Credit: UNIC

Stigma and discrimination and punitive legal environments continue to block people around the world from accessing the HIV services they need. Thirty years into the epidemic they still represent a major barrier to universal access to HIV prevention, treatment, care and support. To find ways to overcome these obstacles, a community dialogue event provided members of key populations at higher risk of HIV a critical and groundbreaking platform at the UN General Assembly High Level Meeting on AIDS to share their expertise and experience. The panellists—who represented leaders among men who have sex with men, people who inject drugs, transgendered people and sex workers—reinforced the call for full recognition and protection of their human rights in all national HIV responses.

Ten years since the 2001 Declaration of Commitment, in which Member States committed to eliminate discrimination against people living with HIV and vulnerable groups, many countries still lack anti-discrimination laws and use punitive approaches to key populations that create barriers between them and HIV services. Countries cite stigma as the single greatest impediment to accelerating progress in the HIV response; however, stigma reduction programmes are neither adequately resourced, taken to scale or targeted to benefit key populations.

The event, hosted by the UK and South Africa Governments and partnered by the International HIV/AIDS Alliance (IAA) and International Federation of the Red Cross (IFRC), was an opportunity for leaders from key populations at risk of HIV to describe what is needed and what is working in the criminalized and discriminatory environments in which they live their everyday lives. Many communities have taken bold steps to overcome human rights abuses and lack of access to HIV services—organizing to demand their rights, providing services through their peers, working with local police and government leaders for recognition and protection. What is needed now is greater support and political, legal and social space for these groups to continue to find and implement such solutions that work for them.

Rather than simply describing the barriers they face in accessing services, they highlighted examples where their key affected population has achieved greater access and offered concrete solutions on how we can address these obstacles in a practical way.

United Kingdom Minister for International Development, Stephen O’Brien, in his introductory remarks stressed that for effective AIDS responses, it is essential to work with key populations without prejudice and address restrictive laws that are hampering access to services for key populations.

Alexei Kurmanayevsky from Russia shared his experience as a person who injects drugs and is living with HIV. The panel also included Penninah Mwangi who is the Director of Bar Hostess Association, Nairobi, Kenya—one of the longest standing sex worker-led organizations in Africa. Marcela Romero from Argentina spoke as a transgender person. Othman Mellouk from Morocco spoke about the barriers to delivering effective HIV services to men who have sex with men.

The event was chaired by Michaela Clayton, Executive Director of ARASA and Co-chair of UNAIDS Reference Group on HIV and Human Rights, who also invited interventions from the floor. Jan Beagle, UNAIDS Deputy Executive Director, Management and External Relations, stressed the need for a rights-based approach when addressing HIV. "Full respect for the human rights of key populations and evidence-based interventions targeted to the realities they face, as well as support for their leadership and capacity to find solutions for their communities, are all critical to advance the AIDS response," Ms Beagle said.

The key recommendations from each speaker and the floor discussion were collated into a list of recommended next steps to be presented to the Chairs of the High Level Meeting on AIDS.

UN General Assembly High Level Meeting on AIDS

Thirty years into the AIDS epidemic, and 10 years since the landmark UN General Assembly Special Session on HIV/AIDS, the world has come together to review progress and chart the future course of the global AIDS response at the 2011 UN General Assembly High Level Meeting on AIDS from 8–10 June 2011 in New York. Member States are expected to adopt a new Declaration that will reaffirm current commitments and commit to actions to guide and sustain the global AIDS response.

The United Nations General Assembly hall will host a new format of interactive dialogue between civil society organizations and United Nations member states on how better to respond to HIV on 8 April 2011.

The debates are taking place as part of the informal Civil Society Hearing being held at the UN in New York which is presided over by the President of the 65th session of the United Nations General Assembly Mr Joseph Deiss. The event provides a platform for UN member states to engage with civil society representatives and hear their views on how to further the AIDS response. This will in turn inform discussions at the High Level Meeting on AIDS which is being held in United Nations General Assembly, New York, from 8-10 June 2011.

A broad consortium of participants from civil society organizations from across the world are assembling at the UN to engage in the exchange. The participants represent a cross section of the civil society response to the epidemic, including people living with HIV and people representing population groups most affected by the epidemic.

“This is a unique opportunity for member states to learn from the people who are living the epidemic and provoking real change,” said Kate Thomson, Head of Civil Society Partnerships at UNAIDS. “We hope that in the lead up to the High Level Meeting on HIV these debates will put more emphasis and attention on the main issues of concern to civil society and that these issues will be reflected in the final declaration.”

After the official opening by Mr Deiss, the UN Secretary-General Ban Ki-moon, Michel Sidibé, the Executive Director of UNAIDS and a representative from the Association Nationale de Soutien aux Séropositifs et aux Malades du SIDA, three panels will be held in the form of moderated discussions. Debate is expected to take place on the following three themes:

• Enhancing community-level access: Opportunities for healing social and systemic ills;
• A new generation of national partnerships: Diversity in dialogue; and
• Synergies among global movements: Opportunities for shared action.

The three panels will comprise of panellists representing civil society, member states and an eminent person. Each will be overseen by a moderator who will call on other participants to intervene from the floor. This is the first time this format has been used in the General Assembly Hall.

The outcome of the discussions will form part of the preparatory process for the High Level Meeting on AIDS in June. The General Assembly President will prepare a summary report from the event which will be issued as an official General Assembly document prior to the High Level Meeting and serve as a reference for member states during negotiations around a new declaration on HIV.

The debates will be broadcast live on www.un.org/webcast

See below for the full agenda (all times are EST):

Informal Interactive Hearing with Civil Society for the High Level on HIV Friday 8 April 2011

10.00-10.30     

• Opening Session chaired by the President of the General Assembly
• Opening remarks by the President of the General Assembly, the UN Secretary General, The Executive Director of UNAIDS and Ms Jeanne Gapiya of Association Nationale de Soutien aux Séropositifs et aux Malades du SIDA

10.30-11.45      

• Panel One: Enhancing Community Level Access: Opportunities for Healing Social Ills

11.45-13.00    

• Panel Two: A New Generation of Partnerships: Diversity in Dialogue

13.30-14.15       

• Press conference

15.00-16.45       

• Panel Three: Synergies among Global Movements: Opportunities for Shared Action

16.45-17.00           

• Closing Session
• Chaired by the President of the General Assembly
• Closing remarks by the President of the General Assembly, UNAIDS Executive Director and the Programme Coordinator of the Friends of Life Organisation.

From left Meskerem Grunitzky, Director of the UNAIDS Regional Support Team for West and Central Africa, Dr. Ndoye, Executive Secretary of the National AIDS Council of Senegal and Cheikh Tidiane Tall, Executive Director of AfriCASO. Credit: UNAIDS.

During the civil society consultation on universal access and the Millennium Development Goals with the theme "Sustain the results – strengthen links and interactions," the Joint United Nations Program on HIV/AIDS (UNAIDS) and the African Council of AIDS Service Organizations (AfriCASO) signed a memorandum of understanding on 3 December in Dakar. 

The agreement formalizes the longstanding partnership aimed at ensuring effective and quality involvement of African civil society organizations in the promotion of universal access and achieving the Millennium Development Goals in Africa. The memorandum of understanding also extends the collaboration between the parties at the institutional level.

Opening ceremony of the Youth Olympic Games, Singapore, 14 August 2010. Credit: SPH-SYOGOC/Alphonsus Chern

During the next two weeks, Singapore is making Olympic history by being the host of the first-ever Youth Olympic Games, opening on 14 August 2010.

The Youth Olympic Games, to be held every two years (alternating Summer and Winter), is an international high-level sporting event for young people, which offers a balance of sport, culture and education. The Games were created to educate, engage, and influence young athletes, inspiring them to play an active role in their communities.

Around 370,000 spectators will gather to watch young athletes, aged 14 to 18 from around the world, participate in Singapore 2010. The inaugural games include high-level competition in 26 sports categories and a Cultural and Education Programme focused on a variety of themes including the Olympic values. It will also consist of skills-building sessions for participants, including on HIV.

As young people account for 40% of all new HIV infections globally, placing young people in the driving seat to halt and to begin to reverse the HIV epidemic is crucial.

“Young athletes are role models in their communities. We need to call on these young people to lead the prevention revolution if we are to reach UNAIDS vision of Zero new infections,” said Mr Michel Sidibé, UNAIDS Executive Director, “Sports can be a powerful vehicle to come about change in societies around the world.”

UNAIDS has partnered with the Singapore Youth Olympic Games Organising Committee (SYOGOC) in the context of its overall partnership with the International Olympic Committee (IOC) in order to provide HIV prevention information and raise awareness about HIV among young people during the two weeks of the Games.

Credit: IOC

“HIV awareness and prevention campaigns are most effective when addressed to the youth” said Mr Jacques Rogge, President of the International Olympic Committee. He added: “Sport is a powerful tool for reaching out to today’s youth on all continents and for educating them early on about healthy and responsible behaviours.”

UNAIDS, together with civil society organizations, will conduct a series of workshops focusing on adolescent sexual and reproductive health as well as stigma surrounding HIV under the educational theme “Well-Being and Healthy Lifestyle.” Workshops will be open to the estimated 3,600 young, athletes and 1,400 officials in the Olympic Village.

The workshops will be run in collaboration with Y-PEER, a youth-to-youth initiative, and BEADS, a Singapore organization. The sessions will use dance and competitive games to address topic such as sexuality and HIV transmission, and addressing myths and misconceptions about HIV.

The content of these interactive sessions has been developed specifically for the Youth Olympic Games to engage athletes. In addition, condoms have been made available for free at the medical clinics.

Sport is recognized as a powerful communication tool and is unique in its ability to unify and galvanize people all over the world. In recognizing the importance of sports for development, the partnership with the Youth Olympic Games is geared towards one of UNAIDS’ ten priority areas namely to empower young people to protect themselves against HIV.

The Programme Coordinating Board (PCB) is the governing body of the Joint United Nations Programme on HIV/AIDS (UNAIDS) and is made up of Member States, the UNAIDS Cosponsors (the ten United Nations organizations that make up the joint programme), and nongovernmental organization (NGO) delegates.

The PCB NGO Delegates represent the perspectives of civil society, including people living with HIV, within UNAIDS policies and programming. NGO delegates actively seek input from their respective communities on key issues related to UNAIDS policies and programmes, and advocate with members states (governments) and Cosponsors for meaningful improvements in the implementation and evaluation of AIDS policies and programmes.

NGO Delegation vacancies

The NGO Delegation to the UNAIDS PCB has vacancies for two-year terms beginning 1 January 2011 and ending 31 December 2012, for the following positions:

• North America Main Delegate
• North America Alternate Delegate
• Latin America and the Caribbean Alternate Delegate
• Africa Alternate Delegate
• Asia and the Pacific Alternate Delegate

Where can I get more information?

For a complete description and online application in English, please visit the NGO Delegation to the UNAIDS PCB web site .

Deadline

Fill in the online application and submit all required documents by 16 August 2010, 18:00 Geneva Time.

You can contact the Communications Facility for additional information by emailing Natalie Siniora at pcbcf.nsiniora@gmail.com.

Vice Minister Yin Li addressed the Forum on 5 July 2010

For the first time in China, government and civil society have formed a partnership to offer innovative ideas from a rights-based perspective to strengthen the national response to HIV. The China Red Ribbon Beijing Forum was launched on 5 July 2010 at a high-level meeting attended by Vice Minister of Health Yin Li and more than 100 members of civil society, including grassroots organizations.

“The Chinese government places great importance on the AIDS response,” said Vice Minister Yin Li.  “National leaders are setting a strong example in advocating and driving all sectors of society to protect the human rights of people living with HIV and AIDS, reducing stigma and discrimination and leading the way forward.”

Forum speakers respond to questions from the floor.

“What’s happened here today is truly significant, and we shouldn’t underestimate its importance,” observed Steve Kraus, Director, UNAIDS Regional Support Team Asia-Pacific. “Partnership between government and civil society, fostering candid and open debate, is critical to success for all national AIDS programmes.” 

Dr Wang Longde, president of the Chinese Preventive Medicine Association and chair of the Forum’s Interim Steering Committee emphasized that “Only by adopting a people-centred approach, by ensuring the protection of people’s rights, can strategies and measures in our AIDS response be fully implemented, the scope of our response be expanded, and the lives of those living with or affected by HIV be improved.”

The Forum’s 14-member Interim Steering Committee includes representatives from government and civil society. It will be replaced after a year by a Steering Committee whose membership will be chosen through wide consultation with civil society and other stakeholders.

Rights-based approach

Mr Steve Kraus, Director UNAIDS RST Asia Pacific.

Thomas Cai is founder of AIDS Care China whose community-based HIV care work has been honoured both internationally and at home. An appointee to the interim committee, he is convinced that the initiative is an opportunity for a new way of doing things.

“This Forum should and will be more than just rhetoric,” Cai explained. “Yes, there is skepticism about whether it is truly going to make a difference, or if it’s more show than substance. But by using HIV as an ‘experiment’, if you will, the aim is to strengthen the rights-based approach that serves as our context.”

Looking forward

A broad range of issues were discussed including how the law can be crafted to protect the rights of those vulnerable to, or living with, HIV; how to address stigma and discrimination; and how HIV prevention efforts can be strengthened across China through rights-based approaches.

“Converting the discussions into concrete results is the next step,” said Mark Stirling, UNAIDS Country Coordinator for China.

Forum delegates already highlighted a number of areas that need to be prioritized. These include:

• Incorporating a rights-based approach into China’s next HIV/AIDS Five-Year Action Plan (2011-2016);
• Ensuring compliance with existing anti-discrimination clauses, and conducting a legal audit to assess where conflicting laws need to be revised or removed;
• Creating a standardised framework to address compensation for HIV infection through contaminated blood products or the selling of blood;
• Addressing the need for registration and legal recognition of non-governmental and community-based organizations;
• Fostering dialogue between the Ministries of Health, Public Security and Justice to examine how harm reduction work could be strengthened to reduce the risks of infection to injecting drug users, sex workers and men who have sex with men;

Functioning ARV dispensing site in Port-au-Prince after the devastating 12 of January earthquake. Credit: UNAIDS

Haitian civil society representatives visited Washington, D.C. on 6 April to mobilize political support for reconstructing the AIDS response in Haiti.

The civil society delegation, with support from UNAIDS, gave a testimony of their experiences with the earthquake and highlighted the importance of reconstructing the AIDS response with direct involvement of affected communities, especially people living with HIV. The briefing was held at Capitol Hill during a US Congressional briefing sponsored by US Senator Kirsten Gillibrand (D-NY) and attended by congressional staff, AIDS advocates and US civil society representatives.

Later that same day, the delegation from Haiti visited US Global AIDS Coordinator Ambassador Eric Goosby and his colleagues from USAID. The US government team pledged its support to encourage the Haitian government to include the involvement of people living with HIV in planning the reconstruction of the AIDS response in Haiti.

On 24 March, US President Obama asked the US Congress to approve $2.8 billion as an emergency requirement for relief and reconstruction support for Haiti following the devastating earthquake of 12 January 2010. The request is now pending before US lawmakers who will very soon vote on the proposal.

There were an estimated 120 000 people living with HIV in Haiti before the earthquake. Most of the structural damage happened in the three departments (Ouest, Sud-Est and les Nippes) that accounted for nearly 60% of the population of people living with HIV.

Following an initial rapid assessment of the situation with the Ministry of Public Health and Population, UNAIDS released a concept note Helping Haiti rebuild its AIDS response. The report explains the current situation in Haiti and what may be required to meet the immediate and intermediate AIDS response needs.

Civil society networks of people living with HIV as well as many of the organizations providing HIV services have been affected by the earthquake and are in need to be strengthened.

UN to support civil society and governments to address gender inequalities and human rights violations that continue to put women and girls at risk of HIV infection

Credit: UNAIDS

New York/Geneva, 2 March 2010 – UNAIDS, together with celebrated artist and activist for women and HIV, Annie Lennox, has launched an Agenda for Accelerated Country Action for Women, Girls, Gender Equality and HIV (2010–2014), which has been developed to address gender inequalities and human rights violations that continue to put women and girls at risk of HIV infection.

The five-year action plan was launched at a high-level panel during the 54th meeting on the Commission on the Status of Women, being held in New York until 12 March. It calls on the UN system to support governments, civil society and development partners in reinforcing country actions to put women and girls at the centre of the AIDS response, ensuring that their rights are protected.

“Violence against women is unacceptable and must not be tolerated,” said Michel Sidibé, UNAIDS Executive Director. “By robbing them of their dignity, we are losing the opportunity to tap half the potential of mankind to achieve the Millennium Development Goals. Women and girls are not victims, they are the driving force that brings about social transformation.”

UNAIDS and partners will support the country roll-out of the Agenda for Action in pathfinder countries, including Liberia.

Annie Lennox underlined her unshakable commitment to the cause of women and girls affected by HIV.

“I believe we need a broad movement for change,” she said. “The bottom-line for me is that, in essence, we are all the same. All human beings, wherever we are, have the basic right to be happy and healthy. I see this Agenda for Action as a great opportunity to bring the realities faced by many women and girls to the forefront and to call attention to the injustices faced by many women and girls, placing them at a bigger risk of HIV.”

As of December 2008, 33.4 million people were living with HIV worldwide, of which 15.7 million ─ almost half ─ were women. The proportion of women infected with HIV has risen in many regions over of the world over the past 10 years. In sub-Saharan Africa, 60% of people living with HIV are women. Nearly 30 years into the HIV epidemic, HIV services do not sufficiently address the specific realities and needs of women and girls.

"The information on sexual and reproductive health for HIV-positive women and girls is still limited,” said Suksma Ratri, a member of Indonesia’s Positive Women’s Network, who participated in today’s launch. “Being sexually active and HIV-positive at the same time is very difficult. Women and girls living with HIV often have restricted options when it comes to their sexuality. They need an adequate and friendly support system that enables them to make free decisions about their sexuality without being discriminated and stigmatised. I think the Agenda for Action will be a good platform for countries to strengthen services for women and girls."

The Agenda for Action provides clear action points on how the UN can work together with governments, civil society and development partners to:

• produce better information on the specific needs of women and girls in the context of HIV;
• turn political commitments into increased resources and actions so HIV programmes can better respond to the needs of women and girls; and
• support leaders to build safer environments in which women’s and girl’s human rights are protected.

The actions include:

• Improving data collection and analysis to better understand how the epidemic affects women and girls.
• Reinforcing the UN Secretary-General’s UNiTE to End Violence against Women campaign through the AIDS response.
• Ensuring that violence against women is integrated into HIV prevention, treatment, care and support programmes.
• Analyzing the impact of socio-cultural and economic factors that prevent women and girls from protecting themselves against HIV.
• Supporting women’s groups and networks of women living with HIV to map commitments made by governments on women and HIV.
• Scaling up engagement of men’s and boys’ organizations to support the rights of women and girls.

The launch of the Agenda for Action involved many prominent leaders from the United Nations system, governments and civil society. Speakers included Asha Rose Migiro, United Nations Deputy Secretary-General; Melanne Verveer, US Ambassador at Large for Women’s Global Issues; Helen Clark, UNDP Administrator; and Vabah Gayflor, Liberia’s Minister of Gender and Development.

Ahead of the UN High-level Meeting on Millennium Development Goals, UNAIDS calls on all countries to review progress and barriers for achieving national targets for universal access.

UNAIDS Executive Director Michel Sidibé (left) with Botswana's Vice President, Lt. Gen. Mompati Merafhe.

Gaborone/Geneva, 18 February 2010 – UNAIDS is calling for an international effort to renew commitment for countries to achieve universal access to HIV prevention, treatment, care and support. Countries are urged to undertake an open and inclusive consultation process—bringing together governments, development partners, civil society organizations, networks of people living with HIV and community groups to review the progress made in reaching country targets for universal access. UNAIDS will support countries and regional bodies in convening these reviews.

The call to action was made by UNAIDS Executive Director Mr Michel Sidibé while on an official visit to Botswana.

“Universal access to HIV prevention, treatment, care and support is about achieving equity. This is a groundbreaking global movement that is saving millions of lives,” said Mr Sidibé. “However progress has been uneven so now we need to take stock of what’s working and what is not and to link future national progress in AIDS to the Millennium Development Goals.”

UNAIDS has lauded Botswana in its progress towards achieving its universal access targets. Despite having one of the highest HIV prevalence rates in the world, the country has been able to provide antiretroviral treatment to more than 80% of people in need. It has also made significant strides in preventing mother to child transmission of HIV, achieving over 93% coverage in 2009. Botswana was one of the first countries in Africa to adopt universal access targets.

“Our success has been possible due to strong commitment on part of the government, development partners and civil society to collectively set ambitious targets and overcome bottlenecks,” said Lesego Motsumi, Botswana’s Minister for Presidential Affairs and Public Administration. “In this regard we welcome the UNAIDS call to review our progress made in achieving universal access to guide us in meeting the Millennium Development Goals.”

The universal access movement was launched in 2006 when UN member states signed a political declaration to achieve universal access to HIV prevention, treatment, care and support. Its aim is to ensure that people everywhere have access to HIV prevention, treatment, care and support by 2010. Countries affirmed their commitments by setting ambitious national targets. However progress towards these targets has varied—with some countries exceeding some of their targets but not reaching others.

"It is now time for people living with HIV, community groups and our governments to sit down together and talk honestly about where we are and where we need to go to change the course of the epidemic," said David Ngele, a representative of the Botswana Network of People living with HIV.

The country and regional level reviews, which will take place in all regions of the world, will utilize the data collected for the 2010 country progress reports as the basis to identify barriers and strategies to meet their targets in 2010 and beyond. UNAIDS will convene an international advisory team to analyze the review reports and make recommendations on how to redouble progress towards universal access.

UNAIDS is committed to ensure that regional bodies for political, social and economic cooperation are engaged in supporting this process, which will take place over the course of 2010. “In Africa, this process will enable countries across the continent to measure their progress against the commitments made at the African Union in Brazzaville in 1996 to reach universal access by 2010,” said Mr Sidibé.

The 2010 reviews will provide a forum to hold partners accountable as well as celebrate achievements. In addition, implementers and policy makers can jointly chart out new strategies to remove programme implementation barriers. These consultations will provide an opportunity to analyze existing approaches to HIV prevention, identifying gaps and priorities. The process should catalyze a prevention revolution that aims for zero new HIV infections including the elimination of mother-to-child HIV transmission.  It will also help countries re-adjust their plans on access to HIV treatment based on the new treatment guidelines and begin thinking about treatment 2.0 ─ a new generation of treatment options that are sustainable.

The ongoing economic crisis and the ensuing cuts in national budgets and international aid investments have exposed the vulnerabilities of national AIDS programmes. The reviews will include an assessment of current AIDS spending patterns and propose new investment options that are aligned to local epidemic trends, and increase efficiencies.

Outcomes of the review are expected to result in the revision of national strategic frameworks, rejuvenating national AIDS responses. These reviews will provide countries with an impetus to accelerate progress towards achieving national universal access targets as a means to realizing the Millennium Development Goals.

Credit: International HIV/AIDS Alliance

The Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund) has developed a community systems strengthening (CSS) Framework in collaboration with other stakeholders including UNAIDS to clarify the range of community strengthening activities the Global Fund is mandated to support.

The International HIV/AIDS Alliance (Alliance) and the International Council of AIDS Services Organizations (ICASO) are conducting an online consultation for civil society to input into the draft framework that has been developed to outline community systems strengthening.

The Alliance and ICASO invite civil society views on this framework, which will play an important role for anyone working at a community level.

UNAIDS encourages civil society partners to participate in this consultation. “This is an important opportunity for community organizations to contribute to and strengthen the Framework,” said UNAIDS Head of Civil Society Partnerships, Kate Thomson.

Filling the gaps

The CSS framework has been developed in recognition that there are gaps in funding for many aspects of community action on HIV, TB, malaria, reproductive health and other health-related issues. It has been developed specifically to support the CSS component of Global Fund grants, but is applicable to all community based activities aimed at improving health though community based action.

By feeding back on the draft framework, you will help further develop what will become a key document which can:

1. Help civil society actors articulate and scale up their activities, and access Global Fund funding
2. Equip governments to better understand the vital roles of community actors particularly when building stronger health systems
3. Enable the Global Fund to make informed decisions about awarding grants to proposals strong in CSS.

How to have your say

1. Read the Draft Community Strengthening Framework

Don’t have time to read the full version? We’ve read it for you – and condensed the vital information. Read the summary

2. Have your say on the eForum. Join the online focused discussion that will open a space for dialogue on the framework. Send an email NOW to: join-cssframeworkconsult@eforums.healthdev.org  

3. Take the online survey Available online in the coming weeks.

4. Get your friends to have their say. Use the ‘Share’ link above, to use the social networking icons to spread the word.

5. Watch out for more details on how to participate over the next few weeks.

It is in all our interests to make sure that the CSS framework is as strong as possible so please – participate!

For further information email Taline Haytayan at the International HIV/AIDS Alliance: thaytayan@aidsalliance.org