Getting to Zero
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The UN/UNAIDS works to end the global AIDS epidemic by coordinating the efforts of 11 UN organizations. Its vision is zero new HIV infections, zero discrimination, and zero AIDS-related deaths. At the country level, it provides technical support and capacity building to implement national HIV strategies through coordination and resource mobilization. A 2011 UN meeting set new targets for reducing HIV transmission and increasing access to treatment, and outlined an investment framework focusing on core programs and synergies across development sectors to maximize impact. Additional investment of $46.5 billion over 10 years could avert future treatment needs of $40 billion and gain over 1 million life years.
Getting to Zero
- 1. Getting to Zero The UN/ UNAIDS in the national response to HIV
- 2. United Nations • • Established 24 October 1945 Facilitating cooperation in – – – – – – • international law, international security, economic development, social progress, human right, and achievement of world peace 193 Member States
- 3. United Nations and HIV • • • • • • Millennium Declaration and Millennium Development Goals (2000) Security Council Resolution 1308 (2000) Declaration of Commitment on HIV/AIDS (UNGASS Declaration, 2001) Political Declaration on HIV/AIDS (2006) Political Declaration on HIV/AIDS (2011) Security Council Resolution 1983 (2011)
- 5. UNAIDS The Joint United Nations Programme on HIV/AIDS • • • • • • ILO UNDP UNESCO UNFPA UNHCR UN Women • • • • • UNICEF UNODC WFP WHO WORLD BANK
- 6. UNAIDS Vision Zero new HIV infections. Zero discrimination. Zero AIDS-related death.
- 7. UNAIDS Mission UNAIDS is an innovative United Nations partnership that leads and inspires the world in achieving universal access to HOV prevention, treatment, care and support UNAIDS fulfills its mission by: •Uniting the efforts •Speaking out in solidarity •Mobilising resources •Empowering agents of change with evidence •Supporting inclusive country leadership
- 8. UNAIDS Strategy, 2011-15 Global commitments: •Halt and reverse the spread of HIV •contribute to the achievement of the Millennium Development Goals
- 9. UNAIDS Strategy, 2011-15 Core themes: •People – Inclusive responses reach the most vulnerable, communities mobilised, human rights protected •Countries – Nationally owned sustainable responses, financing diversified, systems strengthened •Synergies – Movements united, services integrated, efficiencies secured across Millenium Development Goals
- 10. UNAIDS Strategy, 2011-15 Strategic directions: •Revolutionising HIV prevention •Catalysing the next generation of treatment, care and support •Advancing human rights and gender equality for the HIV response
- 11. UNAIDS Strategy, 2011-15 Strategic directions: •Revolutionising HIV prevention – – – sexual transmission of HIV reduced by half, including among young people, men who have sex with men and transmission in the context of sex work; vertical transmission of HIV eliminated and AIDS-related maternal deaths reduced by half; and all new HIV infections prevented among people who use drugs
- 12. UNAIDS Strategy, 2011-15 Strategic directions: •Catalysing the next generation of treatment, care and support – universal access to antiretroviral therapy for people living with HIV who are eligible for treatment; – TB deaths among people living with HIV reduced by half; and – people living with HIV and households affected by HIV are addressed in all national social protection strategies and have access to essential care and support.
- 13. UNAIDS Strategy, 2011-15 Strategic directions: •Advancing human rights and gender equality for the HIV response – Countries with punitive laws and practices around HIV transmission, sex work, drug use or homosexuality that block effective responses reduced by half; – HIV-related restrictions on entry, stay and residence eliminated in half of the countries that have restrictions; – HIV-specific needs of women and girls are addressed in at least half of all national HIV responses; and – Zero tolerance for gender-based violence
- 14. UN/ UNAIDS at country level UN Country Team – Heads of UN Agencies UN Joint Team on AIDS – senior technical staff TWGs: Prevention, Treatment Zimbabwe UN Development Assistance Framework (ZUNDAF): HIV prioritised Joint Implementation Matrix (JIM) = 5-year action plan Annual workplan
- 15. UN/ UNAIDS at country level Zimbabwe UN Development Assistance Framework (ZUNDAF): HIV prioritised: -Improved access to and uptake of HIV prevention services -Improved access to and uptake of treatment, care and support services -Improved leadership, coordination and management of multi-sectoral HIV responses
- 16. UN/ UNAIDS at country level • Policy dialogue • Technical support/ capacity development: – Technical – Institutional – Management – Coordination – Resource mobilisation
- 17. VISION ZERO NEW HIV INFECTIONS. ZERO DISCRIMINATION. ZERO AIDS-RELATED DEATHS.
- 18. Outcomes of the 2011 UN General Assembly High Level Meeting on AIDS
- 19. Key Outcomes 1. Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS 2. Global Plan Towards Elimination of New Infections Among Children by 2015 and Keeping their Mothers Alive 3. Security Council Resolution 1983 (links conflict situations to women’s vulnerability to HIV)
- 20. Bold new targets for 2015 50% in sexual transmission of HIV 50% of HIV among people who inject drugs 50% TB deaths in people living with HIV Ensure no children are born with HIV and reduction of AIDSrelated maternal deaths 15x15 (15 million people on ART by 2015)
- 21. Three investment scenarios Impact on the epidemic 35 25 20 Business as usual 15 - 2.5 - 2.0 - 1.5 - 1.0 - 0.5 -0 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 New HIV Infections (millions) USD (Billions) 30
- 22. Three investment scenarios Impact on the epidemic 35 25 20 Investment framework Business as usual 15 - 2.5 - 2.0 - 1.5 - 1.0 - 0.5 -0 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 New HIV Infections (millions) USD (Billions) 30
- 23. Three investment scenarios Impact on the epidemic 35 Previous projections 25 20 Investment framework 15 Business as usual - 2.5 - 2.0 - 1.5 - 1.0 - 0.5 -0 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 New HIV Infections (millions) USD (Billions) 30
- 24. The new investment framework Focus on what makes a difference USD (Billions) 25 20 6 Basic Programme Activities 15 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 • Behavior Change Programmes • Male Circumcision • Treatment (ART) and Care • Programmes for Key Populations • Condom Promotion • Prevention of Mother to Child Transmission
- 25. The new investment framework Focus on what makes a difference USD (Billions) 25 20 Critical Enablers, incl: 15 •Community mobilization •Stigma reduction •Legal environment •Programme management 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Basic Programme Activities
- 26. The new investment framework Focus on what makes a difference USD (Billions) 25 Synergies with broader development sectors, incl: 20 •Gender •Health Systems •Education •Social Protection 15 10 Critical Enablers 5 Basic Programme Activities 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
- 27. Cost and economic returns 2011 to 2020 Cost/Returns Total additional investment (over 10 years) Future treatment need averted Life years gained US$46.5 Billion US$40 Billion US$1,060 per life year gained
- 28. VISION ZERO NEW HIV INFECTIONS. ZERO DISCRIMINATION. ZERO AIDS-RELATED DEATHS.
Editor's Notes
- #29: UNAIDS new strategy takes us towards our vision of zero, zero, zero