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What will it take to end AIDS in Asia and the Pacific region by 2030?
Eamonn Murphy1, Ye Yu Shwe2, Reeta Bhatia1
1Joint United Nations Programme on HIV/AIDS (UNAIDS), Regional Support Team, Asia and the Pacific, 9th Floor, Block A, United Nations Building, Rajadamnern Nok Avenue, Bangkok, 10200, Thailand.
Insights
The Asia-Pacific region is not meeting HIV Fast-Track targets due to stalled progress, rising infections in young key populations, and COVID-19. Achieving the end of AIDS by 2030 requires reinforced political will, innovative tools, and tackling stigma.
Area of Science:
- Public Health
- Epidemiology
- Global Health
Background:
- The 2016 global commitment to end the AIDS epidemic by 2030 necessitates Asia-Pacific countries meeting Fast-Track targets by 2020.
- Progress in HIV response has stalled, with rising infections among young key populations and the impact of the COVID-19 pandemic exacerbating challenges.
Purpose of the Study:
- To examine the current HIV situation in the Asia-Pacific region.
- To assess existing gaps in the HIV response.
- To analyze strategies required to end the AIDS epidemic by 2030.
Main Methods:
- Review of the HIV epidemic in the Asia-Pacific region.
- Analysis of progress towards Fast-Track targets.
- Assessment of factors hindering and facilitating the HIV response.
Main Results:
- The Asia-Pacific region is significantly behind schedule in meeting HIV prevention and treatment targets.
- Key challenges include insufficient political will, inadequate regional strategic direction, and the impact of COVID-19.
- Stigma, discrimination, and punitive laws continue to impede access to services for key populations.
Conclusions:
- Reaffirming political commitment and reinforcing regional strategies are crucial.
- Innovative tools, community engagement, and addressing legal and social barriers are essential.
- Integrating a people-centered public health approach into universal health coverage and ensuring domestic funding are vital for success.
Abstract:
The 2016 global commitments towards ending the AIDS epidemic by 2030 require the Asia-Pacific region to reach the Fast-Track targets by 2020. Despite early successes, the region is well short of meeting these targets. The overall stalled progress in the HIV response has been further undermined by rising new infections among young key populations and the unprecedented COVID-19 pandemic. This paper examines the HIV situation, assesses the gaps, and analyses what it would take the region to end AIDS by 2030. Political will and commitments for ending AIDS must be reaffirmed and reinforced. Focused regional strategic direction that answers the specific regional context and guides countries to respond to their specific needs must be put in place. The region must harness the power of innovative tools and technology in both prevention and treatment. Community activism and meaningful community engagement across the spectrum of HIV response must be ensured. Punitive laws, stigma, and discrimination that deter key populations and people living with HIV from accessing health services must be effectively tackled. The people-centred public health approach must be fully integrated into national universal health coverage while ensuring domestic resources are available for community-led service delivery. The region must utilise its full potential and draw upon lessons that have been learnt to address common challenges of the HIV and COVID-19 pandemics and achieve the goal of ending AIDS by 2030, in fulfillment of the United Nations' Sustainable Development Goals.
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