August 2015
NewsNews

Africa and the Middle East

Africa: Boosting Domestic Financing for Health in Africa

Asia and the Pacific

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Global

AdvocateAdvocate Focus
Photo courtesy of MacDonald Sembereka
Reverend MacDonald Sembereka 
 
Executive Director, Global Interfaith Network on Sex, Sexual Orientation, Gender Identity and Expression

" ... faith has a moral obligation to help shift the national discourse, policy development, and public perceptions of people living with HIV. I think the voice of the faith community -- especially the voice of reason within faith -- is imperative to offer a compelling reason to ensure service provision for all and to hold those in power accountable."
 -- MacDonald Sembereka 

Reverend MacDonald Sembereka was named executive director of the Johannesburg-based Global Interfaith Network on Sex, Sexual Orientation, Gender Identity and Expression in May 2015. He leads the organization's efforts to create dialogue and safe spaces for religious communities to interact and engage with sexual and gender minorities. These interactions are intended to increase the number of faith-based advocacy voices on these issues. The HIV Policy and Advocacy Monitor spoke with Reverend MacDonald about his previous work and his goals for the growing organization. 

PolicyPolicy Analysis
Achieving Addis Ababa's New Social Compact: Lessons from the Response to HIV
Health Policy Project

http://www.un.org/esa/ffd/ffd3/blog/lessons-from-the-response-to-hiv.html
  
Following the Third International Financing for Development Conference, a staff blog post from the USAID- and PEPFAR-funded Health Policy Project relates experiences in mobilizing domestic spending for HIV in low- and middle-income countries that offer context for future work under the Sustainable Development Goals (SDGs). Challenges to ensuring sustainable financing for the SDGs include the establishment of communication between health and finance ministries, and identifying and securing new sources of domestic HIV funding.
How AIDS Changed Everything -- MDG6: 15 Years, 15 Lessons of Hope from the AIDS Response
UNAIDS

http://www.unaids.org/sites/default/files/media_asset/MDG6Report_en.pdf
  
This publication highlights the impact of and progress made in achieving the AIDS targets of Millennium Development Goal 6 by sharing insights and experiences from UNAIDS partners, communities, and governments conducting innovative HIV work.
Supreme Court Decision on Same-Sex Marriage Will Resonate Globally
Human Rights Watch

https://www.hrw.org/news/2015/07/06/supreme-court-decision-same-sex-marriage-will-resonate-globally
  
The U.S. Supreme Court ruling on same-sex marriage may have significant impacts across the world. Graeme Reid of Human Rights Watch highlights positive and negative sociopolitical impacts that have followed previous U.S. rulings and actions on same-sex marriage to demonstrate the effect of U.S. policy on human rights discussions globally.
Financing the Response to HIV in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2014
Kaiser Family Foundation and UNAIDS

http://files.kff.org/attachment/report-financing-the-response-to-aids-in-low-and-middle-income-countries-international-assistance-from-donor-governments-in-2014 
 
This joint report tracks donor government assistance for the HIV response in low- and middle-income countries from 2002-2014, to draw attention to the need for continued and increased financing for HIV. Funding from nine of 14 donor governments declined or remained flat in 2014, including funding from the largest HIV donor in the world -- the United States -- which remained essentially flat.
Shortage of Antiretrovirals: What Went Wrong?
Sikika

http://sikika.or.tz/shortage-of-antiretrovirals-what-went-wrong/
  
A report from Sikika, a local health advocacy nongovernmental organization operating in Tanzania, shares stakeholder experiences and insights from policymakers regarding the country's 2014 ARV shortages. Service providers and users criticized the Ministry of Health's lack of communication with the public to explain the situation. Policymakers also pointed to communication problems among the various agencies involved in the Pooled Procurement Mechanisms, which led to delays in re-registering manufacturers.
Transgender People and HIV
World Health Organization

http://apps.who.int/iris/bitstream/10665/179517/1/WHO_HIV_2015.17_eng.pdf?ua=1
  
This technical brief summarizes essential information on and existing recommendations for HIV prevention, diagnosis, treatment, and care among transgender populations, and is the first WHO document to exclusively address the needs of transgender people. It also serves as a resource for governments, donors, and implementers to identify needs for addressing HIV among transgender people.
An AIDS Crisis in Ukraine
New York Times

http://www.nytimes.com/2015/07/27/opinion/an-aids-crisis-in-ukraine.html?_r=0
  
In an op-ed, the UN secretary general's special envoy for HIV/AIDS in Eastern Europe and Central Asia explains the impact of the Donbass conflict on people at risk for and living with HIV. The situation has become particularly dire as methadone and antiretroviral treatments have run out and separatist-controlled areas have issued policies that limit or deny access to these supplies.

ResourcesResources: Models, Tools, and Research 

Consolidated Guidelines on HIV Testing Services
World Health Organization

http://www.who.int/hiv/pub/guidelines/hiv-testing-services/en/
  
This publication compiles existing guidance on the provision of HIV testing services (HTS) and addresses elements of effective HTS delivery that are common in a variety of settings, contexts, and populations. It also provides focused, strategic approaches to HTS that can support the UN 90/90/90 global HIV targets.
Strengthening Adolescent Component of National HIV Programmes Through Country Assessments in Swaziland
All In initiative and government of Swaziland

http://www.youngpeopleandhiv.org/files/Report_of_Rapid_Assessment_Swaziland_ALL_IN.pdf
  
[From the introduction]: "This report presents the rapid assessment of HIV and cross-sectoral adolescent programmes in Swaziland. [It] highlights the HIV programme context for adolescents in Swaziland, the objectives, and methodology for the rapid assessment. It also presents the key findings, priority actions, and next steps to strengthen the adolescent component of the national HIV programme, as part of the All In agenda to end AIDS among adolescents.
HIV, HCV, and TB Pipeline Report: Drugs, Diagnostics, Vaccines, Preventive Technologies, Research Toward a Cure, and Immune-Based and Gene Therapies in Development
Pipeline Report

http://www.pipelinereport.org/home
  
The 2015 Pipeline Report presents information on the development of new drugs, diagnostics, vaccines, and preventive technologies for HIV, Hepatitis C, and tuberculosis; these include recently approved drugs and those with pending approval and testing, as well as the companies responsible for development. The report also highlights the need for affordable medications and examines the development pipeline's potential impact on the costs of future first-line regimes.
Oral Pre-Exposure Prophylaxis: Putting a New Choice in Context
UNAIDS

http://www.unaids.org/sites/default/files/media_asset/UNAIDS_JC2764_en.pdf
  
This UNAIDS publication on oral pre-exposure prophylaxis (PrEP) anticipates the WHO's updated guidance for HIV treatment, which includes PrEP as an additional HIV prevention choice. The document is intended to complement WHO recommendations, support the optimal use of oral PrEP to protect individuals, and contribute to ending the AIDS epidemic.
AdvocacyAdvocacy
The Vancouver Consensus
International AIDS Society Conference 2015

http://vancouverconsensus.org/
  
The Vancouver Consensus calls on HIV and AIDS stakeholders to mobilize resources and support to ensure that all people living with HIV have access to immediate treatment. High-level representatives from governments, donors, and research and civil society organizations signed on to the declaration, which also endorses the UN's 90/90/90 goals.
Time to Step-Up: Prioritise Children, Adolescents, Families and Carers Affected by AIDS in Eastern and Southern Africa
RIATT-ESA and Coalition for Children Affected by AIDS

https://riatt-esa.squarespace.com/resources-page-holder/2015/7/30/time-to-step-up-prioritize-children-adolescents-families-and-carers-affected-by-aids-in-eastern-and-southern-africa-executive-summary
  
The Regional Inter Agency Task Team on Children & AIDS: Eastern & Southern Africa and the Coalition for Children Affected by AIDS outline actions needed to prioritize children affected by AIDS in the era of the Sustainable Development Goals. These steps include better integration of strategies into regional and national plans; provision of care and support to ensure optimal development; and scale-up of treatment, prevention, and access to services for children and their caretakers.
InterviewInterview with Reverend MacDonald Sembereka

HIV Policy and Advocacy Monitor: Can you tell us a bit about your personal history and your work in the response to HIV?
                                                                                                                          
My passion is to create a just and humane society for all people. This passion has led me to work as a social worker; a hospice chaplain; an advisor to Joyce Banda, the former president of Malawi; a human rights activist; and a priest. Through my experiences in social work, I made a connection between the violation of human rights and the HIV epidemic. I began to examine the human rights aspects of the epidemic, especially in terms of ensuring access to treatment, services for all, and government support to people affected by or living with HIV.
  
Early in my career, I lost some of my villagers to the HIV epidemic. The potential for stigma from others knowing about their condition kept them from seeking lifesaving treatment; this realization ignited my quest to fight for the rights of people living with HIV. We must strive to prevent stigma and discrimination in the faith community, in and beyond the context of HIV.

  
HIV Policy and Advocacy Monitor: Why is advocacy important in the response to HIV?
  
Advocacy, to me, is about accountability and justice, and ensuring that those responsible for the safety and welfare of others adequately provide what is required of them. Anyone who holds public office or whose salary is provided by taxpayers is given the citizens' trust -- they must be held accountable for their actions and how they spend taxpayer dollars. When it comes to HIV treatment access, this means ensuring that no one is left behind, untreated. In my experience, providers are often reluctant to provide services because of their own perceptions of stigma; it occurred to me that broad approaches might be necessary -- both at service delivery points and in the community to address drivers of stigma -- to end this bottleneck.

  
HIV Policy and Advocacy Monitor: Why are faith-based organizations important in the HIV response?
  
First, faith-based organizations provide 30-70 percent of general health services in sub-Saharan Africa; they cannot be ignored. Second, there have been both faith-driven stigma and cases in which faith communities and governments align to promote stigma and discrimination. Faith entities must stand up to these powers. Particularly in Africa, faith has a moral obligation to help shift the national discourse, policy development, and public perceptions of people living with HIV. I think the voice of the faith community -- especially the voice of reason within faith -- is imperative to offer a compelling reason to ensure service provision for all and to hold those in power accountable.

  
HIV Policy and Advocacy Monitor: Can more be done to engage religious leaders in the response to HIV?

Faith communities provide tremendous support to HIV efforts globally, although some organizations ignore this role. Larger organizations must broaden their scope to establish partnerships and support the work undertaken by faith-based organizations. The Global Interfaith Network embodies the cooperative aspect of partnerships, where we can work to share ideas and lessons learned, as well as focus on generating and sharing data.
  
In this regard, though, I think that a divide remains within the spectrum of faith-based organizations; some remain conservative, while others adopt a more progressive approach. Our network must ensure continued engagement from these progressive entities by providing technical, moral, and financial support. Furthermore, given the potential impact of progressive faith-based organizations, the international community needs to engage with them to the extent that it engages with secular organizations. Faith-based organizations have strong bonds with their constituents and possess both the voice and the perception of moral ground to advance positive interventions within communities. They are often the ones who provide services to the hardest-to-reach populations, and their endorsements of ideas or concepts are taken seriously in African nations.

  
HIV Policy and Advocacy Monitor: What are the main policy priorities for you and the Global Interfaith Network?
  
At this point, our main priorities -- both in Africa and globally -- include the decriminalization of sodomy and the development of inclusive and universal policies, both within and outside the health sector. There can be no meaningful human development if we leave groups behind; our focus is to provide safe spaces for everyone and protection to all.

The USAID- and PEPFAR-funded Health Policy Project's HIV Policy and Advocacy Monitor is a monthly newsletter focusing on the advancement, development, and analysis of policies, advocacy campaigns and organizations, and policy-related data to inform the response to HIV and AIDS at the global, national, and local levels. It includes news items, resources, advocacy reports, and innovative policy analyses on a wide range of topics such as treatment, key populations issues, gender, and financing for HIV policies and programs.

 

If you would like to suggest an item for inclusion in the next issue, please send it to: [email protected].