A/HRC/32/25 how to address policy incoherence in public health, trade, the justifiable rights of inventors, and human rights. Today, the world was facing innovation restricted to the rich and health systems in a state of near-collapse, and not only in the Global South. This situation was characterized by high and unjustifiable prices of new products and the unaffordability of new technologies. The international community needed to be bold and find ways to overcome the barriers, which included regulatory and intellectual property barriers, and to redouble its efforts to strengthen health systems and ensure healthy lives for all, in line with the ambitious agenda committed to in the Sustainable Development Goals. 20. Dr. Dybul stated that the Global Fund had disbursed nearly $4 billion to support local programmes that had prevented the premature deaths of millions of people from HIV, tuberculosis and malaria. There had been great progress, he said, with almost every country now implementing prevention and treatment programmes. HIV did not affect people equally, and the international community had to move towards being more inclusive. The Global Fund had had a human rights objective in its strategy since 2011. In many settings, the impact of the Global Fund’s grants was greatly reduced because of human rights-related barriers to services, such as women and girls being denied access to testing and treatment. 21. Dr. Dybul noted that UNAIDS, which was a close partner of the Global Fund, had defined seven key programmes that reduced human rights-related barriers to services, including programmes for legal literacy, also referred to as “know your rights” programmes. However, investment in those programmes remained minimal. Introducing and scaling up programmes that removed human rights barriers to accessing services would be among the main objectives of the Global Fund’s strategic framework for 2017 to 2022. Efforts would be concentrated on 15 to 20 countries that had particular needs as well as particular opportunities for introducing and scaling up programmes. The aim was increased uptake and ongoing use of services through decreased levels of stigma and discrimination. 22. Mr. Pūras underlined the role of health-care settings as spaces where key populations should have access to the services and information they needed. All over the world, people faced various forms of discrimination in relation to health care. Evidence showed that health-care settings were among the environments where people most often experienced HIV-related stigma and discrimination. Such discrimination was often linked, among other factors, to gender, race, socioeconomic status, age, sexual orientation, gender identity and expression, drug use or HIV status. Some of the most common manifestations of discrimination in health-care settings included the denial of health care and unjust barriers in service provision, inferior quality of care, disrespect, abuse and other forms of mistreatment, and extreme violations of autonomy and bodily integrity. Evidence had shown that the interventions that worked the best were those that were based on a strong human rights approach, and that quality health care had to be provided in a timely manner without discrimination. C. Interventions by representatives of States members of the Human Rights Council, observer States and other observers 23. In the ensuing discussion, contributions were made, in the following order, by representatives of Brazil on behalf of Colombia, Mozambique, Portugal and Thailand, Pakistan on behalf of the Organization of Islamic Cooperation, the Dominican Republic on behalf of the Community of Latin American and Caribbean States, Kuwait on behalf of the Group of Arab States, the European Union, Portugal on behalf of the Community of Portuguese-speaking Countries, Saint Vincent and the Grenadines, Egypt, Poland, Colombia, Morocco, India, the United States of America, Chile, Denmark, Paraguay, Estonia, Saint Kitts and Nevis, Namibia, El Salvador, Switzerland, Monaco, the Islamic Republic of Iran, Malawi, Panama, Australia, Austria, Ecuador, Uruguay and Cuba. Some 7

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