NEW YORK/GENEVA, 27 September 2024—At the 79^th United Nations General Assembly (UNGA79) and the Summit of the Future in New York, global leaders called for the revitalization of multilateralism to address pressing global crises, drawing on the success of the global AIDS response as a model of hope and global solidarity.

"Multilateralism is not a theory – it is the way we save lives and keep the world secure,” Winnie Byanyima, Executive Director of UNAIDS, told the General Assembly. “When leaders work together for a common mission – anything is possible.”

At a special event convened by UNAIDS, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria on 24 September 2024, leaders from governments, communities, business, and international organizations all testified to how multilateralism had driven the extraordinary gains made in the fight against AIDS, and how the path to addressing other global challenges had been illuminated by the global HIV response.

“The AIDS response shows what is achievable when leaders unite, when communities are empowered, when inequalities are tackled, when human rights are protected and when science-based policy is backed by political will,” said United Nations Deputy General-Secretary, Amina Mohammed.

UNAIDS data shows that at the end of 2023, more than 30 million people were accessing life-saving HIV treatment, compared to just 7.7 million in 2010. The data also show that since 2010, AIDS-related deaths have been halved, and new HIV infections among children have been reduced by 62%.

Across the week of the UN General Assembly, leaders set out concrete commitments to ending AIDS by 2030. These include closing gaps in access to HIV prevention, treatment and care, ending stigma and discrimination, accelerating innovation and access to new HIV technologies, and mobilizing domestic and donor resources for the HIV response.

UNAIDS set out how ensuring the end of AIDS as a public health threat, and enabling the success of the Sustainable Development Goals, require bold action to tackle global inequalities. Ms Byanyima shone a light on the financing crisis which is choking sub-Saharan Africa, leaving health and HIV services chronically underfunded. "Public debt needs to be urgently reduced and domestic resource mobilization strengthened to fully fund the global HIV response and end AIDS by 2030," said Ms. Byanyima.

Two young HIV activists, Ibanomonde Ngema from South Africa and Jerop Limo from Kenya, supported by UNAIDS to meet leaders at the UN General Assembly, called on governments to work with young people as partners. "Young people are key to ending AIDS. Leaders need to listen to us and include us in policy-making to ensure the progress made is sustained," said Jerop Limo.

Watch Special Event: Revitalized Multilateralism: Recommitting to Ending AIDS Together

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.

Global leaders unite to recommit to ending AIDS during the 79^th United Nations General Assembly in New York

NEW YORK/GENEVA, 24 September 2024—The extraordinary advances made in the global HIV response are a success story of multilateralism. At the end of 2023, 30.7 million people out of a total of 39.9 million people living with HIV worldwide were on life-saving treatment — four times higher than the 7.7 million who were on treatment in 2010. Since 2010, AIDS-related deaths have been halved and new HIV infections among children have been reduced by 62%.

At a special event at the UN General Assembly, co-convened by the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria, leaders pledged to sustain and accelerate investments, political leadership and policy reforms that will continue the momentum needed to end AIDS and sustain progress beyond 2030.

UNAIDS data shows that the end of AIDS as a public health threat is achievable by 2030, if countries, communities and partners close the gaps holding back progress.

The United Nations Deputy General-Secretary, Amina Mohammed, said the AIDS movement stood out as a beacon of hope and resilience and thanked leaders for committing to end AIDS by 2030: “The AIDS response has been a powerful testament to what is achievable when leaders unite, when communities are empowered, when inequalities are tackled, human rights are protected and when science-based policy is backed by political will.”

UNAIDS Executive Director Winnie Byanyima told the leaders making commitments, “you have proven the power of global solidarity, you have shown that multilateralism is not a theory – it is the way we save lives and keep the world secure. Ending AIDS is a political and financial choice. Today I am confident that you will make it a reality.”

Jerop Limo, a young Kenyan activist living with HIV, reminded leaders about the life-changing impact of progress in the HIV response: “As world leaders, your achievement in the HIV response is not only measured in numbers. Those numbers are me.”

Countries, communities and partners from around the world shared renewed commitments, include ensuring HIV prevention and treatment reaches everyone in need; ending HIV-related stigma and discrimination; accelerating research and innovation; and mobilizing additional domestic resources for HIV to sustain the progress in the HIV response.

A selection of quotes from leaders

President George W. Bush, in a video message recorded for the event, emphasized the need for steadfast commitment to reach global goals:

“In 2003, my administration launched PEPFAR with bipartisan support from Congress. Nearly 22 years later, PEPFAR has saved more than 25 million lives, and more than 5 million babies have been born HIV free. We are on the verge of an AIDS-free generation but at this critical moment the people of Africa still need our support. We should be proud of PEPFAR’s tremendous successes, and we should keep going until the job is done.”

William Ruto, President of Kenya:

“The undeniable success and impact of Kenya’s response to HIV demonstrates the potential of strong partnership. I must emphasize that our steadfast commitment to multilateralism has been the cornerstone of these achievements, enabling us to implement high impact interventions that have saved lives.”

Russell Dlamini, Prime Minister of Eswatini:

“The HIV response is our collective responsibility. Our journey is far from over and HIV/AIDS remains unfinished business. The 2030 target of ending AIDS as a public health threat may not be achieved unless we revitalize multilateralism and multisectoral approaches. Predictable and sustained funding for HIV/AIDS must be increased. Today I would like to take this opportunity to ask all stakeholders to recommit to supporting the HIV response.”

Terrance Michael Drew, Prime Minister of St Kitts and Nevis:

“It will be challenging for the Caribbean to maintain the gains we have made without the continued relationship with the international community. We have gained much but if we take our eyes off the ball we can lose much and what we have gained we should try not to lose. We cannot take our foot off the pedal but must continue to press until we get to the point where HIV/AIDS is no longer a public health crisis.”        

John Nkengasong, Ambassador-at-Large and Coordinator of United States Government Activities to Combat HIV/AIDS Globally:

“We cannot be tired in the fight against HIV/AIDS. HIV/AIDS will not be tired with us. It is here with us. On behalf of PEPFAR we are committed to sustaining people on life saving treatment. Second, we are committed to working in partnership with everyone here to ensure we close the inequity gaps.”

Peter Sands, Executive Director of the Global Fund to fight AIDS, TB and Malaria:

“Two decades ago, AIDS was claiming millions of lives with devastating consequences for families and communities around the world. Together, we joined forces and rejected this injustice, forcing this disease into retreat. That remarkable progress we have made can be an inspiration for ending AIDS as a public health threat for good. It is a goal within our grasp. That requires reaching all people in need of HIV prevention and treatment services and breaking down all barriers to health services.”

Ms. Minata Cessouma Samate, African Union Commissioner for Health, Humanitarian Affairs & Social Development:

“There has been major progress in the last four decades of the AIDS response but to end AIDS this commitment must continue. On the African continent we need continued engagement and funding—for primary healthcare and to end AIDS. The AU commission is engaged but we need international support to ensure that everyone has access to quality HIV treatment and healthcare services and we need the transfer of technologies to be able to produce quality treatments on the continent. It is multilateralism that will allow us to end AIDS in Africa.”

Dr. Aaron Motsoaledi, Minister of Health of South Africa:

“South Africa has the largest burden of HIV in the world with 7.8 million people living with HIV and 5.8 million are on antiretroviral treatment, and we are in the process of putting 2 million more people on treatment. With domestic financing and with solidarity from multilateralism we are very confident that we can end AIDS by 2030.”

Dr. Shrimati Anupriya Patel, Minister of State for Health of India:

“This platform emphasizes the multilateralism needed to achieve the SDG goal of ending AIDS as a public health threat by 2030. Breaking the silence and building synergies is the mantra of the government of India and we are committed to achieving the target of ending AIDS as a public health threat by 2030. It is imperative to consolidate the gains made in this journey. I’m confident that with our collective efforts and genuine partnerships, we can build a future towards a healthier world.”

Mr. Pierre Dimba Minister of Health of Côte d’ Ivoire, Public Hygiene and Universal Health Coverage:

“Today’s focus on multilateralism is critical, because multilateralism has enabled important progress in the fight against AIDS. But the last few miles will be difficult because the challenges are many. We have put in place a plan, including a financing plan and have strengthened our surveillance systems and integrated health services which allows us to work more globally in our approach to HIV prevention, testing and treatment. But we need support from partners to strengthen our capacities and to allow us to benefit from new innovations so that our country isn’t left behind.”

Dame Emma Walmsley, Chief Executive Officer, GSK: 

“Our commitment to get ahead of HIV together and ending the AIDS epidemic by 2030 is underpinned by three simple priorities. First, we believe in innovation, inspired by what matters most to the people that we serve. We are developing longer acting options exploring new types of innovative drugs that offer the option to treat at home and our focus on finding a cure is relentless. Secondly, we are committed to enabling access to our medicines, there is no point in innovation without it, regardless of who you are or where you live.  Lastly, and that is what this is all about here today, we get ahead of disease together with the power of partnership. Working across sectors we enable the fastest rollout of a child friendly treatment now available in 90 countries and our commitment to communities is unwavering.”

Daniel O'Day, Chief Executive Officer, Gilead Sciences:

“Upon approval our intention is to make Lenacapavir available at no profit to Gilead in the countries where the need is greatest and until voluntary licensing partners can supply high-quality low-cost versions. We are working around the clock to finalize the direct voluntary licensing costs agreements that will facilitate rapid transfer of technology, allow Gilead to support licensees and getting up to speed quickly and help provide a robust network of manufacturers that is able to produce high volumes at competitive costs. It is my great hope and belief that we are on the brink of the next great advancement in the global fight to end HIV/AIDS.” 

Silas Holland, Executive Director, Infectious Disease and Neuroscience Policy, Merck:

"Since 1985, Merck has been engaged in research and development efforts that have led to significant discoveries transforming the way that HIV is treated. The company is committed to continuing to invest in all stages of R&D to discover, develop and enhance access to innovative HIV treatments and prevention options, as well as developing novel agents for a cure, aiming to improve the lives of people living with HIV. Merck remains committed to collaborative efforts to end AIDS as a public health threat by 2030."

Rev. Gibstar Makangila, Executive Director, Circle of Hope, and Faith Representative, Zambia: 

“Our commitment in the faith community and faith-based organizations is that by 2050 we expect 1 billion young people to be living in Africa. What are we going to do about that? What we propose is a new energy, a new engagement that is based on equity, love, tolerance and inclusiveness. As faith-community we are cognizant of the changing dynamics on the ground and therefore our commitment is that we will support all programmes based on an inescapable responsibility and also empathy, compassion, integrity, passion and ethics.” 

Ms. Youk Sambath, Secretary of State, Ministry of Health, Cambodia:  

“Cambodia has made huge progress in its national AIDS response. New HIV infections have been reduced by 46% and AIDS deaths by 36% from 2010 to 2023. Cambodia is one of seven countries worldwide to first reach the targets of 90-90-90 in 2017. I thank PEPFAR, the Global Fund, UN agencies and UNAIDS, without whom these results would not have been possible.” 

Ms. Laura Rissanen, State Secretary, Ministry of Social Security, Finland:

“Today we are still facing many challenges—the global HIV response is at a crossroads and there is no time to waste. The ambitious goal to end AIDS by 2030 as a public health threat can only be achieved by putting human rights and gender equality at the core of HIV response efforts. Finland is strongly committed to enhancing human rights, in particular the rights of women and girls, LGBTQI people, and people living with HIV. We therefore value and support the human rights advocacy efforts of UNAIDS. We must all continue to pull together in these difficult times to ensure that we will reach the finish line leaving no-one behind.”

Mr. George Ternes, Director General for Development Cooperation and Humanitarian Aid, Ministry of Foreign Affairs, Luxembourg:

“We have all the tools and knowledge. We have everything we need to end AIDS by 2030. The message is that Luxembourg will be there. You can count on our continued support. It is normal that at the end of a fight, you confront the most difficult task. Now there are some really critical ones and the stigma that keeps you from living a normal life in society because you are under treatment for HIV/AIDS – it’s still existing, it’s a major obstacle.” 

Ms. Carina Connellan, Director of the Multilateral Unit in the Development Cooperation and Africa Division, Department of Foreign Affairs of Ireland:

“UNAIDS is a longstanding and highly valued partner of Ireland. Ireland is committed to HIV prevention, especially for those at risk including adolescent girls and young women. Health systems strengthening is a priority for Ireland and we know that effective collaboration among global health actors is vital for strong and resilient health systems. It is very important to acknowledge successes, but we know that significant challenges remain. Ireland’s focus will be very much on reaching those who are furthest behind first. Ireland will continue to be a close partner of UNAIDS, and we will work together with affected communities and all stakeholders to end AIDS.”

Mr. Jean Bernard Parenteau, DG for Health and Nutrition, Global Affairs Canada: 

“What really concerns us is the increased vulnerability of women and girls due to the stigma of accessing sexual and reproductive health services, which continues to threaten progress. This is one of the reasons that motivates Canada to commit to making the Global Fund replenishment a success. This also motives Canada to continue its 10-year commitment to global health and rights in the fight against AIDS. Comprehensive sexual and reproductive health and rights are key to the AIDS response. With a feminist approach, a rights-based approach, Canada is committed to 2030 and beyond.”

Mr. Haoliang Xu, Associate Administrator, UNDP, on behalf of UNAIDS co-sponsors:

“The Summit of the Future is about the future of multilateralism, so this is the first concrete step to follow up on the implementation of the pact for the future. For HIV we know the job is not done. Every minute someone dies of AIDS and 1.3 million new HIV infections occur every year so there is a lot still to be done. The co-sponsors of UNAIDS commit to multilateralism and to ending HIV as a public health threat by 2030 and to sustain progress beyond 2030. We are committed to scaling up programmes to achieve results because HIV is about livelihoods, it’s about rights and it’s about dignity. We are committed to working effectively to achieve the task we set out to achieve.”  

The quotes shared above are only a sample from an event which featured commitments by dozens of leaders which are being compiled. UNAIDS will continue to update and share details.

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.

NEW YORK/GENEVA, 19 September 2024—With support from UNAIDS, two young social media influencers living with HIV are on their way to the United Nations General Assembly and the Summit of the Future in New York to urge world leaders to partner with them in the response to HIV. Ibanomonde Ngema from South Africa and Jerop Limo from Kenya will call on leaders to invest in youth-friendly health systems, provide holistic services for young people living with HIV, and to partner with young people and communities, allowing them to lead in the response to HIV.

“Young people’s powerful and vibrant activism has driven so much of the progress made in the HIV response,” said Winnie Byanyima, Executive Director of UNAIDS. “They know what works for them. It is essential for leaders to listen to them to understand the specific challenges that young people face and how those challenges can be overcome. Leaders can only successfully plan how to end AIDS and sustain the advances made by partnering with young people living with HIV.”

“I am representing not only the voices of 1.5 million Kenyans living with HIV but all people living with HIV,” said Jerop Limo, a young Kenyan HIV activist. “I want leaders to leave New York knowing that we are not beneficiaries, we are equal rights holders. We have a voice, we have skills and expertise and we need an equal playing field where our data is valued, where our input is valued and where our voices are heard. We want meaningful and ethical engagement of adolescents and young people in all spaces of the AIDS response.”

Young people, especially adolescent girls and young women, are disproportionately affected by HIV. Globally, 44% of all new HIV infections were among women and girls (all ages) in 2023 and every week 4000 young women and girls around the world are infected with HIV—3100 are in sub-Saharan Africa. In 2023, some 3.1 million adolescents and young people (15-24 yrs) were living with HIV—1.9 million were adolescent girls and young women.

“Governments meeting here in New York cannot end AIDS alone. They need to involve us to find solutions. We have lived experiences of HIV, from treatment to mental health, because we navigate life with HIV every day. We need to be included in policymaking so that we can take full ownership of ending end AIDS as a public threat,” said Ibanomonde Ngema, a young South African AIDS activist. “The world can only benefit when young people are included in the global HIV response. No conversation about HIV should take place without us, from policy to practice in communities.”

Too often young people report facing stigma and discrimination, including from doctors and healthcare workers, when they access sexual and reproductive health and HIV services. This discourages them from seeking support and crucial information about their health, putting them at risk of HIV infection or of defaulting on treatment for those who are living with HIV.

Involvement of young people in the HIV response

Young people living with HIV play a critical role in the fight against AIDS in communities. They offer support and share important information about HIV that schools or parents might not talk about. They also challenge stigma and discrimination through social media, helping to save lives and encourage young people to stay on treatment.

They drive innovation in communities, for example, a self-funded project by the Youth Empowerment Group uses e-bikes to deliver antiretroviral medicines, food and adherence support to young people who often cannot attend clinics because their schooling hours conflict with clinic opening times in Namibia.

However, their transformational work is being held back because it is not being sufficiently supported. Youth-led HIV responses often operate with little or no financial and political support. At the UNGA the two young people will call on world leaders to fully support and fund their work. They will also urge leaders to uphold the human rights of young people as key to ending AIDS as a public health threat—they will call on them to protect young people’s right to healthcare, education, freedom of speech, and to provide social support to young people living with HIV.

“Providing treatment is not enough, young people living with HIV need an education and they need a job to survive,” added Jerop Limo. “We need to be seen as equal contributors and partners, and we need investment to allow us drive change. We are the leaders of the future and we need to be included now to help shape a better future for us all.”

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.

The Mentor programme for women in Kazakhstan was established to empower women living with or affected by HIV by connecting them with mentors who share their life experiences and provide critical support during challenging times. Co-financed by the Ministry of Foreign Affairs of the Republic of Kazakhstan and supported by UNAIDS, the program creates a safe space for women to learn, grow, and draw strength from one another. Through training seminars, support groups, and one-on-one mentoring, it helps women overcome stigma, rebuild their lives, and find their purpose. 

Meet three inspiring leaders from this programme—women who never saw themselves as heroes but are, indeed, changing lives. 

Halima

Several years ago, Halima found herself at a crisis center for women victims of domestic violence in Almaty, Kazakhstan. She was at rock bottom—diagnosed with HIV, grieving the loss of her second son, and trapped in an abusive marriage with a husband who drank heavily and often turned violent. Raised in a family that valued tradition, Halima felt compelled to keep the peace at all costs, but the weight of her daily life became unbearable. 

At her lowest point, an elderly doctor’s advice pushed her into action: “If you want your eldest son to end up in an orphanage, your husband homeless, and you in a mental hospital, you are sadly following that path.” Determined to change her fate, Halima sought help at the crisis center, which she credits with helping her climb out of the “dark hole” of depression. 

Today, Halima is helping other women in the mentoring programme. She shares her story with women, believing that her experiences can inspire others to seek life-saving HIV treatment and persevere.

At her lowest point, an elderly doctor’s advice pushed her into action: “If you want your eldest son to end up in an orphanage, your husband homeless, and you in a mental hospital, you are sadly following that path.” Determined to change her fate, Halima sought help at the crisis center, which she credits with helping her climb out of the “dark hole” of depression. 

Today, Halima is helping other women in the mentoring programme. She shares her story with women, believing that her experiences can inspire others to seek life-saving HIV treatment and persevere.

"I make sure to give each person my undivided attention so I can explain in simple terms what HIV is, what an undetectable viral load means, and how to get better,” she says.
Her work extends beyond Almaty, reaching women in rural areas where information about HIV and access to services is limited. “I have no special education, but I love learning. While I’m cleaning or mopping the floors, I listen to psychologists and doctors on my headphones,” she says, knowing that every bit of knowledge helps her make a difference. 

Lena

“This is a complex group,” says Lena from Pavlodar, Kazakhstan. She works with 17 women in a mentoring programme. Many of the women use drugs, have experienced domestic violence or have been in prison. Lena, aged 55, used drugs for over 20 years, but she has been drug-free for seven years, crediting opioid agonist maintenance therapy for helping her quit. 

“I went through all this myself. I remember how it was using drugs: I fell asleep—it’s winter. Woke up—summer,” she says. “If a person comes to therapy out of desperation, does not want to steal or torment their parents and loved ones, this programme can help them.” 

The therapy helps mitigate the need for drugs, but Lena emphasizes “it is important that peers and psychologists work with people and prepare them to leave the programme and have access to essential HIV prevention services and treatment”. 

After being released from prison nearly a year ago, Lena became a peer consultant in the women’s mentoring programme. 

“The problem for many people who use drugs is that they live with HIV and TB but cannot access available services or receive therapy,” Lena explains. Without a home or family, they are invisible to the social protection system and are often driven into desperate situations. “They need a helping hand. They are humans and live next to us."

Lena helps some people register for medical or social support facilities, and others to get treatment. She plans to meet with the akim (mayor) to propose a project to create a support system for people who are left behind. Lena believes there should be no situations where a person is alone and cannot be admitted to a home for disabled or elderly people because they are living with HIV. It is crucial to revise the laws so that everyone is allowed access to social institutions. 

Lena is dedicated to the programme. “I am reborn from this work. My eyes light up, and I feel strong and ready to help,” she says. 

Zulfiya

Zulfiya, a mother of three who has lived with HIV for nearly 20 years, uses her experience to support adolescents and young women in the program. “My task is to help them accept their diagnosis, start treatment, and stick to their medication,” she explains. She refers women to psychologists, social workers, or lawyers when additional support is needed. Zulfiya understands the denial many women face; she felt it herself two decades ago. Inspired by her son, an activist in the Teenager youth organization for adolescents living with HIV, she found her calling in guiding women who never thought HIV would touch their lives. 

Connecting women with other women in a predominantly male-dominated society is the foundation of the mentoring program. “Women in Kazakhstan are often forced to solve a wide range of problems themselves, whether it’s financial difficulties, lack of help, or protection from violence,” says Elena Rastokina, coordinator of the Mentor Programme for Women. “They are not used to uniting in women’s communities, do not know how to ask for help, and often do not know their rights.” Despite the challenges, she is immensely proud of what the mentors have achieved. “When women support each other, they find strength they never knew they had. We need each other, and together, we can change lives.” 

The mentoring programme covers 10 regions of the country. Dozens of women have received help. Some have learnt a new skill and found a job, and others have managed to accept their diagnosis and restore family ties. With help from the programme, many women who use drugs have managed to quit active drug use, improve adherence to life-saving HIV and TB treatment, and reconnect with the community.  

 For Aliya Bokazhanova, UNAIDS Country Director a.i. in Kazakhstan, these are incremental steps to empowering women from key populations. “Women living with HIV have the opportunity to develop and receive the necessary support and inspiration from experienced mentors, which contributes to their self-realization and integration into society,” she says. 

As of 2024, there are an estimated 40 000 [35 000–46 000] people living with HIV in Kazakhstan. New HIV infections are mostly among people from key populations (people who use drugs, gay men and other men who have sex with men, sex workers, and people in prisons and other closed settings). HIV prevalence among people who inject drugs is almost 7%, compared with 0.3% in the general population. 

Four weeks before the African Cup of Nations football tournament kicked off it was down to the wire. José Fardon, a Côte d’Ivoire web designer and digital developer, had his whole team frantically working on a special edition of an interactive health and HIV game app, called "A l'Assaut du Sida", ‘Tackling AIDS’ (AADS) to coincide with the tournament.

The UNAIDS team had secured funds for the latest rendition of the online game and had rallied UNICEF and the Global Fund to chip in.

“We had launched various versions of the game in the past, but this required a different look and feel to gel with the sporting event,” said Mr Fardon, founder of SYL.

They also needed a final approval from the National AIDS Programme (PNLS).

"Out of the many initiatives put forward ahead of the CAN, the online app really appealed to us because we knew it would not only reach the target audience, it would also make an impact,” said Eboi Ehui, PNLS Coordinating Director. “This is a generation that has never seen the ravages of AIDS so they have felt like it isn’t a problem but it is.”

The success was beyond anyone’s expectations.

The 20,000 tournament volunteers recruited by the Ministry of Youth not only played the online game themselves but they fanned out around the stadiums promoting the game by sharing the QR code with the hundreds of thousands of supporters. And with various prize giveaways during the tournament and afterwards, more and more people downloaded the app to play. Since mid-January 2024, AADS has reached nearly 200,000 adolescents and young people with the latest version reaching a lot of young boys and men (cumulatively, the three versions have reached almost 300 000 people.)

“When I think back, this idea germinated in 2016 as a tool for schools then was launched at the Francophonie Games a year later but now, we really brought it to the general public,” Mr Fardon said. “I am so proud we never gave up.”

His determination impressed more than one person.

In eight years, he convinced UNAIDS staff, the country’s Ministry of Health in close collaboration with PNLS, the Ministry of Education, the Ministry of Youth and countless partners on the ground.

UNAIDS Country Director Henk Van Renterghem, like his predecessors before him, saw the value and potential of using digital technology to reach adolescents and young people. “General knowledge about HIV and overall comprehensive sexual education has decreased and young people are struggling with so many choices that this easy to download game is without a doubt relevant,” he said.

In July 2023, he explained, the National AIDS Council was alerted by the results of a survey and beseeched HIV partners to step up communication and education efforts.

“Despite the fact that young people have more access to information through the internet and social media than ever before, many young people are struggling to make informed decisions about their sexual relations,” said Mr Van Renterghem. For example, the survey revealed that only 40% knew that medicine (anti-retroviral treatment) existed for HIV and 39% of girls (29% of boys) did not know that condoms prevented HIV transmission. Last year, 20% of new HIV infections in the country were among 15–24-year-olds, according to government data.

As a result, UNAIDS staff along with SYL, vetted and increased the number of questions expanding prevention info.

He and his staff were particularly happy because they also succeeded in expanding the scope of the content.

In went the fact that people with HIV on effective treatment can achieve an undetectable viral load and cannot transmit the virus (U=U) plus stuff about stigma & discrimination, human rights, gender equality and gender-based violence – all structural drivers of HIV.

The full game of 400 questions is like a quiz with additional information popping up. Players score points by advancing through 40 sets of ten questions. At least seven correct answers are needed to advance to the next level. It can take up to an hour to get to the last round and when the updated pilot was tested in October and November of 2023, young people responded well.

Two of the young players who scored in the best percentile agreed.

“The game really taught me a lot. There are a lot of facts about HIV and sexually transmitted diseases,” said Marie Koffi. For Wilfried Touré he said, “I learned a lot of things that I had no idea about from tuberculosis to HIV and even on a personal level I picked things up.”

Going forward national partners now want to distribute a scholastic version of the game to all Côte d’Ivoire schools.

During the final awards ceremony at the end of March, Côte d’Ivoire’s Minister of Health, Pierre Dimba, was clear.  “This fun and educational online game is a response to young people's need for true and accurate information via social media,” he said.  “The popularity of this game among teenagers is a real testimony that adapting our communication strategies to the habits and needs of young people pays off.”

In Mr Van Renterghem’s mind, Côte d’Ivoire should be proud.

“This home-grown low-cost tool will help us sustain our HIV prevention efforts as international funding will inevitably dwindle.”

That is in part why Mr Fardon and UN partners are dreaming even bigger.

“We would like to launch the app-based game in neighboring countries and eventually roll this out throughout western and central Africa,” he said.

“The sky is the limit.”

In a modest neighborhood of Bangui, Central African Republic’s capital city, Gniwali Ndangou is rushing to work. She’s a peer educator and community health worker at a youth sexual education centre, CISJEU.  

The same centre that saved her life.

I'm an orphan," she said, “I am the youngest of three sisters.” Throughout her childhood, her legal guardian told her to take pills saying it was anti-malaria and headache medicine. “I was the only one who took treatment every day and it never stopped.”

After threatening to stop taking pills when she was 17 years old, her sister finally told her the truth. She was born with HIV.

Gniwali couldn’t believe the litany of lies. Having recently been forced to quit school as her adopted family struggled to make ends meet, she once again felt abandoned.

 
“Many times, I tried to commit suicide… I wanted to end my life,” she said.

Her sister Astrid said she tried to pull her youngest sibling out of despair and kept hammering to her: “There are no differences between us, we are all humans.”

At her sister’s urging, Gniwali sought help at a youth center, Centre d’information et d’éducation sexuelle des jeunes (Center for Youth Sexual Education and Information) known as CISJEU. Established in 1994, CISJEU has been a beacon of hope for many young people like Gniwali. They offer community-led services ranging from HIV prevention to HIV testing to peer-supported treatment initiation and adherence.  

War and extreme poverty have greatly increased premature death in Central African Republic, leaving seventy-eight percent of the population under 35 years old. Young people struggle to receive an education with less than 4 in 10 adults literate. Gender inequality and gender-based violence also make young girls particularly vulnerable to HIV infection. Out of the 10,000 yearly new HIV infections, 3000 are among 15-24 years old with more than two female infections for every one male infection.

According to a UNICEF survey, less than 20% of young people possess comprehensive knowledge about HIV prevention. The youth center uses peer educators to bridge this knowledge gap and provide youth-friendly services. "We've trained and deployed 160 peer educators (80 in schools while the others are at youth centers) across different districts of Bangui and beyond, ensuring effective outreach and health and body awareness," said Michael Guéret, a program officer at CISJEU.

Chris Fontaine, former UNAIDS Country Director, underscores the importance of peer-led initiatives, “Addressing HIV and sexual health among young people in CAR is not just a health issue but a critical component of sustainable development and peace consolidation.”    

With support from UNAIDS and the Ministry of Health, CISJEU has attained the right to distribute HIV medicine, antiretroviral therapy, among the community.

For Gniwali, CISJEU became more than a sanctuary. Through training programs, she evolved from a beneficiary to a peer educator and community healthcare provider. “I received various certifications such as mobile HIV testing, and psychosocial support."

Leading discussion groups and dispensing life-saving antiretroviral medications to young people, she inspires young women to take care of their health. Her message is clear and powerful: "Being a young woman isn't easy. We must educate ourselves about this disease, fight against it, and prevent its spread in our country.”

Across the world, spikes in instability, displacement, and conflict are exacerbating people’s vulnerability to gender-based violence and to HIV.

“Gender-based violence is an egregious human rights violation. It is also a driver of the AIDS pandemic, especially in fragile states. Tackling gender-based violence is essential to uphold the right to health and life for everyone,” says UNAIDS Executive Director, Winnie Byanyima.

Efforts to prevent and to respond to HIV and gender-based violence in fragile settings remain partial, isolated, and unstable despite normative commitments made at the global level.

Fragility is described by the Organisation for Economic Co-operation and Development as “…the combination of exposure to risk and insufficient coping capacities of the state, system, and/or communities to manage, absorb or mitigate those risks.”  

The new report, The Missing Link: Rethinking and reprioritizing HIV and gender-based violence in fragile settings,  reveals the results of a study on the linkages between HIV and gender-based violence in fragile settings. This issue is explored through the lens of peace support operations. Work was partially funded through the generous contribution of the Grand Duchy of Luxembourg to UNAIDS.

The study examines the mandates and objectives of peace support operations, revealing that HIV and gender-based violence remain deprioritized, with responses of peace support operations often disconnected. Several challenges in translating agreed-upon principles into actionable results are identified and recommendations are offered to address these barriers.

“This report provides a crucial guide to support strategic decision-making in HIV and GBV advocacy in peace support operations and will be a vital tool for addressing these urgent challenges effectively,” says Sihaka Tsemo, Director, UNAIDS Liaison Office to the African Union & UNECA.   

The report provides guidance to duty bearers across the development, peace and security and humanitarian arenas.

In the Democratic Republic of the Congo, for instance, the UN peacekeeping mission, MONUSCO, is in an active process of withdrawal and transition. UNAIDS Country Director, Susan Kasedde, reflects on the vital role of the UN’s Joint Programme on HIV and AIDS in addressing the multifaceted interlinkages between HIV and gender-based violence in fragile settings:

“The Joint Programme brings together invaluable expertise for a holistic response and  plays a crucial role in strengthening state capacity to lead and deliver, through supporting strengthened  systems for accountability and governance, and through facilitating broad partnerships, including with communities, to enable transformative and sustainable changes and take to scale effective models for integrated delivery of HIV interventions on the ground.”  

In Mali, the decade-old Multidimensional Integrated Stabilization Mission has recently completed its withdrawal. UNAIDS Country Director, Marc Saba, explains the role of the United Nations Gender Thematic Group in supporting internally displaced persons in localities affected by insecurity and the humanitarian crisis.

“In the past 8 months the UN Country Team in Mali, under the leadership of UN Women, has provided capacity building, food support and funds to carry out income-generating activities to over 1000 women, young girls and men in vulnerable situations. In addition, the UN Joint Team on AIDS plans to launch a study on HIV and gender in humanitarian contexts, with the goal of collecting and analysing data to better understand these issues within the humanitarian response.”     

The Missing Link report underscores the critical need for well-coordinated, multisectoral approaches to address HIV and gender-based violence effectively in fragile settings. It contributes to a wider conversation which requires further research, collaboration and multisectoral engagement. It provides recommendations for building a more holistic, human-rights based and gender transformative approach to addressing and eliminating gender-based violence in all its forms in fragile settings.

“To end gender-based violence and to end AIDS, depends on uniting efforts across multiple sectors, on survivor and community-centred approaches, and on sustained investment.” says Winnie Byanyima, UNAIDS Executive Director.  

The issues raised in the report will be discussed in a stakeholder roundtable scheduled for 10 September 2024.

The webinar will be via Zoom on 10 September 2024  at 13:30-15:00, Geneva, Switzerland time. It will be 11:30 in Dakar, Senegal, and 14:30 in Addis Ababa, Ethiopia. Simultaneous interpretation into English and French will be provided.

Kindly click on the link below to register and participate, and do not hesitate to share information about the webinar with your networks.

→ Meeting Registration - Zoom

GENEVA, 19 August 2024—UNAIDS is calling on the international community to respond swiftly and decisively to the World Health Organization’s declaration of the mpox outbreak in several African countries as a public health emergency of international concern. The move came after the Africa Centres for Disease Control and Prevention (Africa CDC) made a similar declaration for the region.

“The emergence of a new and more contagious variant of mpox, and the devastating impact it is having on communities, across Africa, especially those most vulnerable including from HIV and AIDS, is alarming,” said Angeli Achrekar, UNAIDS Deputy Executive Director, Programme. “We must call on international efforts to focus on ensuring vaccines and treatments are accessible and available to all who need them and draw on the experience of the AIDS movement to ensure a response rooted in solidarity, compassion, inclusion, and equity.”

Many communities affected by mpox face discrimination, similar to people who are affected by HIV and AIDS. Stigma and discrimination undermine epidemic responses, driving people with symptoms underground and hindering efforts to protect public health. UNAIDS urges people to show compassion and solidarity to people affected, not intolerance and discrimination. We at UNAIDS, across the entire Joint Programme, also emphasize the crucial role of involving communities in every stage of the response—from development to implementation and monitoring.

The emergence of the 2024 mpox variant once again demonstrates the need for international, multisectoral coordination and solidarity to end pandemics. The Joint United Nations Programme on HIV/AIDS, is committed to bring its expertise and support to countries to help.  UNAIDS urges all media covering the crisis to follow the regular updates being issued by WHO and Africa CDC.

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 launched the 2030 target-setting process that will provide the framework for the next Global AIDS Strategy. A Global Targets Task Team (GTT) composed of 33 experts from governments, civil society and communities, donors, multilateral organizations and academic public health experts will propose the targets building on the targets set for 2025. The Global Task Team is co-chaired by Chewe Luo, former Director HIV at UNICEF and Michel Kazatchkine, former Executive Director at the Global Fund.

The targets and strategy will underpin and inform the June 2026 High Level meeting on AIDS. The 2030 HIV targets will provide milestones within the SDG 2030 targets of reducing new HIV infections and AIDS-related deaths.

As highlighted in the July 2024 Global AIDS Update – the Urgency of Now : AIDS at a crossroads, there will be millions of people living with HIV in 2030 and beyond. The next set of targets will focus on the services and systems that countries need to have in place to ensure a sustainable country-owned response after 2030. 

In defining the targets, the GTT will consider the balance of proposed thematic areas, measurability, evidence of impact of interventions, gender-sensitivity and human rights. These targets will only be successful if they are adopted by countries. Ensuring their relevance to countries and country engagement will be fundamental to this process. 

The GTT has been undertaking an initial scoping phase and will work until November 2024 to develop a set of recommended targets to UNAIDS. These targets will become the foundations of the next Global AIDS Strategy consultation process.

GENEVA/MUNICH, 24 July 2024—An estimated 1.3 million people became infected with HIV in 2023, three times more than the target of fewer than 370 000 by 2025. While there has been marked progress in sub-Saharan Africa, for the first time, in 2023 more than half of the new HIV infections occurred outside of sub-Saharan Africa.

Rising new HIV infections are evident in several countries, particularly in countries where key populations including men who have sex with men, sex workers, transgender people and people who use drugs, are most affected, and investment in prevention was lower. Key populations and their sexual partners now represent the majority (55%) of new HIV infections globally, up from 44% to 2010.

The Global HIV Prevention Coalition (GBC), established in 2017, is addressing the HIV prevention crisis. Focusing on 40 countries the GPC, a coalition of United Nations Member States and partners including UNAIDS, donors, civil society and private sector organizations, is working to strengthen and sustain political commitment for HIV prevention.

“The HIV epidemic has evolved – now more than ever, we need resilient capacity to deliver and manage integrated, differentiated and equitable HIV prevention interventions,” said Prof. Sheila Tlou, GPC Co-chair and Former Minister of Health, Botswana.

There has been great variation in progress among GPC member countries; the biggest declines occurred in countries within eastern and southern Africa including Kenya, Malawi and Zimbabwe, where new HIV infections were reduced by more than 66% and which are on track to achieve the global target of 90% reduction by 2030 – and, to a lesser extent, in western and central Africa. Expansion of access to effective HIV treatment, combined with an ongoing focus on primary prevention, are driving those achievements.

“The moment of opportunity for HIV prevention is now,” said Angeli Achrekar, UNAIDS Deputy Executive Director for Programmes. “Today, we have a wider range of prevention options including new long-acting antiretroviral prevention—with the new results about lenacapavir—a twice yearly injection to prevent HIV—providing a promising game-changing option—and new opportunities to communicate about HIV prevention and health.”

Long-acting technologies like pre-exposure prophylaxis (PrEP) will play a major role in preventing new infections in the coming years. Access is increasing, but only in a few countries. Around 3.5 million people were accessing PrEP (antiretroviral medicine which prevents HIV) in 2023 up from just 200 000 in 2017, but this remains far short of the 10 million target set for 2025.

New HIV prevention products in the pipeline such as long-acting injectable cabotegravir (CAB-LA) and most recently, lenacapavir, are raising expectations due to their combination of convenience and high efficacy. However, the key is accessibility and affordability. The cost of the new long-acting injectable PrEP options, and the speed with which they are made available to potential users in the countries with the most need will be critical in expanding access to these life-saving technologies.

Persistent gaps remain in HIV prevention coverage (only 61% of areas with high incidence of HIV have programmes for young women, less than half of sex workers, and only about a third of gay men and other men who have sex with men and people who inject drugs regularly access prevention in GPC focus countries).

Condoms remain the most effective low-cost HIV prevention tool, however global condom procurement or distribution in low- and middle-income countries declined by an average of 27% between 2010 and 2022 and procurement by major donors fell by an average 32% in that period. Socially marketed distribution declined from a peak of about 3.5 billion condoms in 2011 to about 1.8 billion in 2022.

Condoms, PrEP, post exposure prophylaxis, antiretroviral therapy to ensure viral suppression thus preventing transmission of the virus, harm reduction and voluntary medical male circumcision are all HIV prevention options that should be real choices available for people at risk of HIV infection. Addressing structural and gender inequalities faced by these priority and key populations is essential in ensuring access to prevention services. The urgency to secure and sustain gains for HIV prevention cannot be overemphasized – programmes need to be community-led and country-led.

“No matter how good the science or community leadership, HIV will not end unless we have significant policy change to reverse criminalization and lessen stigmatization of affected populations. If we can’t protect human rights, then we can’t end HIV. This is never just about the virus—it’s about people, and the people must lead,” said Mitchell Warren, GPC co-chair and Executive Director, AVAC.

An enormous unmet need for resources for HIV prevention and societal enabler programmes in almost all regions persists. An estimated US$ 2.4 billion was available for primary prevention programmes in low- and middle-income countries in 2023 compared to the estimated need of USD 9.5 billion in 2025. Investing in HIV prevention now is essential to scale up programmes.

If 1.3 million people continue to acquire HIV every year, the response will become more challenging, more complex and more costly in 2030 and 2050. Increased investments in HIV prevention, strengthened political leadership, enabling legal and policy environments are urgently needed to effectively implement programmes. The time to act is now!   

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.