A/HRC/4/110
page 6
intravenous drug use. Mother-to-child transmission is low, with 80 per cent of pregnant women
with HIV receiving prophylaxis. The Government’s revised HIV strategy (2005) includes key
elements such as prejudice-free education and prevention (through a target group-oriented
approach), universal access to HIV testing, adequate treatment, care and support (including the
strengthening of social care), respect for human rights, non-discrimination, coordination and
cooperation with civil society, surveillance, research and continuous evaluation of achievements
for further improvement. The Government also reported on certain barriers to treatment,
including the situation of those not insured, migrants, and asylum-seekers.
11.
In its contribution, the Government of Guatemala provided details of the current state of
the disease in the country and government initiatives to respond to the challenge. The
Government has developed a strategy to extend provision of antiretroviral therapy to all who
require it, as well as providing services for prevention of mother-to-child transmission.
Programmes are carried out in cooperation with civil society, the private sector and international
partners, for example the Global Fund and the Joint United Nations Programme on HIV/AIDS
(UNAIDS), and in particular in respect of vulnerable groups, such as commercial sex workers,
injecting drug users and men who have sex with men. From 2006 the Government is developing
a plan for the purchase of antiretroviral medicines, including through an international tender
process. Government policy is based on a number of principles, including a focus on vulnerable
groups; access to health services, social security and sexual education; confidentiality;
participation of civil society and people living with HIV, in the planning, execution and
evaluation of all programmes; equal access to preventive treatment and care services for all
groups; transparency; decision-making based on proven science; and promoting the dignity of
those who have been discriminated against or marginalized. HIV/AIDS is addressed in the
Constitution, in the criminal code, and in a general AIDS law, which includes the promotion and
protection of human rights of people living with HIV.
12.
The Government of Japan reported that measures have been taken in accordance with
new HIV/AIDS prevention guidelines, in effect since April 2006. The three main themes of
these revised guidelines are: the promotion of policies responding to changes in the concept of
HIV/AIDS, previously considered as an “irremediable special disease” and now as a
“controllable general disease”; clarification of the division of roles between central and local
government; and a focus on target groups (for example men who have sex with men, youth) and
issues (for example women’s control over their own reproductive health). Measures were also
taken to guarantee provision of prevention and care services to prisoners, in accordance with
Guideline 4 of the International Guidelines on HIV/AIDS and Human Rights. Promotional
campaigns are organized by the human rights bodies of the Ministry of Justice, especially during
the annual Human Rights Week, with an emphasis on the issue of non-discrimination. Within
the framework of international cooperation, Japan underlines its participation in funding
(US$ 5.8 billion between 2000 and 2005, and a promise of US$ 5 billion for the five years from
2005) as well as its active role in the fight against HIV/AIDS, especially in the context of the
World Health Organization (WHO) and UNAIDS “3 by 5 initiative” which concluded in 2005.
13.
The contribution of the Government of Mexico underlined respect for human rights as the
basis of the Government’s national policy on HIV and AIDS, including the active participation
of all parts of society. In 2006, the public information campaign continued, with the
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