July 12, 2016
With less than a week to go until the International AIDS Conference
, here’s the next in AVAC’s series of brief updates
to prepare. In this one... prevention activism at Durban. What, where, why and how. We hope you’ll find this useful and thought-provoking whether you’re coming to an IAC for the first time—or whether this is familiar ground.
What does prevention activism mean in 2016?
As it was in 2000, access to antiretroviral treatment for people living with HIV will be one important theme for this year’s meeting. That 35 years into the HIV epidemic, less than half of the 37 million who need ART are on treatment means that access continues to be a major issue.
Prevention activism starts with this premise and adds loud, specific, targeted demands for funding, programs and research for the things we know, and need, as combination prevention. This means male and female condoms and condom-compatible lubricant, comprehensive harm reduction, PrEP, VMMC, structural and rights-based interventions, and R&D for additional options. The world won’t end AIDS without targets, accountability and action around these interventions—and action won’t happen without activism.
Why is activism needed?
Because there are major, glaring gaps in HIV prevention worldwide. UNAIDS just took a stand on this with its first Prevention Gap
report that highlights numerous places where we are failing. Just 2 percent of the people who need PrEP, according to UNAIDS’ target of 3 million by 2020, have access to it today—a situation similar to ART access around the last Durban conference. Also this week, WHO reported that the number of voluntary medical male circumcisions performed in 2015 declined
by 20 percent from 2014. A month ago, UNAIDS put out its annual progress report which noted that there has been no decline in the number of new cases of HIV worldwide in the past five years.
This because public health systems are broken; there are not enough health workers; prices of new medicines and technologies are still high; and supportive policies and funding for community-led programs should be priority for any program implementation, but this is hardly the case.
How should it happen at the meeting?
Anywhere that there is a conversation about ending AIDS, prevention activism is needed. You can do it by sporting a message—look for AVAC’ers and allies with prevention “red alert” stickers like the one in this message. You can also do it by speaking up.
Here are some questions to ask specific speakers and stakeholders: