Global Fund reports significant progress in removing human rights barriers to HIV and TB services
MONTREAL, August 1, 2022 /PRNewswire/ — A new report released today by the Global Fund at the 24th International AIDS Conference reveals key findings from Global Fund-supported activities Break down the barriers initiative, a groundbreaking program launched in 2017 to provide intensive financial and technical support to 20 countries* to address the stigma and discrimination, criminalization and other human rights barriers that continue to threaten progress against HIV , tuberculosis (TB) and malaria.
“One of the most powerful lessons in the history of the fight against HIV is that success in combating such a dreadful disease cannot be achieved through biomedical interventions alone,” said Stone Sands, Executive Director of the Global Fund. “We must also address the injustices that make some people particularly vulnerable to disease and unable to access the health services they need. The same goes for tuberculosis, malaria and other diseases, including COVID-19.
In the context of HIV and TB, men who have sex with men, transgender people, sex workers, people who inject drugs, people living with HIV and people in prison and other closed settings are socially marginalized, often criminalized and face a range of human rights violations that increase their vulnerability to disease and compromise their access to health services.
The main conclusions of the mid-term evaluations, which were carried out between 2019 and the end of 2021, reveal that all the countries involved in the Break down the barriers saw progress in removing human rights-related barriers to HIV services, with an average increase of 0.9 points from baseline on the 0-5 scale. top ranked (Ukraine 3.7, Jamaica 3.5, Botswana 3.3, Senegal 3.1 and Kenya 3.1) fall below the scores that would represent an overall response at the national level (above 4.0). Sierra Leone (+1.7), Jamaica (+1.6), Cameroon (+1.3) and mozambique (+1.3) showed the greatest increase in scores.
All surveyed countries also showed progress in TB programming. Midline TB scores ranged from Ghana (2.8) to Sierra Leone (0.2), with an average increase from baseline of 0.6. For many countries, addressing human rights barriers in TB services has required the development of new interventions, and the progress reported in the mid-term evaluation reflects rapid expansion. The greatest increase was observed in Ukraine (+1.1) and Ivory Coast (+1.5).
However, assessments also show that COVID-19 has slowed the progress of the Break down the barriers initiative in many countries. But they also chronicle how human rights work on HIV has contributed to rights-based approaches to COVID-19. In a few countries, support has been provided to community paralegals to address human rights abuses that have occurred during lockdowns. Many innovative measures were taken to ensure that key populations would continue to receive services despite lockdowns or quarantines. In several countries, community sensitization has focused on the prevention of gender-based violence during periods of confinement.
Another series of evaluations, planned for the end of 2022 and the first six months of 2023, will capture up to five years of activity and better understand the results and impact achieved in the countries involved in the Break down the barriers initiative.
The Global Fund’s funding for human rights is unprecedented. In the 20 countries of the Break down the barriers initiative, Global Fund investments in programs to reduce human rights barriers have increased more than tenfold – from just over $10 million now finished $130 million. There has never been more funding to support the implementation of comprehensive programs to remove human rights barriers to health services.
“The Break down the barriers experience shows that when there is sufficient funding and technical support, multiple stakeholders can be encouraged to combine and strengthen their efforts and, therefore, can make real progress in removing long-term barriers date,” Sands concluded. “This is essential to defeating HIV, TB and malaria, building truly inclusive health systems that leave no one behind, and enabling everyone, everywhere to realize their right to health and well-being. . »
The Global Fund provides 30% of all international funding for HIV programs (12% of all available resources) and has invested US$22.7 billion in programs for the prevention, diagnosis and treatment of HIV and AIDS and US$3.8 billion in TB/HIV programs in June 2021. In countries where the Global Fund invests, the total number of AIDS-related deaths has fallen by 65% over the past 20 years.
The United States will host the Seventh Global Fund Donor Conference in New York City on September 19-21, 2022. With a replenishment of at least 18 billion US dollars, the Global Fund, in collaboration with partners, could reduce (from 2020 to 2026) new HIV infections by 68%, from 1.1 million to 348,000; AIDS-related deaths by 59%, from 579,000 to 239,000; incidence and mortality rates of 71% and 63% respectively; HIV incidence among adolescent girls and young women in the most affected countries by 72%; and provide antiretroviral treatment to 28 million people in 2026 to reach 91% treatment coverage in 2026.
* The 20 countries involved in the Breaking Down Barriers initiative are Benign, Botswana, CameroonIvory Coast, Democratic Republic of Congo, Ghana, Honduras, Indonesia, Jamaica, Kenya, Kyrgyzstan, mozambique, Nepal, The Philippines, Senegal, Sierra Leone, South Africa, Tunisia, Uganda and Ukraine.
The Global Fund is a global partnership to defeat HIV, TB and malaria and secure a healthier, safer and more equitable future for all. We collect and invest more than 4 billion US dollars one year to fight the deadliest infectious diseases, challenge the injustice that fuels them, and strengthen health systems in more than 100 of the hardest-hit countries. Since the beginning of the COVID-19 pandemic, we have invested an additional sum US$4.3 billion to fight the new pandemic and strengthen health systems. We unite world leaders, communities, civil society, health workers and the private sector to find solutions that have the most impact, and we take them to global scale. Since 2002, the Global Fund partnership has saved 44 million lives.
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