Jamra primary scholl for children affected by HIV/AIDS, drugs or poverty, Senegal (c) Nell Freeman/Alliance Participants in the Photovioce project, Ecuador © Marcela Nievas for the Alliance
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How can the HIV community shape the future HIV and development agenda?

1
NOV
2012

Aids Alliance

As the target date for the Millennium Development Goals (MDGs) approaches, global and country level discussions have kicked off on what a post-2015 development framework should look like.

The Alliance, in collaboration with Stop AIDS Alliance and STOP AIDS NOW!, has developed a discussion paper to help the HIV community to engage in these discussions and ongoing consultations. You can download the discussion paper here or read it online below.

Discussions focus on:

  • What the MDGs have achieved so far.
  • What is missing from the current framework.
  • What the opportunities and challenges in setting goals that will fit with new global, political and financial trends and tackle poverty in a more efficient, country-specific and integrated way.

It is unclear at this stage how HIV and AIDS will be addressed in the new post -2015 development framework and The HIV sector could potentially lose out if HIV is not specifically addressed in it. The MDG with a specific goal dedicated to HIV, TB and Malaria (MDG 6) has had a huge impact, contributing significantly to broad political, financial and programmatic support for the global HIV and AIDS response. In turn MDG 6 has also had a significant impact on progress towards the other MDGs, especially those related to child and maternal mortality (MDG 4 and 5), education (MDG 2), gender equality (MDG 3) and poverty eradication (MDG 1).

We have learned many lessons from the HIV response in recent years, especially the importance of community based action, human rights, civil society involvement, and efficient and targeted resource mobilisation and it is important that these are recognised and incorporated in the new framework.

Universal Health Coverage

It also remains unclear how health will be addressed more broadly. Many civil society organisations working in the field of health, as well as the World Health Organization and some key donors have started rallying behind Universal Health Coverage (UHC) as a key mechanism for improved health outcomes in the new framework.

In the HIV community we need to start discussing what UHC would mean for the HIV response: how to ensure universal access to HIV prevention, treatment, care and support within an UHC package? How to address inequalities and inequitable access to care? What should be in place to reach key populations? How can we ensure that UHC is based on key principles such as human rights and evidence based approaches?

Setting goals

Another important question to look at is how HIV and AIDS can be integrated into any new set of goals in the framework as a key issue for progress on development. What specific HIV targets and indicators should be included under a new health goal and in other development goals?

To protect HIV in the post-2015 development agenda, it is crucial that the HIV community now actively engages in relevant global and country-level consultations on this issue and makes sure that the voices of people living with HIV and key populations are at the centre of the post-2015 development processes. We do not want to lose what has been gained in the past 12 years of the fight against HIV/AIDS.