UNAIDS’ recent report finds that worldwide goals for 2020 have not been reached, despite past years’ efforts. More people know their HIV-status, more people have access to medicines and more people have an undetectable viral load thanks to treatment. Yet, the efforts to prevent new infections have been less successful. The number of new infections among adults has hardly dropped in the past 4 years. Not a single region reached the goal to decrease new infections by 75% compared to 2016.
A high-level meeting (HLM) on AIDS under the theme - End Inequalities. End AIDS - was convened from 8 to 10 June 2021, in New York. The HLM made a comprehensive review of the progress on the commitments made in the 2016 Political Declaration towards ending the AIDS epidemic by 2030 and had to set out priorities for the coming years.
Reducing inequalities lies at the heart of UNAIDS’ 2021-2026 new Global AIDS Strategy. It aims to assist and guide every country and community in reaching UNAIDS goals of zero new HIV-infections, zero discrimination and zero AIDS-related deaths. A comprehensive framework of actions has been outlined to tackle inequalities and protect human rights in the HIV response. The gaps for HIV prevention, testing, treatment and support can be closed by reducing inequalities. The Strategy’s vision for reducing inequalities and laying the foundation to reach the 2030 targets builds on its three Strategic Priorities: (1) Maximise equitable and equal access to HIV services and solutions; (2) Break down barriers to achieving HIV outcomes;(3) Fully resource efficient HIV responses and integrate HIV in systems for health, social protection, and humanitarian and pandemic responses.
Sensoa International's annual audit of the expenditures by the Belgian Directorate General for Development Cooperation and Humanitarian Aid (DGD) shows that spending on health and reproductive health in 2019 was at its lowest level in four years. DGD spent a total of 11.08% of its budget on health and reproductive health in 2019, whereas support halted at 13.29% in 2017 and 12.84% in 2016.
Particularly worrying is DGD's declining support for HIV prevention and treatment, for which the budget was cut in half during the previous government term. Support has been falling since 2017, with substantially less attention for HIV in Belgium’s bilateral cooperation and less support for multilateral organisations that take the lead in the global 'HIV response', such as UNAIDS and the Global Fund to Fight Aids, Tuberculosis and Malaria (GFATM). Multilateral support did increase in 2019, but not enough to turn the tide.
What does it take to meet the need for sexual and and reproductive health services? Guttmacher did the math.
Guttmacher’s recently published 2019 “Adding it Up” report captures the shortages in sexual and reproductive health services in low and middle income countries (LMIC). The research institute calculated what it would take to bridge the gap.
The European Medicines Agency (EMA) published a positive opinion on the use of the dapivirine vaginal ring for women ages 18 and older in developing countries to reduce their risk of HIV-1 infection. The monthly ring is the first long-acting HIV prevention product and is designed to help address women’s unmet need for new prevention methods given the persistently high rates of HIV they face, especially in sub-Saharan Africa.
Gains made in preventing mother-to-child transmission of HIV could be reversed, with new HIV infections among children up by as much as 162% and setting the clock on AIDS-related deaths back to 2008, a modelling group convened by the World Health Organization and UNAIDS estimated. If no efforts are made to mitigate and overcome interruptions in health services and supplies during the COVID-19 pandemic, a six-month disruption of antiretroviral therapy could lead to more than 500,000 extra deaths from AIDS-related illnesses in sub-Saharan Africa in 2020–2021.
UNAIDS broke it down:
For World Aids Day, the ‘Parliamentarians for the 2030 Agenda’ invited UNAIDS Brussels Representative Dr. Jantine Jacobi, Burundian youth representative Fabien Ndikuriyo, Stéphanie Drèze of MSF and Dr. Gert Scheerder of Sensoa to discuss the HIV epidemic worldwide, in Belgium and in Belgium’s partner countries.
This year Belgium will preside the UNAIDS constituency with Portugal, Luxemburg and the Netherlands in the Programme Coordination Board (PCB) of UNAIDS, the governing board of the Joint United Nations Programme on HIV. The UNAIDS PCB sets the overall policies and priorities for UNAIDS and decides on the organisation’s planning and execution. Challenges discussed within the board include how to keep up international support for HIV response, but can also include discussions on the impact of big donor countries’ policies on the HIV/AIDS response, think of the detrimental effect of the reinstatement of the Mexico City Policy (or Global Gag Rule) by the US on integrated SRHR-HIV service delivery in countries in the Global South.