A/HRC/41/27
B.
Improving human rights in the response to HIV through regional and
subregional strategies
19.
The panel was composed of Ralf Jürgens, Senior Coordinator for Human Rights at
the Global Fund to Fight AIDS, Tuberculosis and Malaria; Adeolu Ogunrombi, Project
Coordinator of YouthRISE Nigeria and West African Countries; Boemo Sekgoma, Acting
Secretary-General for the Southern African Development Community Parliamentary Forum;
and Marcela Romero, Regional Coordinator for RedLacTrans. Panellists agreed on the
centrality of human rights in the response to HIV, including in access to antiretroviral
treatment. They also highlighted the importance of addressing human rights for all,
including key populations, to ensure that the most marginalized and criminalized
populations were not left behind.
20.
Mr. Jürgens presented the efforts made by the Global Fund to Fight AIDS,
Tuberculosis and Malaria in integrating human rights into its grant cycle, having moved
from ad hoc and small-scale investment in programmes to comprehensive programming in
reducing the barriers facing human rights. The Global Fund now provided intensive support
to 20 countries, with baseline assessments and multi-stakeholder meetings leading to
country-owned plans, accompanied by a rigorous monitoring and evaluation framework.
Mr. Jürgens also identified persisting challenges, such as limited capacity and ownership of
the human rights agenda. Lastly, he referred to the Global Fund programmes operated at the
regional level as regional or multi-country grants.
21.
Mr. Ogunrombi reaffirmed the centrality of human rights in the response to HIV,
including for persons who used drugs, who should have access to core reduction services,
which were still lacking in many African countries. Mr. Ogunrombi called for the
meaningful involvement and participation of key populations in HIV response initiatives.
He also called for the repeal of punitive laws and policies that criminalized key populations,
in particular for drug users, which hindered their access to health care. He emphasized the
importance of regional efforts in the response to HIV, which made high-level advocacy
more effective, especially where States were reluctant to promote a human rights-based
approach to the epidemic.
22.
Ms. Sekgoma discussed the role of parliaments in advancing human rights in the
response to HIV. The Southern African Development Community Parliamentary Forum
had developed normative content, such as a model law on HIV, to serve as a yardstick for
national parliaments. The model law featured essential human rights principles relevant to
the response to HIV, such as preserving patient confidentiality, a legal requirement for
voluntary HIV testing, and also referred to comprehensive sexuality education within a life
skills framework. She explained how the Southern African Development Community
regional strategy was designed to build the capacity of parliamentarians and to strengthen
interparliamentary cooperation, and referred to the work of its oversight committee, which
had the task of monitoring the domestication of model laws. She concluded her presentation
by calling for interparliamentary collaboration in facilitating the sharing of knowledge and
experiences.
23.
Ms. Romero presented the situation of human rights of key populations, particularly
transgender persons, calling for the recognition and protection of their rights. She was
concerned that transgender persons carried a disproportionate burden of HIV, faced
violence and genocide, and lacked access to adequate and comprehensive health-care
services. She pointed out that HIV, violence and hate crimes were the main causes of
mortality among transgender persons who, every day, were criminalized and prosecuted
around the world. She therefore called upon the Global Fund to invest in political advocacy
for the protection and promotion of the rights of transgender persons. Poverty, migration
and social exclusion were the main causes of HIV prevalence among transgender persons in
Latin America. The States members of the Organization of American States had signed
treaties on gender diversity but were not implementing them.
24.
During the interactive dialogue, the representatives of Thailand, the Bahamas,
Angola and the Gambia, and of the International Network of People Who Use Drugs, WHO
and Aidsfonds took the floor. Thailand, on behalf of the Association of Southeast Asian
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