A/HRC/32/25
(a)
The AIDS epidemic is, today more than ever, characterized by stigma
and discrimination. People living with HIV continue to face stigma and discrimination
in all sectors, including within families and communities, at the workplace and in
health-care settings. The people who are the most vulnerable to HIV, who include
women and girls, sex workers, lesbian, gay, bisexual and transgender people, people
who inject drugs and people in detention, face high levels of stigma and
discrimination. Addressing stigma and discrimination in all aspects of life and society,
including in health-care settings, is therefore the essential basis for ending AIDS by
2030.
(b)
Universal health coverage is fundamental to an effective HIV/AIDS
response, and every person should have access to appropriate medical attention and
services. Beyond simply expanding coverage, it is essential to bring about equitable
access to health care for all. Rights-based health services are needed, in order to
ensure the availability, accessibility, acceptability and quality of treatment without
discrimination. Special approaches are needed to reach marginalized groups and
other populations who are being left behind and who face greater barriers to
accessing health care, and these groups should be enabled to participate in the design
and implementation of policies to address HIV/AIDS.
(c)
Access to medicines for all is essential to ending AIDS and to realizing
the right to health. Scientific freedom, which has led to advancements in health
technologies, comes with the associated right for everyone to be able to enjoy its
benefits and applications. Intellectual property rights must not be allowed to take
precedence over public health and over the right of all persons living with HIV/AIDS
to have access to life-saving medicines. As the tools for ending AIDS are available,
they must be made accessible to all those who are in need of treatment. The human
right to health should take precedence over profit, and it is crucial that transformative
global cooperation be accelerated on the basis of the common aim of enabling access
to medicines for all.
(d)
It is essential to maintain efforts to review and reform laws, policies and
practices that adversely affect the successful, effective and equitable delivery of HIV
prevention, treatment, care and support programmes to people living with HIV and
other key populations, including the laws that criminalize, inter alia, drug users,
same-sex relations, sex workers, and HIV non-disclosure, exposure and transmission.
(e)
Human rights programmes that have proved successful in addressing
vulnerability to HIV, and in addressing barriers to accessing HIV treatment and
health care services, need to be scaled up and adequately funded. This should include
programmes aimed at eliminating stigma and discrimination against people living
with and affected by HIV and against their families, including by sensitizing the police
and judges, training health-care workers in non-discrimination, confidentiality and
informed consent, supporting national human rights learning campaigns, legal
literacy and legal services, and monitoring the impact of the legal environment on
HIV prevention, treatment, care and support.
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