A/HRC/41/27
relations and the prohibition of discrimination based on sexual orientation. He praised the
African Commission on Human and Peoples’ Rights, welcomed its resolution 275 and its
report on HIV, human rights and the law. He also welcomed the key population strategy
implemented by the Southern African Development Community. Dr. Odumosu elaborated
on these examples, highlighting the important role played by civil society at the regional
level, and praised regional funding programmes that supported joint advocacy.
16.
During the interactive dialogue, representatives of Nigeria, France, India, Malaysia,
Thailand, Egypt, the Republic of Moldova, Azerbaijan, the Geneva Platform on Human
Rights, Health and Psychoactive Substances and the Global Network of People Living with
HIV took the floor. The representative of Nigeria stated that the State provided HIV
services to all, without discrimination, referring also to the strategy led by the National
Agency for the Control of AIDS on prevention, care and treatment. The representative of
France highlighted the State’s efforts to fight stigma and to provide access to treatment,
paying special attention to the situation of vulnerable populations, such as sex workers, and
also expressed concern over the situation of migrants, often in an irregular situation and
with limited access to the health system. In Malaysia, the National Strategy and Plan had
the objective of ensuring that 90 per cent of key populations were screened, 90 per cent
were offered treatment and 90 per cent adhered to a health plan; since screening and
treatment had been provided to pregnant women, mother-to-child transmission of HIV had
been eliminated. In Thailand, anti-retroviral treatment had been universally available since
2014, and the Government worked on reducing stigma, including through the training of
health-care workers. The national strategy (2017–2030) had the objective of eliminating
HIV. The representative of India highlighted the importance of prevention as part of the
national strategy alongside inclusivity, equity and needs-based treatment, and shared the
legal framework for 2017 to address stigma against persons living with HIV. The
representative of Egypt highlighted the importance of promoting human rights in the
response to HIV, and of the fight against discrimination, and asked how access to
medicines and prevention could be integrated. The representative of the Republic of
Moldova reiterated the State’s commitment to the response to HIV and to ending the HIV
epidemic by 2030 through an intersectoral approach rooted in human rights and prevention.
The representative of Azerbaijan shared the State’s HIV national action plan for 2020, and
highlighted the importance of awareness-raising and training, including of young people
and migrants.
17.
The representative of the Geneva Platform on Human Rights, Health and
Psychoactive Substances stressed the need to consider the rights of people who use drugs in
the response to HIV as they often suffered from co-infections and co-morbidity. The
Geneva Platform welcomed the uptake of harm reduction strategies, called for further
programmes to be adopted, highlighted the fact that criminal and punitive laws tended to
drive people away from health services, and also mentioned its concern at the reported
extrajudicial killing of persons who use drugs in the Philippines. The Global Network of
People Living with HIV alluded to the ongoing struggle to translate human rights into
concrete interventions and policies in the response to HIV.
18.
In response to the issues raised by participants, Dr. Odumosu welcomed the progress
made in Nigeria, but suggested that an assessment of the legal environment would be useful
to ascertain how the law affected access to services. He observed that the criminalization of
populations hindered their access to services, and called for training of health-care and law
enforcement personnel. Ms. Clayton referred to the Fast-Track and Human Rights
Guidance prepared by UNAIDS as a key resource for policymakers. The Special
Rapporteur highlighted the need for consistency in the response to HIV, and pointed out the
importance of a coordinated approach at the regional and global levels. Moreover, he
emphasized the need to maintain a good balance between biomedical interventions and
alternative community-based services, between prevention and treatment, and in
cooperation between authorities and civil society. Dr. Baral emphasized the need to
strengthen the accountability of physicians, spoke against stigma and discrimination, and
called upon the health sector to respect confidentiality.
6
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