Men who have sex with men
Documents
Middle East and North Africa regional profile — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
Numbers of new HIV infections in the Middle East and North Africa increased by 116% between 2010 and 2023. The HIV response remains a long way from achieving coverage targets for HIV by 2025. Yet, with HIV prevalence still very low, the region can rapidly reduce the number of new infections if countries take appropriate and effective actions that meet the needs of the populations most at risk of HIV. Ostracized and criminalized populations are disproportionally affected by the HIV epidemic. People from key populations and their sex partners accounted for an estimated 84% of new HIV infections in 2022, with gay men and other men who have sex with men experiencing especially steep rises in numbers of new HIV infections. Almost 20% of new HIV infections in the region were in young people aged 15–24 years, the majority of them male (55%). These epidemic patterns underscore the need for scaled-up HIV interventions for people from key populations and especially young people, and for reducing the societal and structural barriers that limit their access to needed services. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
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27 February 2025
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
Lost and link: Indonesian initiative to find people living with HIV who stopped their treatment
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21 January 2025
Documents
Latin America — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
The annual number of new HIV infections in Latin America increased by 9% between 2010 and 2023, with eight countries experiencing increases since 2015. In 2022, a significant proportion (66%) of new HIV infections were among people from key populations and their sex partners. In 2022, numbers of new HIV infections were 20% higher than in 2010 among gay men and other men who have sex with men, 42% higher among sex workers, and 19% higher among transgender women. Numbers of AIDS-related deaths have decreased by 28% since 2010 overall, but increased among women in Costa Rica, El Salvador, Mexico, Panama, Paraguay and Peru. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
Related
U=U can help end HIV stigma and discrimination. Here’s how
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27 February 2025
The critical impact of the PEPFAR funding freeze for HIV across Latin America and the Caribbean
19 February 2025
Documents
Eastern and Southern Africa regional profile — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
There has been major progress in the HIV response in eastern and southern Africa, the region most affected by the HIV pandemic. The annual number of people acquiring HIV fell by 59% from 1.1 million [880 000–1.4 million] to 450 000 [360 000–580 000] between 2010 and 2023. The number of AIDS-related deaths decreased by 57%, from 600 000 [490 000–770 000] to 260 000 [210 000–330 000] between 2010 and 2023. Despite this overall progress, adolescent girls and young women (aged 15–24 years) still accounted for 27% of new HIV infections and were three times as likely to acquire HIV than their male counterparts. HIV incidence decreased among all key populations from 2010 to 2022 in the region, but at slower rates among gay men and other men who have sex with men and people who inject drugs. It is essential to prioritize increased investment in intensified and more precise prevention efforts. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
Related
U=U can help end HIV stigma and discrimination. Here’s how
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27 February 2025
Zambia - an HIV response at a crossroads
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24 February 2025
Status of HIV Programmes in Botswana
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20 February 2025
Government ensures continuity of treatment in Malawi
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10 February 2025
Documents
Eastern Europe and Central Asia regional profile — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
The annual number of new HIV infections in eastern Europe and central Asia continues to rise. It reached 140 000 [120 000–160 000] in 2023, a 20% increase since 2010 . The region is off track to reach the targets to end AIDS by 2030. Four countries (Kazakhstan, Russian Federation, Ukraine, Uzbekistan) report 92% of all new registered HIV cases in the region according to published case reports from 15 of 16 countries. In 2022, 94% of new HIV infections were among people from key populations and their sex partners, and 15% of new infections were among sex workers. HIV case reporting in the region suggests that an increasing proportion of new HIV infections are transmitted sexually. Available data suggest one explanation for this is transmission from people who inject drugs or formerly injected drugs to their partners in addition to a growing recognition of transmission among men who have sex with men. Unsafe drug injecting practices are a key factor in the region’s epidemic, representing 27% of new HIV infections. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
Related
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27 February 2025
Three Years On: From crisis to prospective recovery
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20 February 2025
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
Documents
Caribbean regional profile — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
The Caribbean has made substantial progress against HIV since 2010, but there has been little change in the annual number of new HIV infections over the past five years. Numbers of new HIV infections have declined by 22% in the region since 2010. Almost 90% of new infections in the region in 2023 were in Cuba, the Dominican Republic, Haiti and Jamaica—with Haiti alone accounting for more than one third (38%) of new HIV infections. People from key populations and their sex partners continued to account for 47% of new infections in 2022. Numbers of AIDS-related deaths in the region have fallen by 57% since 2010, but a worrying increase has been reported in Belize, Cuba, Guyana and Suriname. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
Related
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27 February 2025
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
Lost and link: Indonesian initiative to find people living with HIV who stopped their treatment
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21 January 2025
Documents
Asia and the Pacific regional profile — 2024 global AIDS update The Urgency of Now: AIDS at a Crossroads
22 July 2024
In 2023, 6.7 million [6.1 million–7.5 million] people living with HIV were residing in Asia and the Pacific, making this the world’s largest epidemic after eastern and southern Africa. The region accounts for a quarter of annual new HIV infections globally (23%). People from key populations and their sex partners are disproportionately affected. Among countries with available data, HIV epidemics are growing in Afghanistan, Bangladesh, Fiji, the Lao People’s Democratic Republic, Papua New Guinea and the Philippines. Between 2010 and 2022, numbers of new HIV infections increased by 32% among gay men and other men who have sex with men and by 85% among non-client sex partners of people from key populations. Related links: New UNAIDS report shows AIDS pandemic can be ended by 2030, but only if leaders boost resources and protect human rights now | Full report
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27 February 2025
Status of HIV Programmes in Indonesia
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24 February 2025
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
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Press Statement
Decriminalization of LGBTQ+ people saves lives
19 July 2024 19 July 2024Joint Statement by UN High Commissioner for Human Rights Volker Türk and UNAIDS Executive Director Winnie Byanyima
GENEVA, 19 July 2024 — As courts and parliaments in a number of countries are in the midst of considering the legal framework around the rights of LGBTQ+ people, we highlight that punitive laws against lesbian, gay, bisexual, transgender and queer people violate human rights and undermine public health.
Such laws cost lives.
Laws criminalizing LGBTQ+ people must be consigned to history – and a growing number of countries are doing just that.
The big – and very welcome – global shift is away from criminalization. Over two-thirds of countries now do not criminalize LGBTQ+ people.
In the last 10 years alone, Angola, Antigua and Barbuda, Barbados, Belize, Bhutan, Botswana, Cook Islands, Dominica, Gabon, India, Mauritius, Mozambique, Namibia, Nauru, Palau, Saint Kitts and Nevis, Seychelles, Singapore, and Trinidad and Tobago have all repealed laws that had criminalized LGBTQ+ people.
There is a whole host of reasons why such laws must be scrapped.
Such laws are based on prejudice.
As Namibia's High Court recently noted, "the enforcement of the private moral views of a section of the community (even if they form the majority of that community), which are based to a large extent on nothing more than prejudice, cannot qualify as such a legitimate governmental purpose."
Such laws infringe upon human rights.
The Eastern Caribbean Supreme Court put it clearly: “The criminalization of same-sex sexual expression between consenting adults is intrusive by its very nature and thereby offends the right to liberty and personal privacy.”
Many such laws are actually legacies of colonialism, imposed by colonial powers themselves.
The now scrapped punitive anti-LGBTQ+ law in Mauritius, the Supreme Court of Mauritius recently noted, “was not the expression of domestic democratic will but was a course imposed on Mauritius and other colonies.”
Such laws harm public health.
Criminalization of LGBTQ+ people generates justified fear amongst people who need access to health services, and amongst the frontline workers who provide those services.
In criminalizing countries, there is decreased provision and uptake of HIV prevention services, and decreased uptake of HIV care and treatment services. A study in sub-Saharan Africa showed that HIV-prevalence among gay men and men who have sex with men was five times higher in countries that criminalized same-sex relationships than in non-criminalized settings.
Criminalizing countries have significantly lower rates of both knowledge of HIV status and HIV viral suppression among all people living with HIV.
Such punitive laws have no “law and order” justification.
In decriminalizing homosexuality in Singapore, there was clear recognition by the Government that there was no basis for making private sexual behaviour between consenting adults a crime.
Such laws lead to harassment.
As the Supreme Court of India has stated, punitive legislation has “become an odious weapon for the harassment of the LGBT community by subjecting them to discrimination and unequal treatment.”
There is extensive evidence that such discriminatory laws increase exposure of people to brutal hate crimes, police abuse, harassment, blackmail, torture, and denial of access to healthcare, education and housing.
They also drive impunity and undermine the rule of law, harming LGBTQ+ people, their families, communities, and the whole of society.
Stigma kills. Solidarity saves lives.
The progress that has been won around the world, in legislation and attitudes, needs to continue, as does the increasing recognition that people should not be criminalized for who they are and whom they love.
Anti-rights policies, proposals and propaganda need to be challenged head on.
Together, we call on all countries to remove all punitive laws against lesbian, gay, bisexual, transgender and queer people.
Decriminalization of LGBTQ+ people is vital for protecting everyone’s human rights and everyone’s health.
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.
Documents
2024 global AIDS report — The Urgency of Now: AIDS at a Crossroads
22 July 2024
This UNAIDS 2024 report brings together new data and case studies which demonstrate that the decisions and policy choices taken by world leaders this year will decide the fate of millions of lives and whether the world’s deadliest pandemic is overcome. Related links: Press release | Special web site | Executive summary | Fact sheet | Video playlist | Epidemiology slides | Data on HIV | Annex 2: Methods Regional profiles: Asia and the Pacific | Caribbean | Eastern Europe and Central Asia | Eastern and Southern Africa| Latin America | Middle East and North Africa | Western and Central Africa | Western and Central Europe and North America Thematic briefing notes: People living with HIV | Gay men and other men who have sex with men | Transgender people | Sex workers | People who inject drugs | People in prisons and other closed settings | Adolescent girls and young women | Other translations: German
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27 February 2025
How the shift in US funding is threatening both the lives of people affected by HIV and the community groups supporting them
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18 February 2025
UNAIDS urges that all essential HIV services must continue while U.S. pauses its funding for foreign aid
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01 February 2025
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Press Statement
UNAIDS applauds Namibian High Court's decision to declare unconstitutional the law that had criminalised same-sex relationships
21 June 2024 21 June 2024GENEVA, 21 JUNE 2024—UNAIDS applauds the judgment by the High Court of Namibia, striking out as unconstitutional the law which had criminalised same-sex relationships. The court found the law incompatible with the constitutional rights of Namibian citizens. This decision, which is in line with a series of judgments by courts in Southern Africa in recent years, marks a significant victory for equality and human rights for all Namibians and will help protect the health of everyone.
"This decision by the High Court of Namibia is a powerful step towards a more inclusive Namibia," said Anne Githuku-Shongwe, UNAIDS Regional Director for East and Southern Africa. "The colonial-era common law that criminalized same-sex sexual relations perpetuated an environment of discrimination and fear, often hindering access to essential healthcare services for LGBTQ+ individuals. To protect everyone’s health, we need to protect everyone’s human rights.”
Originally introduced during colonial rule in Apartheid South Africa and maintained in Namibian law when the country gained independence in 1990, this law had been used to rationalize discrimination against LGBTQ+ people in Namibia. It not only violated the constitutional rights of Namibian citizens but also posed a challenge to public health. The climate created by the law discouraged LGBTQ+ individuals from seeking HIV testing and treatment, undermining efforts to control the epidemic.
"By decriminalizing same-sex relationships, Namibia creates a safer environment for LGBTQ+ communities," said Ms. Githuku-Shongwe. "This allows them to access vital healthcare services, contributing to the global goal of ending AIDS as a public health threat by 2030."
UNAIDS urges all countries to follow Namibia's lead, remove punitive laws, and tackle prejudices against lesbian, gay, bisexual, transgender, and intersex people. Since 2019, Botswana, Gabon, Angola, Bhutan, Antigua and Barbuda, Barbados, Singapore, Saint Kitts and Nevis, the Cook Islands, Mauritius, and Dominica have all repealed laws that criminalized LGBTQ+ people.
A more just, equitable and kind world is a healthier one for everyone.
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.
Region/country
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Press Release
UNAIDS commends Mexico's ban on conversion therapy
12 June 2024 12 June 2024UNAIDS has applauded the decision by Mexico to ban the practice of so-called "conversion therapy".
"The stigma and discrimination that so-called ‘conversion therapy’ perpetuates have damaged public health. Mexico's move to end this harmful practice will help secure public health. All countries should follow Mexico’s example," said Luisa Cabal, UNAIDS Regional Director for Latin America and the Caribbean.
Health and human rights experts have condemned so-called “conversion therapy” for causing severe psychological distress. In 2012, the Pan American Health Organization (PAHO) noted that such therapies had no medical justification and represented a severe threat to health and human rights. In 2015, the joint statement by UN agencies condemned “abuse in medical settings, including unethical and harmful so-called ‘therapies’ to change sexual orientation.” In 2016, the World Psychiatric Association found that "there is no sound scientific evidence that innate sexual orientation can be changed." In 2020, the Independent Forensic Expert Group (IFEG) declared that offering such therapy is a form of deception, false advertising, and fraud. In 2020, the report on conversion therapy by the UN Independent Expert on sexual orientation and gender identity called for "a global ban on practices of 'conversion therapy'”. So-called “conversion therapy” is false and harmful, and needs to be ended everywhere.
UNAIDS experience has shown that stigma and shame drive people away from essential health services and support systems, including from HIV prevention, testing, treatment, and care. Protecting the human rights of every person, UNAIDS research shows, is essential for protecting public health, because it enables inclusive and equitable access to health services without discrimination.
"The evidence is clear,” said Ms Cabal. “Stigmatizing practices harm public health. Ensuring inclusion, acceptance and respect for the human rights of everyone is vital to protect everyone’s health. Stigma kills, and solidarity saves lives.”