What will it take to end AIDS in Asia and the Pacific region by 2030?
Eamonn Murphy A , Ye Yu Shwe
A C , Reeta Bhatia A , Taoufik Bakkali A and Ravipa Vannakit B
+ Author Affiliations
- Author Affiliations
A Joint 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.
B Independent researcher.
C Corresponding author. Email: shwey@unaids.org
Sexual Health 18(1) 41-49 https://doi.org/10.1071/SH20204
Submitted: 18 November 2020 Accepted: 18 January 2021 Published: 3 March 2021
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.
Keywords: Asia, Asia–Pacific region, community interventions, health services, HIV/AIDS, HIV treatment and prevention, key populations, public health, policy.
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