Part of online course SRHR and HIV/AIDS

1. HIV/ AIDS
Ending the AIDS
epidemic by 2030?
(UN: obj 3.3 Sustainable
Development Goals)
Possible?
What do we know,
opportunities and
challenges. What is the role
of the Netherlands?

2. Is it possible to end the AIDS epidemic by 2030?
Good News:
• We know who and where people are living with HIV & who are most
vulnerable to an HIV infection (see next slide)
• Examples:
 in southern Africa young women is the largest group infected by HIV.
 In southern Asia the largest group living with HIV is the sex worker
community.
 In the US and in Latin-America Men having Sex with Men (MSM)
form the largest group infected by HIV.
• At country level epidemiological tools help us to find out where the next
new 1000 HIV-infections will occur.
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3. Source: UNAIDS

4. 1. Male and female condoms
2. Treatment to prevent
pregnant women to transmit
HIV to their baby (PMTCT)
3. Treatment as prevention
4. Male circumcision
5. Behaviour change
programming
6. Key populations
programming (sex workers,
injecting drug users and
MSM) Needle exchange
programmes
• There are many examples of
succesful programmes and
approaches:
• http://www.hivgaps.org/
• http://www.aidsalliance.org/
• Prices have been reduced for
several diagnostics and pills.
• Availability of prevention and
treatment has been
substantially increased.
• Domestic investments
increased in Africa
Good news: we know what works, prices are lowered and
investments have been increased!

5. • Criminalisation of
homosexuality, drug use and
sex work hamper people to
seek HIV-prevention, testing
and treatment;
• Girls and women often not in
the position to negotiate safe
sex (gender inequality);
• Health system and medical
staff often not capable and
willing to provide adequate
care care to people living with
HIV. Youth friendly services
hardly exist;
• Too little investments in
prevention and ‘ARV and TB-
Drug’ resistance is on the
rise;
• Groups most in need of
prevention, care and support
not prioritised by national
governments
Bad news: criminalisation, stigma & discrimination around HIV,
key affected groups not a priority for governments
Conclusion
These barriers make it unlikely that the AIDS epidemic will be ended
by 2030.

6. Role of the Netherlands
• International advocacy:
 Human Rights, an inclusive and evidence-based approach;
 Focus on young people, women and specific risk groups
 Linking SRHR with HIV/AIDS, and Tuberculosis (TB), hepatitis
(B,C)
• Funding:
 Global Fund, UNAIDS, Public Private Partnerships and projects
implemented by civil society
• Platforms:
 Bringing different partners together,
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