Towards universal access:
Scaling up priority HIV/AIDS interventions in the health sector
Progress report 2010
WHO; UNAIDS; UNICEF- September 2010
“……This year’s report on HIV/AIDS interventions in the health sector presents strong evidence of progress in the global effort to fight HIV/AIDS, but it also makes clear how much work remains to be done.
In 2009, countries, partners and communities succeeded in scaling up access to HIV prevention, treatment and care. Important gains have been made towards the goal of eliminating mother-to-child transmission of HIV by 2015. Over half of all pregnant women living with HIV in low- and middle-income countries received antiretrovirals to prevent HIV from being transmitted to their babies, and more children living with HIV are benefiting from treatment and care programmes.
Community-driven, rights-based prevention programmes have contributed to lowering the number of HIV infections. WHO’s revised guidelines for antiretroviral therapy now recommend initiation of therapy at an earlier stage of disease and, once fully implemented, these changes will help to further reduce the morbidity and mortality due to HIV.
These advances are all cause for encouragement. Nevertheless, this report also demonstrates that, on a global scale, targets for universal access to HIV prevention, treatment and care will not be met by 2010. Only one third of people in need have access to antiretroviral therapy, coverage of prevention interventions is still insufficient, and most people living with HIV remain unaware of their serostatus. Stigma, discrimination and social marginalization continue to be experienced daily by people who are the most affected by HIV and hardest to reach in many countries, including people living with HIV, sex workers, injecting drug users, men who have sex with men, transgender people, prisoners and migrants.
At the same time, the financial crisis and resulting economic recession have prompted some countries to reassess their commitments to HIV programmes. Reduced funding for HIV services not only risks undoing the gains of the past years, but also greatly jeopardizes the achievement of other Millennium Development Goals, especially those related to maternal and child health.
While the global HIV response may have exposed the shortcomings of current health systems, it has also driven more concerted action towards addressing broader systemic issues, including human resource capacity, physical infrastructure, supply chains, health financing and information systems. As many countries have shown, the ongoing scale-up of HIV programmes can be successfully leveraged to tackle longstanding systemic bottlenecks that have prevented other health outcomes from being achieved. We must also strategically integrate HIV/AIDS interventions into national health services, strategies and plans, including those for sexual, reproductive, maternal and child health, tuberculosis, sexually transmitted infections and harm reduction.
Special approaches remain necessary to address the particular circumstances and needs of those populations at greater risk for HIV infection. Rights-based national strategies must include special efforts to reach the poorest and those who are socially excluded. Programmes must be designed and delivered in ways that ensure equity in access, including for children and women…..”
Download report in chapters
- Cover and table of contents [pdf 335kb]
- Chapter 1: Introduction [pdf 171kb]
- Chapter 2: HIV testing and counselling [pdf 543kb]
- Chapter 3: Health sector interventions for HIV prevention [pdf 969kb]
- Chapter 4: Treatment and care for people living with HIV [pdf 1.21Mb]
- Chapter 5: Scaling up HIV services for women and children [pdf 774kb]
- Chapter 6: Beyond 2010 [pdf 139kb]
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