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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