Since the very starting of the epidemic, the HIV response has been centred on human rights, fairness and communities, the very foundations upon which common well being protection has been constructed.
As the HIV epidemic has advanced through the years, it has been probably the most susceptible, marginalized communities and people which have been disproportionately affected.
As early because the 1980s populations at best danger of, and other people dwelling with, HIV argued that communities should be on the centre of any response if the specter of HIV is to be overcome.
Soon it grew to become evident that the significant involvement of these communities was not solely an ethical crucial but in addition constituted good public well being follow; public well being measures may attain these populations and places most affected, enhance service uptake and efficiencies, obtain equitable protection and lead to larger and extra sustained impression.
The HIV response has performed a essential position in reworking public well being, and in flip has influenced the shaping of the common well being protection agenda.
We have achieved a lot prior to now 30 years. Today 21 million persons are receiving antiretroviral remedy that’s enabling them to reside full and productive lives. Every day, fewer persons are turning into contaminated with HIV and fewer persons are dying. But these successes are masking the various disparities and challenges that persist.
Why, after three many years of recognizing the essential position of communities in driving the HIV response are we nonetheless seeing these populations most in danger being left behind, marginalized and discriminated in opposition to?
Why is it that males who’ve intercourse with males, intercourse staff, transgender folks, individuals who inject medication and prisoners, representing 40% of recent HIV infections in 2016, proceed to be denied probably the most fundamental well being providers?
Why is it that many younger girls, adolescents, migrants and displaced individuals discover themselves notably susceptible to HIV an infection?
And, why is it that adolescent boys and younger males don’t entry the HIV and different well being providers supplied ?
On this World AIDS Day we’re right here to remind you that “Everybody Counts”!
Everybody counts if we’re to attain common well being protection and all people should depend if we’re to get rid of AIDS and viral hepatitis as public well being threats. Health providers ought to be tailored to succeed in and meet the wants of these populations most in danger and affected, and this contains implementing a ‘zero tolerance’ coverage to stigma and discrimination in all well being providers, and totally partaking communities as equal and important companions within the response.
It additionally signifies that the acceptability and high quality of the providers should be excessive, guaranteeing that persons are retained in care and obtain the very best prevention and therapy outcomes.
Universal well being protection signifies that all folks have entry to the providers they want, wherever they reside, with out going through monetary hardship. People prone to and dwelling with HIV normally have a number of well being wants, which go far past the necessity to entry condoms, sterile needles or antiretroviral remedy.
An efficient HIV response embraces built-in people-centred care, during which the total well being wants of people and communities are addressed, not simply these associated to HIV. Countries are exhibiting us how HIV interventions and providers are being built-in into broader well being programmes, how they’re being successfully linked to different providers, resembling these for tuberculosis, viral hepatitis, sexual and reproductive well being, non-communicable illnesses and substance use issues. By doing so, well being methods are being strengthened and other people dwelling with HIV are reaching their full well being potential.
Providing the fitting well being providers to those that want them, in itself, isn’t sufficient. If we’re to attain fairness, to succeed in common well being protection and to make sure the fitting to well being for all, we have to work past the well being system. The broader coverage and social setting continues to play a essential position in shaping HIV epidemics and facilitating or hindering efficient responses. The precept of ‘everybody counts’ should be enshrined in insurance policies, legal guidelines and practices that span throughout all related sectors, adopting a whole-of-government strategy.
The message is easy – make all people depend!