A/HRC/32/25
tackling the mother-to-child HIV transmission rate and by enacting stronger legislation to
fight child exploitation. Others drew attention to the protection of human rights at work as
being central to the fight against HIV/AIDS, including through the implementation of
international standards that provided protections against workplace discrimination and
prohibited mandatory HIV testing or screening as a precondition for employment.
29.
Many speakers described their national, regional and international efforts to end the
HIV/AIDS epidemic, citing specific examples of national progress that had resulted from
using strategies and approaches based on human rights. These were, among others, the
scaling up of resources for HIV/AIDS prevention, treatment and care; multisectoral,
regional and other partnership approaches, alongside integrated strategic planning across
service sectors; the provision of voluntary, anonymous and free testing for HIV; the
provision of free and effective antiretroviral therapy to all HIV-positive patients; the
provision of universal access to health care and to prevention programmes; sexual and
reproductive health-care strategies; programmes to prevent mother-to-child transmission;
programmes designed to tackle stigma and discrimination; and community-based,
participatory approaches to prevention, treatment and care, in which those affected by
HIV/AIDS were seen not as a problem but rather as part of the solution.
30.
Other speakers described the ongoing challenges that still impeded access to health
care and antiretroviral treatment for all those in need. They pointed out that the reasons why
many people were still being left behind in the HIV/AIDS response included inadequate
resources and capacity at the national level, the high pricing of antiretroviral treatment and
diagnostics, and insufficient progress in international cooperation on access to medicines.
Speakers also emphasized that addressing discrimination, which continued to drive
infection rates, was difficult. Some speakers noted that legislation and policies were not
enough to tackle discrimination and other factors driving the epidemic. Moreover, speakers
stressed that the situation of certain vulnerable groups made it particularly difficult to
ensure their access to HIV treatment, and to uphold their sexual and reproductive rights.
Some also noted that the Political Declaration on HIV and AIDS: Intensifying Our Efforts
to Eliminate HIV and AIDS, of 2011, remained an important agreed framework that
reaffirmed “the need for all countries to implement the commitments and pledges in the
present Declaration consistent with national laws, national development priorities and
international human rights”.2
III. Conclusions
31.
In their concluding comments, the panellists re-emphasized the imperative of
promoting quality health care and eliminating stigma and discrimination, through a
pragmatic approach guided by human rights. They emphasized that the Sustainable
Development Goals could only be achieved if non-discrimination and gender equality
were also achieved. In that regard, the panellists recommended a long-term approach
in which human rights were advanced as a priority, actions were targeted at the
groups and populations that were affected the most, and legal challenges and
opportunities were also prioritized. They identified Ghana and Mozambique as
examples of countries in which human rights progress had been achieved through
legislative measures, and urged the African region to tackle gender issues and other
key issues in which traditional beliefs and practices played a role, as the imperative
was to save human lives.
2
See General Assembly resolution 65/277, para. 2.
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