Civil Society Declaration for the UN High Level Meeting on AIDS
Civil Society Declaration for the UN High Level Meeting on AIDS ZERO DRAFT April 20, 2011 On April 8, 2011 over 400 civil society activists gathered in New York for a one-day hearing with UN Member States on progress toward reaching Universal Access to HIV treatment, prevention, care, and support. This Civil Society Hearing took place as UN Member States began drafting a new Outcome Document on HIV, to be adopted at a United Nations High Level Meeting on AIDS on June 8, 2011. The stark reality is 33.3 million people are currently living with HIV, at least 9.35 million people today are in urgent medical need of, but have no access to antiretroviral treatment (ART), and in 2009 2.2 million adults were newly infected with HIV. In light of this, advocates are calling for a renewed and urgent commitment from member States to reach Universal Access goals by 2015. During the Hearing, civil society advocates stressed that in pursuing Universal Access goals the international community must prioritize public health over politics. They urged Member States to make available to their citizens the full complement of evidence-based HIV prevention, care, treatment, and support technologies and tools—regardless of possible objections on moral, legal, or political grounds—as a commitment to the human right to health. The Outcome Document that will emerge from the UN High Level Meeting on HIV AND AIDS must acknowledge global failures to reach Universal Access by 2010, re-commit to upholding and implementing priorities in the global AIDS response articulated by key existing global frameworks on HIV, including the UNAIDS 2011-2015 Outcome Strategy, and commit to bold, new targets. HUMAN RIGHTS The UN High Level Meeting Outcome Document must commit Member States to the realization of the human rights to health and non-discrimination for all people, particularly key affected populations and the youth among those populations. These populations include people living with HIV, women and girls, young people, sex workers and their clients, transgender people, men who have sex with men, people who use drugs, migrants and mobile populations, refugees, prisoners, and people with disabilities. Member States must: 1. Reaffirm commitments to a human rights approach to addressing HIV and AIDS and to respect, protect, and fulfill the human rights of people living with, affected by, and vulnerable to HIV and AIDS. 2. Ensure that the key affected populations listed above play a meaningful role in the design, implementation, monitoring, and evaluation of HIV prevention, treatment, care, and support programming. Create an enabling environment that promotes and protects the human rights of women in the context of HIV and AIDS, including by enacting and/or reinforcing penal, civil, labour, and administrative sanctions in domestic legislation to punish and redress the wrongs done to women and girls who are subjected to any form of violence, whether in the home, the workplace, the community or society[1], protects women living with HIV from forced and coerced sterilization, ensures that women can exercise their right to have control over matters related to their sexuality in order to increase their ability to protect themselves from HIV infection[2], guarantees access to comprehensive sexual and reproductive health services, and ensures women’s equal access to property and inheritance. 4. Repeal laws, policies, and practices that block effective responses to AIDS, including laws that criminalize same-sex relationships, the unintentional transmission of or exposure to HIV, use and possession of drugs (for personal use), and sex work. 5. Include and budget for programs in national HIV strategies that promote and protect human rights, including programmes to reduce stigma and discrimination, sensitize police and judges, train health care workers in nondiscrimination, confidentiality and informed consent, monitor and improve the impact of the legal environment, know your rights campaigns, legal literacy, and legal services. 6. Promote laws and policies that protect the rights of young people, particularly those living with HIV from key affected populations, in order to significantly reduce the stigma and discrimination they face and create an environment for safe disclosure and the full enjoyment of their rights. 7. Recognize the vulnerabilities to HIV experienced by migrant and mobile populations and develop and support linked regional and global frameworks that acknowledge and protect their human rights to treatment, prevention, care, and support. TREATMENT AND PREVENTION Success to date in increasing access to life saving ART, although incomplete, shows that Universal Access goals are within our grasp. Ten years of experience about how to successfully treat and prevent HIV, and emerging evidence of the prevention benefits of treatment, should energize the global AIDS response to pursue the achievable goal of ending AIDS in our lifetime. Member States must: Reach 100% of the projected 18.3 million people estimated by the World Health Organization (WHO) as eligible for ART by 2015. Develop and meet new strategies and targets for increased voluntary, consensual, and rights-based HIV counseling and testing with linkages to HIV services including inexpensive, simple point of care diagnostics for adult and early infant diagnosis of both HIV and tuberculosis (TB). 10. Adopt and maximize utilization of public health flexibilities as described in the Agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS) in order to lower the price of essential medicines (including for HIV, TB, and hepatitis C) and reform national laws and reject bilateral and regional trade agreements that exceed the standard for intellectual property rights protection and enforcement set out in TRIPS and hinder access to low-cost, high-quality medicines. 11. Expand effective, targeted evidence-based prevention to achieve a 50% reduction in sexual HIV transmission by 2015 through the provision of an essential package of HIV and sexual and reproductive health services and education programmes for all communities, including people living with HIV, women and girls, young people, sex workers and their clients, transgender people, men who have sex with men, people who use drugs, migrants and mobile populations, refugees, prisoners, and people with disabilities. 12. Increase access to HIV prevention, treatment, care, and support for women in all of their diversity together with comprehensive sexual and reproductive
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