of property rights, undermine their ability to negotiate safe sex and to protect themselves from HIV infection. 127 countries do not have legislation against marital rape.
- Laws and policies that deny young people access to sex education, harm reduction and reproductive and HIV services help spread HIV.
- Excessive intellectual property protections that hinder the production of low-cost medicines, especially second-generation treatments, impede access to treatment and prevention.
It concluded with dozens of recommendations on intellectual property, key populations, women, youth, discrimination and criminalization. One of the recommendations calls on countries not to enact laws or to repeal laws that explicitly criminalise HIV transmission, HIV exposure or failure to disclose HIV status. It also requests the UN Secretary General to “convene a neutral, high-level body to review and assess proposals and recommend a new intellectual property regime for pharmaceutical products”. You can read the complete list of recommendations in the full report.
In December 2011, the NGO Delegation submitted its own report that set out to understand the experiences of civil society around legal issues and HIV responses. Discussions with civil society aimed to understand the personal experiences of those involved, the common trends and difficulties encountered and the solutions needed in order to increase access to HIV prevention, treatment, care and support services.
This year’s NGO Delegation annual report to the Programme Coordinating Board (PCB) addresses the worsening impact of reductions in funding for HIV on civil society, including people living with HIV and key populations. It is based on a review of evidence and case studies by constituents of the NGO Delegation. The report covers the realities of decreased bilateral and multi-lateral funding for and national investment in HIV and explores the impacts on civil society and its critical programmatic and advocacy contributions to responses to HIV. In its report, the NGO Delegation calls on UNAIDS to look at how decreased funding for HIV is impacting UNAIDS strategies’ and its ability to meet the goals of the 2011 Political Declaration.
Requests UNAIDS to propose ways forward and options to address the documented decreases in funding especially affecting developing countries and to support Member States’ and civil society’s capability to meet the goals laid out in the 2011 Political Declaration on HIV and AIDS and the HIV-related Millennium Development Goals by 2015;
Requests UNAIDS, in coordination with Member States, to improve civil society capacity to advocate for efficient, culturally-sensitive and effective responses to HIV and AIDS in alignment with the 2011 Political Declaration and to build knowledge focused on HIV funding mobilization, and mobilising to address barriers to the AIDS response, especially in the field of prevention, treatment, care and support in particular those addressed in paragraph 71 of the 2011 Political Declaration;
Requests UNAIDS, in collaboration with Member States, to advocate that existing funding for civil society be continued and that mechanisms for civil society support and accountability be enhanced within the new Global Fund to fight AIDS, Tuberculosis and Malaria architecture including through the national Global Fund to fight AIDS, Tuberculosis and Malaria Country Coordination Mechanisms;