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Disability and HIV

UNAIDS
August 2017

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This report highlights existing key evidence on the relationship between disability and HIV. It discusses the concrete steps needed for a person-centred, disability-inclusive HIV response that allows for increased participation of people with disabilities and integrates rehabilitation within the continuum of HIV care. Globally, it is estimated that 1 billion people (15% of the world’s population) have a disability. Of those aged over 15 years, approximately 110–190 million (2.2–3.8%) experience significant disabilities. Disability is increasing in prevalence due to ageing populations, trauma, accidents and the increase in chronic health conditions, including HIV. Persistent discrimination against and exclusion of people with disabilities, in particular women and girls with disabilities, increases their vulnerability, including their risk of HIV infection.
 

Disability and HIV

UNAIDS
January 2017

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This report highlights existing key evidence on the relationship between disability and HIV. It discusses the concrete steps needed for a person-centred, disability-inclusive HIV response that allows for increased participation of people with disabilities and integrates rehabilitation within the continuum of HIV care.

The gap report

THE JOINT UNITED NATIONS PROGRAMME ON HIV AND AIDS (UNAIDS)
July 2014

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The goal of this report is to provide the best possible data on the global AIDS epidemic, with a particular focus on information and analysis on the people left behind. The report highlights these gaps firstly in regional terms, providing “Regional Snapshots” and then explores issues faced by the following 12 populations that have been left behind by the AIDS response: people living with HIV, adolescent girls and young women, prisoners, migrants, people who inject drugs, sex workers, gay men and other men who have sex with men, transgender people, children and pregnant women living with HIV, displaced persons, people with disabilities and people aged 50 years and older

UNAIDS strategy for integrating disability into AIDS programmes

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2012

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The purpose of this report is to "increases awareness of the structural barriers that people with disabilities experience in accessing good-quality services. The strategy promotes broad action to achieve universal access to HIV prevention for people with disabilities through full integration into all aspects of the HIV response"
Issues brief JC2362

Disability and HIV policy brief

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
OFFICE OF THE HIGH COMMISSIONER FOR HUMAN RIGHTS (OHCHR)
April 2009

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This policy brief discusses the actions needed to increase the participation of persons with disabilities in the response to HIV and to ensure that they have access to HIV services which are both tailored to their diverse needs and equal to the services available to others in the community. Recommendations of actions for governments, civil society and aid agencies are provided, having been defined in consultation with a broad range of stakeholders including people living with HIV and persons with disabilities. An example from South Africa is highlighted. This document is beneficial for anyone working in disability and development with HIV and AIDS

Policy brief : HIV, food security and nutrition : expanded version

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
May 2008

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This policy brief focuses on the interrelationship between food security, nutrition and HIV, and highlights the actions that governments, civil society and international partners can take to promote food security and nutrition in the context of the AIDS epidemic

A framework for monitoring and evaluating HIV prevention programmes for most-at-risk populations

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
April 2007

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This framework is intended for national and subnational programme managers and others involved in planning and implementing programmes; monitoring and evaluation; and using data and information for policy development and programme improvement. It includes tools and methods that can be applied at a national and a subnational level, drawing from existing sources where available and includes the most recent thinking about M&E of most-at-risk populations, directing the reader towards appropriate supplemental guides, training materials, and other sources of technical information. It also emphasises the importance of members of most-at-risk populations participating in the evaluation process

UNAIDS practical guidelines for intensifying HIV prevention : towards universal access

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2007

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These practical guidelines are designed to help policy makers and planners to create an effective national response to HIV prevention, by ensuring that their response matches the epidemic dynamics and social context within their country and the populations who remain most vulnerable to and at risk of HIV infection. The guidelines encourage countries to know the national and local epidemiological scenarios and their current response; to match and prioritise their response; to set ambitious, realistic and measurable prevention targets; to tailor prevention plans to local epidemic scenarios and to use and analyse strategic information

UNAIDS expert consultation on behaviour change in the prevention of sexual transmission of HIV : highlights and recommendations

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2007

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This is the report of a two-day meeting to consider the state of knowledge around behaviour change measures for the prevention of the sexual transmission of HIV. Participants identified four priority issues around this: prevention measures that are effective in concentrated epidemics; analysis of and responses to sexual behaviour involving multiple concurrent partners and other hyperendemic scenarios; gender inequality, inter-generational sex and gender-based violence as major sources of vulnerablity to women and girls in hyperendemic scenarios; and HIV-related stigma and denial as barriers to behaviour change. Analyses of these issues produced a number of recommendations

2006 report on the global AIDS epidemic

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2006

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This annual report takes an overall look at the global AIDS epidemic. Provides an impact analysis of AIDS on populations at risk and civil society. Looks at effective ways to prevent, control and treat the disease. Indicates how to improve allocation and use of financial resources, design and implement effective national policies and approach the response from a strategic perspective rather than in terms of crisis management. Annexes include country profiles, essential statistics and country progress indicators

Scaling up access to HIV prevention, treatment, care and support: the next steps

Joint United Nations Programme on HIV/AIDS (UNAIDS)
2006

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This is a review of country and regional consultations undertaken by UNAIDS, following the United Nations' Political Declaration on HIV and AIDS in June 2006. It explores barriers to UNAIDS' commitment to ensure universal access to comprehensive HIV prevention programmes, treatment, care and support by 2010; and it identifies the next steps that need to be taken for this to become a reality. The key messages are the need for: supportive and protective legislation and programmes to ensure the rights of people living with HIV, women and most-at-risk populations; predictable and sustainable funding for all credible AIDS plans; more trained health care professionals and improved health care systems; and affordable medication, testing and prevention programmes. The review also examines the role of civil society and of faith-based organisations in supporting people with HIV through treatment compliance, prevention, support, care and reducing stigma. It recommends that the high level of response should continue, that targets need to be set and accountability mechanisms improved

Support women caregivers : fight AIDS

THE GLOBAL COALITION ON WOMEN AND AIDS
2006

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This factsheet considers the impact of HIV and AIDS on families and communities because of most the care for people living with AIDS is provided by women and girls. It looks at the social and economic burden and the training and support needed, and it suggests actions for national governments and for international partners

The development of programme strategies for integration of HIV, food and nutrition activities in refugee settings

KIRKCALDY, Ellen Mathys
et al
2006

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In 2003, The United Nations High Commissioner for Refugees (UNHCR), United Nations World Food Programme (WFP) and United Nations Children’s Fund (UNICEF) launched a joint effort to develop, through multi-site field research in refugee communities in Africa, a set of strategies for using food and nutrition-based interventions to support HIV prevention, care, treatment and support for people living with HIV. This document discusses the process and findings of that initiative, whose value for best practices is found in the collaborative, field-driven methodology as well as in the findings and output

Getting the message across : the mass media and the response to AIDS

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
December 2005

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The mass media have the potential to provide a platform for discussion, communication and education on HIV and AIDS, giving a voice to people living with HIV and AIDS (PLWHA), challenging stigma and discrimination, lobbying policy makers and building partnerships and capacity through sharing and transferring skills and expertise. However, mass media can also disseminate misleading messages, while HIV/AIDS communication competes with other topics for broadcasting time and audiences. This report presents three case studies of effective and creative use of the media in South Africa: Soul City and Soul Buddyz adopt an 'edutainment' approach, aiming both to educate and entertain; the Community Health Media Trust produces a series of programmes addressing issues concerning people with HIV/AIDS; Takalani makes television and radio programmes, to encourage small children to develop self-esteem, offer positive models and destigmatise PLWHA. Detailing the lessons learned from these experiences, the report looks at how target audiences are chosen, how partnerships are formed, how topics and ideas are developed and what ethical issues arise

Expanding access to HIV treatment through community-based organisations

SIDACTION
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
July 2005

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This UNAIDS Best Practice Collection document aims to highlight and advocate for the work of civil society, community based organisations in particular, in responding to the AIDS epidemic in Africa. The paper describes a ground breaking survey by Sidaction, a Paris based treatment rights group, which supports community responses to AIDS in low and middle income countries. In 2004, Sidaction, in cooperation with the UNAIDS secretariat and WHO mapped treatment and care efforts by community based organisations in Africa. Many community based organisations are already dispensing ARVs on a significant scale. The survey confirmed that community efforts to provide treatment represent an important opportunity to enrol more people in antiretroviral therapy. To seize this opportunity, national governments and the international community need to quickly provide support to expand the coverage and impact of community based treatment. The aim is for CBOs to work closely with the public sector so that each reinforces the efforts of the other

Evaluation of the UNAIDS/UNITAR AIDS competence programme

ALANDO, Chris
June 2005

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While many successful responses to HIV have begun at a local or community level, poor communication, monitoring and evaluation systems and accountability have meant a lack of resources with which people can share their experiences directly and promptly. The AIDS competence programme seeks to develop community capacity and promote community ownership through facilitation and use of innovative knowledge management assets. This evaluation measures the effectiveness and efficiency of the AIDS Competence Programme’s process and outcomes and makes a number of recommendations to the different interest groups involved

Resource guide for UN theme groups on HIV/AIDS

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
March 2005

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This guide seeks to pull together global and country frameworks, planning and management tools, good practices and other elements to enhance the contribution of UN Theme Groups on HIV/AIDS to effective national responses

The 'Three Ones' in action : where we are and where we go from here

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
February 2005

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This report looks at progress on applying the "Three Ones" principles to the end of 2004. The principles are: one agreed AIDS action framework; one national AIDS coordinating authority; and one agreed country-level monitoring and evaluation system. The report provides an assessment of progress so far, and then considers lessons learned, identifies challenges and suggests opportunities for overcoming these challenges. While this preliminary report is not comprehensive, it is a useful step in addressing how we can make optimal use of the limited resources available for tackling the AIDS pandemic.

Operational guide on gender and HIV/AIDS : a rights-based approach | Resource pack on gender and HIV/AIDS

UNAIDS INTER-AGENCY TASK TEAM ON GENDER AND HIV/AIDS
2005

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This guide highlights the relationship between gender, rights and HIV and AIDS. The impact of HIV and AIDS tends to be greater in unequal settings and stigma and discrimination, often associated with the disease, intensify and reinforce inequality. This document, aimed at programme managers and development organisations, reflects on how gender inequality affects women affected by HIV and AIDS. It explains why women may be at greater risk of contracting the disease, while having poor access to treatment. Women also tend to assume the responsibility of caring for those who are sick, and girls in households affected by HIV are more likely than boys to be taken out of school as a cost-saving measure, and to help in domestic chores. The guide contains a set of checklists to help evaluate the level of commitment to gender equality in programming, funding, communication, networking and advocacy

HIV-related stigma, discrimination and human rights violations: case studies of successful programmes

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2005

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This report is a collection of case studies of projects, programmes and activities around the world that have used innovative methods to challenge HIV-related stigma, discrimination and human rights violations. The case studies are grouped under stigma-reduction approaches; anti-discrimination measures; and human rights and legal approaches. They are followed by some cross-project/activity analysis that identifies common elements and a number of key principles of success, each of which offers an entry point for innovative and potentially effective work

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