Bold New AIDS Targets Set by World Leaders for 2015

PHOTO MISSION UNAIDSUnprecedented global participation at UN General Assembly High Level Meeting on AIDS that concluded on 10 June lead to new commitments, targets and momentum in the AIDS response. Countries agreed to advance efforts towards reducing sexual transmission of HIV and halving HIV infection among people who inject drugs by 2015.

They also agreed to push towards eliminating new HIV infections among children in the next five years. Leaders pledged to increase the number of people on life saving treatment to 15 million and to reduce tuberculosis related deaths in people living with HIV by half in the same time period.

“This Declaration is strong, the targets are time bound and set a clear and workable roadmap, not only for the next five years, but beyond,” said Joseph Deiss, President of the United Nations General Assembly. “UN Member States have recognized that HIV is one of the most formidable challenges of our time and have demonstrated true leadership through this Declaration in their commitments to work towards a world without AIDS.” 

The bold targets come at a time when international assistance for the AIDS response has dropped for the first time since 2001. Member States agreed to increase AIDS-related spending to reach between US$ 22 billion and US$ 24 billion in low- and middle-income countries by 2015.

These far reaching goals are set in the Political Declaration on HIV/AIDS: Intensifying our Efforts to eliminate HIV/AIDS adopted by the General Assembly on 10 June, 2011. The declaration notes that HIV prevention strategies inadequately focus on populations at higher risk—specifically men who have sex with men, people who inject drugs and sex workers, and calls on countries to focus their response based on epidemiological and national contexts.

“For the first time in 30 years of AIDS people who are most at risk of HIV in many countries including VIet Nam are named in an UN Declaration on AIDS, people who inject drugs, men who have sex with men and sex workers,” said Eamonn Murphy, UNAIDS Viet Nam Director and Chair of the Joint UN Team on HIV in VIet  Nam. “This is a breakthrough in responding to the epidemic.”

The declaration calls on all UN Member States to redouble their efforts to achieve universal access to HIV prevention, treatment, care and support by 2015 as a critical step towards ending the global AIDS epidemic. A pledge to eliminate gender inequality, gender based abuse and violence, and to increase the capacity of women and adolescent girls to protect themselves from HIV infection was also made. 

The Declaration recognizes that access to sexual and reproductive health has been and continues to be essential to the AIDS response and that governments have the responsibility of providing public health services focused on the needs of families, particularly women and children. Member states also agreed to review laws and policies that adversely impact on the successful, effective and equitable delivery of HIV prevention, treatment, care and support programmes to people living with and affected by HIV.

With nearly 7000 new HIV infections each day, the declaration reaffirms that preventing HIV must be the cornerstone of national, regional and international responses to the AIDS epidemic. It calls for expanding access to essential HIV prevention commodities, particularly male and female condoms and sterile injecting equipment. Calling for intensifying national HIV testing campaigns; it urges countries to deploy new bio-medical interventions as soon as they are validated including earlier access to treatment as prevention.

Taking note of the UNAIDS strategy, the Declaration commends UNAIDS for its leadership role on AIDS policy coordination and support to countries and calls on the joint programme to revise indicators for success and support the Secretary-General of the United Nations in providing an annual report on the progress made by Member States in realizing the commitments made in the declaration.

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