Health systems strengthening

Press Release

UNAIDS expresses serious concern over the decision by the Supreme Court of Libya to uphold the death penalty for health care professionals

Geneva, 12 July 2007 - The Joint United Nations Programme on HIV/AIDS (UNAIDS) expresses serious concern over the verdict delivered by the Libyan Supreme Court to uphold the death sentences imposed on six health care professionals.

UNAIDS is concerned that certain scientific evidence appears to have not been taken into consideration raising serious doubts regarding the conclusion reached by the court.

UNAIDS strongly urges Libya’s High Judiciary Council to review the Supreme Court’s decision when they meet on Monday, taking into consideration all relevant and available scientific evidence related to the case.

The six health care professionals (five Bulgarian nurses and one Palestinian doctor), imprisoned since 1999, are accused of deliberately infecting 426 children with HIV whilst working at a hospital in Benghazi, Libya. Since 1999, 56 of the children found to be infected with the virus have died.

UNAIDS also expresses its deep concern and empathy for the children affected and for their families, and urges the Libyan Government and international partners to ensure that HIV treatment, care and support are provided to these children and that the human rights of all are respected.

UNAIDS reiterates its support to the Government of Libya for a comprehensive response to prevent the transmission of HIV; to provide for treatment, care and support for those living with HIV; and to protect the rights of those affected by HIV.

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UNAIDS welcomes new public-private partnership

The Joint United Nations Programme

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US$ 22 billion needed in 2008 to reverse spread of AIDS

Almost US$22 billion will be needed in 2008 to reverse spread of AIDS in the developing world, according to latest estimates.

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UNAIDS and WHO applaud new Clinton Foundation initiatives to increase access to treatment

UNAIDS and WHO applaud the announcement made today by the Clinton Foundation HIV/AIDS Initiative of two new programmes to help expand AIDS care and treatment to children and to people living in rural areas.

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New analysis calls for increased integration of reproductive health and HIV prevention services

Providers of reproductive health services are in a strategic position to make significant contributions to closing the global HIV prevention gap, according to a new analysis published jointly by The Alan Guttmacher Institute (AGI) and the Joint United Nations Programme on AIDS (UNAIDS) with the collaboration of UNFPA (United Nations Population Fund) and the International Planned Parenthood Federation (IPPF).

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African Union adopts new roadmap to accelerate progress in HIV, TB and malaria responses

 

AU and NEPAD Agency take the lead in transforming the face of health responses in Africa

 

ADDIS ABABA, 16 July 2012—A roadmap adopted today by African Heads of State and Government charts a new course for the continent’s responses to AIDS, tuberculosis (TB) and malaria. Developed by the African Union Commission (AUC) and the NEPAD Planning and Coordinating Agency (NEPAD Agency), with support from UNAIDS, the Roadmap on Shared Responsibility and Global Solidarity was endorsed at the 19th Summit of the African Union in Addis Ababa, Ethiopia.

“This Roadmap provides a major step forward in our responses to AIDS, TB and malaria,” said Dr Thomas Yayi Boni, Chairperson of African Union and President of Benin. “Through it, we will pursue African solutions reflecting our continent’s dynamism and potential—like local pharmaceutical production. Together we will invest in the future.”  

Structured around three strategic pillars—health governance, diversified financing and access to medicines—the Roadmap offers a set of practical and African-owned solutions to enhance sustainable responses to AIDS, TB and malaria. It defines goals, expected results, roles and responsibilities to hold stakeholders accountable over a three-year time frame, through 2015.

“This Roadmap will act as a driving force for Africa-owned solutions,” said Dr Ibrahim Mayaki, Chief Executive Officer of NEPAD Agency. “Together we must support African leaders to implement it—that means new partnerships, new financing arrangements and new ways to strengthen sustainable African institutions.”

Health governance

The Roadmap emphasizes the importance of robust policy, oversight and accountability frameworks for investments in AIDS, TB and malaria. AIDS Watch Africa—an African advocacy and accountability initiative—will play a key role in measuring progress and holding national, regional, continental and global stakeholders accountable to their commitments on AIDS, TB and malaria.

“AIDS Watch Africa’s vision of shared responsibility and global solidarity marks a radical departure from business as usual,” said UNAIDS Executive Director Michel Sidibé. “I urge all African leaders to urgently take the Roadmap forward and all development partners to get behind these African efforts in the spirit of solidarity and mutual accountability.”

Diversified financing

According to UNAIDS estimates, Africa will require an annual investment of US$ 11-12 billion for its AIDS response in 2015; that same year, the expected funding gap is US$ 3-4 billion. Similarly, resources available for the continent’s TB and malaria responses fall far short of need.

The Roadmap calls on African governments and development partners to fill these funding gaps together, investing their “fair share” based on ability and prior commitments. Countries are encouraged to develop financially viable national plans with clear targets. Development partners are asked to provide long-term, predictable resources and to align their commitments with African priorities.

"Effective fund mobilization and disbursement are critical for our response," said Mr Idriss Déby Itno, President of the Republic of Chad. “This Roadmap should be a roadmap for each Head of State. We must consider this an opportunity to change our approach not just to AIDS but to the development of our Continent.”

Access to medicines

Many African countries depend on external sources to provide life-saving medicines for their populations. In the case of AIDS, more than 80% of HIV drugs dispensed in Africa are imported. A vast majority of HIV medicines keeping Africans alive are paid for through external aid.

The Roadmap establishes a set of priority actions to accelerate access to affordable and quality-assured medicines in Africa. These include: strengthening African drug regulatory systems; ensuring that countries in Africa acquire essential health-related technologies and commodities through South-South cooperation; and removing trade barriers to allow for the emergence of pharmaceutical production hubs within Africa that can serve regional markets.

AU Chair calls for side event on AIDS and shared responsibility

During the Summit of the African Union, Dr Yayi Boni called on African leaders to hold a high-level side event at the September 2012 UN General Assembly focused on AIDS and shared responsibility. Such an event would offer a unique opportunity to present the Roadmap to the global community, he said.

Documents

The public health approach to Sexually Transmitted Diseases control. STD

23 September 1998

Around 340 million new cases of curable sexually transmitted diseases (STDs) are estimated by the World Health Organization (WHO) to have ocurred throughout the world in 1995 in men and women aged 15-49 years. In developing countries, STDs and their complications rank in the top five disease categories for which adults seek health care. In women of childbearing age, STDs - even excluding HIV - are second only to maternal factors as causes of disease, death and healthy life lost.

Documents

The Role of Name-Based Notification in Public Health and HIV Surveillance

19 October 2000

Debates over whether AIDS and HIV should be made reportable to public health officials, and whether such reports should contain the names of those diagnosed, have regularly recurred during the epidemic, and remain ongoing. In this report a broad context for the discussion of the issues involved have been sought after.

Documents

From crisis to opportunity HIV and health-care reform in Phayao

19 October 2000

Experiences of HIV/AIDS prevention and control in Phayao province are good examples of the rethinking of health-care management. Progress in battling with HIV/AIDS in Phayao had provided a good lesson: people, not institutions, are the ultimate contributing factor to the progress attained. Government and non-governmental organizations will be important, when they can facilitate and not constrain people in responding to HIV and AIDS.

Documents

Paying for HIV/AIDS services : lessons from National Health Accounts and community-based health insurance in Rwanda, 1998 – 1999 : UNAIDS case study

09 October 2001

This case study focuses on the development and implementation of prepayment insurance schemes for HIV/AIDS-related health care services in Rwanda. Based on an analysis of National Health Accounts, and developed by the Rwandan Government, the system was introduced to ensure that the growing numbers of rural poor had access to modern health care facilities. The study examines the proportion of health-related expenditures by government, donors and patients on the prevention and treatment of HIV/AIDS, detailing the impact on households, and suggesting ways to decrease the financial burden of HIV on the seropositive poor. Issues of effectiveness, ethical soundness, relevance and equity within the HIV-positive population are also explored.

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