GENEVA, 17 March 2021—As the situation in Myanmar continues to deteriorate and fatalities rise, UNAIDS is warning that the violence also threatens access to life-saving essential services, including services for people living with and affected by HIV.

Ensuring the safety and protection of health-care workers and outreach and community volunteers across the country is critical, as is ensuring continuity in the procurement and delivery of essential life-saving services. Of priority concern across the country is maintaining access to HIV services, including the supply and delivery of antiretroviral medicines and harm reduction services for people who inject drugs.

“I express solidarity with the people of Myanmar and recognize the exceptional leadership of young people, women and social activists in trying to uphold human rights,” said UNAIDS Executive Director, Winnie Byanyima. “I also salute community networks of people living with and affected by HIV, civil society and activists who have mobilized to support and protect the most vulnerable people.”

UNAIDS further adds its voice to the urgent calls made by the United Nations Secretary-General, António Guterres, for all violence against civilians in Myanmar to cease.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

On Zero Discrimination Day this year, governments, civil society organizations and communities highlighted the urgent need to take action to end the inequalities that continue to persist around the world.

Among them were several countries and partners of the Global Partnership for Action to Eliminate all Forms of HIV-Related Stigma and Discrimination (Global Partnership) that commemorated the day by organizing webinars, launching initiatives to accelerate the implementation of commitments to end HIV-related stigma and discrimination or raising awareness about the imperative need to achieve dignity for all.

At the global level, the Global Network of People Living with HIV (GNP+) launched #MoreThan, a global online campaign to celebrate and showcase the diversity of the lives, achievements, interests and dreams of people living with and affected by HIV. And UNAIDS, the United States President’s Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis and Malaria organized a webinar to showcase the potential of evidence-informed programmes as well as community-led responses to end HIV-related stigma and discrimination. The event used best practices from countries as diverse as the Democratic Republic of the Congo, Jamaica and Ukraine.

At the country and regional levels, Zero Discrimination Day was marked by a number of initiatives. For example, in western and central Africa, Senegalese artist Coumba Gawlo launched a single to raise awareness of and promote action to respond to HIV in the region, together with fellow artists Wally Seck (Senegal), Djelly Mady Kouyate (Gambia) and Nestor Lendjy (Guinea Bissau).

In Senegal, the Network of People Living with HIV (RNP+) held a dialogue to raise awareness on the impact of HIV-related stigma on women and girls. The dialogue brought together people living with HIV and representatives of women’s movements, key populations, human rights advocates, policymakers and health service providers. The outcomes of the dialogue will be used to inform the advocacy strategy that RNP+ will develop on human rights and gender issues to better respond to the expectations of its members and communities affected by HIV.

Evidence shows that in Senegal women living with HIV face obstacles in accessing reproductive health services, that sex workers face high levels of stigma in health-care settings and that the economic and social vulnerability of women living with HIV is not sufficiently considered in HIV programming. “Discrimination continues to affect women and girls and this is the reason why they are often excluded from the labour market, are isolated in their communities or experience stigma in health centres. Key populations are also historically the target of discrimination in Senegal,” said Soukèye Ndiaye, President of RNP+.

In Côte d’Ivoire, UNAIDS, in collaboration with the Programme National de Lutte contre le Sida, the Alliance Côte d’Ivoire, Enda Santé Côte d’Ivoire and Ligue Ivoirienne des Droits de l’Homme, presented the Global Partnership and its added value to representatives of the Ministry of Health and the Ministry of justice, as well as to civil society partners. The meeting led to a report that will inform Côte d’Ivoire’s strategy to eliminate stigma and discrimination.

In the Central African Republic, which was the first country to join the Global Partnership, the Minister of Health and Population, Pierre Somse, above, issued a declaration recalling the government’s commitment to non-discrimination and equality. “It is only by addressing inequalities that we can achieve the Sustainable Development Goals, including those related to well-being and health for all,” said Mr Somse.

Other events in the Central African Republic included a civil society consultation to identify priorities for eliminating stigma and discrimination and a round-table discussion on a radio show to highlight that stigma and discrimination is a barrier to people taking up HIV prevention, treatment, care and support services. Dedicated trainings on the National Charter for Quality of Care and Patients’ Rights took place for medical staff in two major health-care centres in Bangui. In the Central African Republic, more than 80% of people living with HIV in the country have reported experiencing discrimination or stigma.  

In the Islamic Republic of Iran, the country’s new anti-discrimination regulation was disseminated on social media to mark Zero Discrimination Day. In Thailand, UNAIDS, the Ministry of Foreign Affairs and the Ministry of Public Health cosponsored a panel discussion on the Global Partnership to showcase the power of governments, civil society and the United Nations to tackle HIV-related stigma and discrimination in Asia and the Pacific. And in the Republic of Moldova, an updated road map was developed to address the remaining barriers related to stigma and discrimination, gender mainstreaming and equality, considering the commitments made under the National AIDS Program and the Global Partnership.

Finally, on the eve of Zero Discrimination Day, Kazakhstan officially joined the Global Partnership. For Baurzhan Baiserkin, the Director of the Kazakh Scientific Center for Dermatology and Infectious Diseases of the Ministry of Health of Kazakhstan, the initiative will make a positive difference for people living with HIV, prisoners, migrants and other key populations.  

“Kazakhstan supports the Global Partnership initiative to eliminate all forms of HIV-related stigma and discrimination. I am confident that it will help to achieve the Sustainable Development Goals,” said Mr Baiserkin.

The Global Partnership for Action to Eliminate All Forms of HIV-Related Stigma and Discrimination is an initiative whose goal is to catalyse and accelerate the implementation of commitments made to end HIV-related stigma and discrimination by United Nations Member States, United Nations agencies, bilateral and international donors, nongovernmental organizations and communities.

The recent regional launch of the global AIDS report 2020, Prevailing against pandemics by putting people at the centre, in eastern Europe and central Asia provided a platform for the proposal of a joint revision of social and legal enablers in the region to achieve the proposed 2025 targets. UNAIDS Cosponsors, governments and civil society partners presented their views on the issue and the joint action to be taken. 

Based on the regional data, the 90–90–90 treatment cascade in the region is far off the targets, having reached only 70–44–41. Lev Zohrabyan, the UNAIDS Strategic Information Adviser for Eastern Europe and Central Asia, noted that one of the reasons for this is late diagnosis: in 2019, 53% of all new HIV cases in the region were registered in the later stages. In his opinion, it shows that testing strategies need revision and require enabling societal conditions.

Societal and service enablers have been given prominence in the proposed 2025 targets; in particular, it is outlined in the 10–10–10 targets that:

• Less than 10% of countries have punitive legal and policy environments that deny access to justice.
• Less than 10% of people living with HIV and key populations experience stigma and discrimination.
• Less than 10% of women, girls, people living with HIV and key populations experience gender inequality and violence.

Achieving these goals includes having enabling laws, policies and public education campaigns that dispel the stigma and discrimination that still surrounds HIV, empower women and girls to claim their sexual and reproductive health and rights and end the marginalization of people at higher risk of HIV infection.

“Interventions in these areas create conditions for people to be more active in HIV testing, seek help and start antiretroviral therapy immediately upon diagnosis, adhere to a treatment regimen or proactively seek HIV prevention services, including pre-exposure prophylaxis,” said Mr Zohrabyan.   

Rosemary Kumwenda, the Regional HIV/Health Team Leader at the United Nations Development Programme Istanbul Regional Hub, presented an analysis of the legislation in the eastern Europe and central Asia region on the criminalization of HIV and key populations, noting that the situation in the region remains unfavourable for an effective HIV response. The criminal codes have changed in many countries, but discriminatory laws are changing very slowly. Although many countries revisited their legislation regarding HIV exposure, HIV transmission is criminalized in virtually every country in the region. The Russian Federation and Belarus remain “leaders” in the criminalization of HIV and key populations. Criminal penalties for sex between adult men remain in Uzbekistan and Turkmenistan. The biggest challenge for the region, where more than 48% of new HIV cases are among people who inject drugs, is the criminalization of drug use and possession.

In the presentation An Inventory of Existing Tools for Creating a Favourable Social and Legal Environment in the Eastern Europe and Central Asia Region, given by Tatiana Deshko, the Director of the Department of International Programs, ICF Alliance for Public Health, Ukraine, the ReACT mechanism, which comprehensively works for the rights of key populations, was presented. ReACT (Rights, Evidence, Actions) is the programme’s principle for monitoring violations of rights and is being implemented in 37 cities in seven countries of the region with the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Cases of rights violation are registered in a mobile application and then lawyers work with specific cases at the individual level or at the system level of revising legislation. Last year, about 2000 cases were registered. The analysis shows that law enforcement agencies are the primary violators of the rights of key populations in almost all countries, using threats, intimidation, illegal detention and abuse of authority. The health-care system, with denials of medical services, discrimination based on HIV status or disclosure of HIV status, is ranked after law enforcement. “Strategic analysis of cases based on the ReACT-collected data allows not only help for specific people to protect their rights but also formulating recommendations for revising legislation in countries,” said Ms Deshko.

As part of the discussion of the second 10, Alexandra Volgina, the Manager of the Global Partnership for Action to Eliminate All Forms of HIV-Related Stigma and Discrimination, Global Network of People Living with HIV, spoke about the People Living with HIV Stigma Index 2.0 study and the role of the Global Partnership for Action to Eliminate All Forms of HIV-Related Stigma and Discrimination.

Four countries of the region, Kazakhstan, Kyrgyzstan, the Republic of Moldova and Ukraine, have entered the Global Partnership for Action to Eliminate All Forms of HIV-Related Stigma and Discrimination. “If we compile the ReACT system, the Stigma Index and other instruments you’ll get a clear picture of what exactly needs to be done to make a difference. We need to address this issue jointly, all partners together. If we change the situation in the area of ​​stigma and discrimination, we will be able to stop the epidemic,” said Ms Volgina.

An example of such an integrated approach, from data to policies and action, was shared by Evghenii A. Golosceapov, a member of the Equality Council in the Republic of Moldova, the first state institution in the post-Soviet countries dealing with discrimination against various groups.

As part of the Equality Council’s work, studies on the People Living with HIV Stigma Index were carried out, where, through public opinion polls and in-depth interviews, categories of people who are marginalized by society were determined. People living with HIV ranked the second among those categories, after lesbian, gay, bisexual, transgender and intersex people. The Equality Council also uses data from the People Living with HIV Stigma Index, the ReACT registration system and research on the legal environment on HIV.

On this comprehensive basis, more than 70 recommendations on practical steps in the field of legislative changes were developed. These data were used to develop a new national HIV programme and a country proposal to the Global Fund. In addition, the Equality Council considers specific cases of discrimination and complaints (e.g. dismissal due to HIV status) and supports civil society organizations in defending the rights in court. In recent years, the restriction on artificial insemination for people living with HIV has been lifted in the Republic of Moldova, as well as the ban on adoption and guardianship.

All the data collected shape the Roadmap for the Elimination of Discrimination, a government programme in which people living with HIV play a critical role. In the Republic of Moldova, the ScorCard system has also been launched, which allows real-time tracking of the implementation of recommendations and progress towards the adopted targets in reducing stigma and discrimination.

Regional gender gaps in the context of the HIV response were presented by Enkhtsetseg Miyegombo, a Programme Specialist at the UN Women Europe and Central Asia Regional Office.

According to her, the COVID-19 pandemic has largely erased progress in this area and exacerbated existing inequalities: lockdowns disproportionately affected the workload of women who do unpaid domestic work, reduced women’s economic opportunities due to job losses, limited their mobility and increased documented violence against women. These new circumstances were superimposed on existing problems—a lack of awareness about HIV, barriers to discussing safer sex with a partner, revival of patriarchal stereotypes, religious restrictions—as a result of which, women find themselves under growing pressure. Ms Miyegombo highlighted that investment in gender equality programmes is critical to the effectiveness of the regional HIV response.

A study conducted by the Eurasian Women’s Network on AIDS helped to identify the key characteristics of violence and the specifics of organizing assistance to victims of violence in 12 countries of the eastern Europe and central Asia region. The results of the study supplemented the available international data on violence and equipped national civil society organizations with real facts for political advocacy. Elena Rastokina, a specialist in advocacy and community mobilization from the Almaty Model of HIV Epidemic Control project in Kazakhstan, presented successful practices of community-based monitoring in the eastern Europe and central Asia region, concluding that this approach is important as it allows communities to know their rights and barriers and to have systematic data to advocate for systematic change.

Alexander Goliusov, the Director, a.i., of the UNAIDS Regional Support Team for Eastern Europe and Central Asia, stressed that the new 10–10–10 targets are addressing the inequalities that are fuelling the spread of HIV, COVID-19 and other pandemics. “Testing and treatment remain our priorities; however, now our fast track to them lies in combatting inequalities,” he said.

The recording of the launch in Russian and English, along with all presentations and materials, can be found here.

At the end of January 2021, the Kyrgyzstan Constitutional Court decided to exclude HIV from the list of diseases that prevent people from adopting children or becoming guardians or foster parents. The barrier to parenting for people living with HIV in the country had been in effect for many years.

The change—brought about by a joint effort of activists, lawyers and human rights defenders, but primarily by people who personally suffered from discrimination and fought for their rights—is a victory against stigma and discrimination against people living with HIV in Kyrgyzstan.

Baktygul Israilova, pictured above and who leads the Country Network of Women Living with HIV, is one of those who were affected. Several years ago, she wanted to adopt a child. “At that time, I did not fully understand the depth of the problem. I thought that if I prepared all the necessary documents, submitted them to the right department, they would consider me and make a positive decision,” Ms Israilova said. “I am a mother of two wonderful girls, I have a job, a stable job, so at that time it seemed that everything should be on my side.”

When she found out that she could not adopt a child because of her HIV status, she was shocked. “I’m used to the fact that people living with HIV are constantly discriminated against, but why can’t they become parents and give their love and care to a child from an orphanage?” she said.

At that time, Ms Israilova was starting on her path in HIV activism. “Until that time I was always afraid of something, at first my HIV status. I was worried for my girls, I was worried that I would not find a job, I was afraid that people would not understand me, I was worried that I would not achieve anything in my life. But then I became tired of being afraid. It was a turning point in my life. It was then that I openly declared my HIV status and became the first woman in the country openly living with HIV.”

According to the Kyrgyzstan National Statistical Committee, in 2019 there were more than 2000 children and adolescents under the age of 18 years who were left without parental care, of which 592 were orphans.

In 2018, Ms Israilova met Svetlana Izambayeva, pictured above, an activist from the Russian Federation who is living with HIV and who became one of the first women in the Russian Federation to declare her HIV status openly. Ms Izambayeva had extensive and successful experience in the struggle for the right to adopt in her home country and helped and advised the women in Kyrgyzstan in their battle.

A similar case was being considered by the Kyrgyzstan courts in which the Kyrgyz lawyer Ainura Osmonalieva and lawyers from the Adilet legal clinic were trying to help a woman living with HIV to get custody of her nephew after the death of his mother.

The activists joined forces and resources and studied the entire existing legal framework, international obligations, ratified conventions and the United Nations Political Declaration on Ending AIDS, which the country had committed to implement. The process lasted for two years. Activists from other countries, particularly from the Eurasian Women’s Network on AIDS, helped to collect evidence. The activists highlighted examples of changes in legislation in three eastern European countries—the Republic of Moldova, the Russian Federation and Ukraine. The UNAIDS Country Office in Kyrgyzstan supported the advocacy efforts of the Country Network of Women Living with HIV at all stages and provided technical support to strengthen its organizational and advocacy capacity.

Ms Israilova said that when she had to speak and defend her position before the Constitutional Court judges, she was ready for any developments. “Even if we were given a negative decision, we would not have given up, but tried again and again to achieve a result where every person living with HIV can adopt or become a guardian of a child.”

“When we received a positive decision, I came home and told my girls about what we had achieved. They have long dreamed of a brother and even came up with a name for him. My girls are my light, which illuminates my path. I have managed to achieve a lot in life thanks to the fact that I have them. Now I must prepare all the necessary documents to give happiness to another child,” said Ms Israilova.

Photos: November 2019. Credit: UNAIDS

GENEVA, 29 January 2021—UNAIDS is deeply troubled and concerned about the detention by military police of the Venezuelan citizens and humanitarian workers Johán León Reyes, Yordy Bermúdez, Layners Gutiérrez Díaz, Alejandro Gómez Di Maggio and Luis Ferrebuz, who are members of the nongovernmental organization Azul Positivo. The five have been held since 12 January 2021.

“I call on the Venezuelan authorities to release from police custody the five humanitarians working for the nongovernmental organization Azul Positivo, and to return essential equipment seized at the time of their arrest,” said Winnie Byanyima, UNAIDS Executive Director. “A strong and empowered civil society plays a central role in providing much-needed services to the most vulnerable people and is critical to making progress against the HIV pandemic and other health threats in the Bolivarian Republic of Venezuela.”

Azul Positivo was established in 2004 to work on the prevention of HIV in the state of Zulia, Bolivarian Republic of Venezuela. UNAIDS has supported Azul Positivo’s work for many years and has witnessed the positive impact of their contributions to the community.

UNAIDS is strongly supportive of the full empowerment and engagement of civil society organizations in the AIDS response and in humanitarian work. It looks forward to continuing its partnership with community and civil society organizations in the Bolivarian Republic of Venezuela, as well as with government officials, in ensuring that all people affected by HIV have access to HIV prevention, treatment and social support services and that their human rights are protected.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 12 January 2021—UNAIDS is concerned that the vilification of lesbian, gay, bisexual and transgender (LGBT) communities in Uganda could lead to heightened violence, stigma and discrimination against them and reduce their access to HIV and other essential services. In a recent media interview, the President, Yoweri Museveni, described being LGBT as a “deviation”.

“Using offensive language that describes LGBT people as “deviant” is simply wrong,” said Winnie Byanyima, Executive Director of UNAIDS. “Stigma and discrimination based on sexual orientation violates rights and keeps people away from HIV testing, treatment, prevention and care services. The HIV epidemic can never end while some groups of people are excluded from health services.”

UNAIDS advocates with legislators, other government authorities and civil society globally to establish anti-discrimination and protective laws to eliminate the discrimination and violence faced by LGBT people and to advance the right to health for all people without exception.

Uganda has made considerable progress against the HIV epidemic in recent years. Of the estimated 1.5 million people living with HIV in Uganda in 2019, around 1.3 million were aware of their HIV status and 1.2 million were on treatment. More than 95% of pregnant and breastfeeding women living with HIV in Uganda receive antiretroviral therapy to keep them healthy and prevent transmission of the virus to their children.

However, in Uganda gay men and other men who have sex with men are less likely to have access to the HIV testing, treatment, prevention and care services that could keep them healthy and well, in part because of the stigma and discrimination they face in health-care settings and throughout society. 

“It’s clear that to end the AIDS epidemic in Uganda there is a need to build a more inclusive society where everyone enjoys the right to health. UNAIDS stands ready to work with all partners to end stigma and discrimination against the LGBT community and achieve the full respect of their universal human rights,” said Ms Byanyima.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS has called on countries to make far greater investments in global pandemic responses and adopt a new set of bold, ambitious but achievable HIV targets for 2025.

An analysis was performed focused on available studies that have quantitatively measured the negative impact that stigma and discrimination and the criminalization of sex work, drug use and same-sex sexual relationships would have on HIV prevention, testing and treatment efforts.

The analysis suggests that failure to make any progress on HIV-related stigma and discrimination would undermine efforts to reach the HIV testing, treatment and viral suppression targets, resulting in an additional 440 000 AIDS-related deaths between 2020 and 2030, and that failure to make any progress across all societal enablers would undermine efforts to reach HIV prevention targets, resulting in 2.6 million additional new HIV infections over the same period.