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Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …
The Nigerian HIV prevalence rate is declining however, stigma indices does not show corresponding decline. Drivers of the HIV epidemic include the structural, contextual and social factors, such as poverty, gender inequality, inequity and poor access to health care, as well as stigma and discrimination and other human rights violations. However, several positive actions have been taken to address stigma and discrimination issues in the country. …
In 2015, the National Agency for the Control of AIDS (NACA) with the support of UNWomen, UNAIDS and UNDP implemented a project titled 'Institutional Strengthening for Enhanced Gender Responsive HIV Response in Nigeria'. The goal of this initiative was to strengthen institutional mechanisms for strategic integration of gender mainstreaming in the national, state level (5 states) and institutional response to HIV and AIDS in Nigeria. …
The National HIV and AIDS Strategic Framework (NSF) 2017-2021 succeeds the National HIV and AIDS Strategic Framework 2010-2015 and the National HIV and AIDS Strategic Plan 2010-2015. This NSF was developed through a highly participatory and consultative process that involved a wide cross-section of stakeholders. Vision of the National Strategic Framework The vision of the NSF is “An AIDS-free Nigeria, with zero new infection, zero AIDS-related discrimination and stigma”. …
This Revised Strategic Framework is aimed at supporting the fast-tracking of our national AIDS response by urgently communicating the most essential new findings and providing renewed strategic guidance. It links our new strategic directions to important changes in the institutional and financial mechanisms supporting the AIDS response in our nation.
The overall objective of this strategy is to stop new HIV infections − in key populations as well as in the general population of Liberia − and keep PLHIV in Liberia alive and healthy. …
The National HIV and AIDS Anti-Stigma Strategy aims to guide and inform actions and programmes of policy makers, development partners, implementing partners and networks of people living with HIV and other stakeholders towards the reduction of HIV stigma and discrimination, through an evidence-informed strategy by and for people living with HIV, key and other vulnerable populations.
These guidelines aim to inform the design and implementation of interventions with young key populations (YKP), 15-24 years, specifically young women who sell sex, young men who have sex with men, and young people who inject drugs. The guidelines aim to accelerate the HIV response to end new HIV infections among young key populations. …
The West and Central Africa region has one of the world’s highest HIV burdens among children and adolescents, second only to that of Eastern and Southern Africa. Yet, due to its lower HIV prevalence rate, the epidemic has received less attention than in other regions. …
This policy paper was conceived at a joint LSHTM-Sentebale roundtable meeting in July 2017; three young people from Lesotho and Botswana presented their personal experiences and challenges of living with HIV to an audience including Prince Harry, leading HIV researchers, and senior staff from organisations such as UNAIDS, PEPFAR and the Global Fund to Fight AIDS, TB and Malaria. This paper profiles some promising approaches to address challenges and barriers identified by adolescents living with HIV (ALHIV). …
National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex- disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. …
UNICEF and UNAIDS launched the ALL IN platform in February 2015 to galvanize global action towards HIV and a population that were largely neglected in the global AIDS response – adolescents. The ALL IN initiative, with a focus on 25 lead countries that contribute to 86 per cent of all new HIV infections in adolescents, seeks to bring adolescents into focus in fast-track efforts to end the AIDS epidemic by 2030, and provides three targets for the year 2020 to frame this acceleration agenda: 1. Reduce new HIV infections among adolescents by at least 75 per cent; 2. …
Despite the significant progress in scaling up work on HIV human rights, violations and stigma remain serious barriers to better HIV and health responses. Greater focus on protecting, upholding and fulfilling the rights of people living with HIV and those most affected is essential for delivering on the pledge made by Member States in Agenda 2030 to leave no one behind. The Global Commission on HIV and the Law issued its landmark report in July 2012 and made several recommendations how the law can be used to respond to HIV in an evidence informed, rights based manner. …
The HIV and social protection assessment tool is used for a quick scan of existing social protection programmes and their sensitivity (or lack of) to the HIV response in a given country and location. Additional follow-up and research that engages the different critical actors, including HIV programme managers, social protection administrators, beneficiaries and civil society representatives, may be necessary in some contexts. The assessment provides countries and communities with tailored analysis on HIV and social protection. …
Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the “second R,” referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. …
