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ADVANCING HUMAN RIGHTS PRINCIPLES: SERVICES AND BEYOND

ADVANCING HUMAN RIGHTS PRINCIPLES: SERVICES AND BEYOND. MAKE THE CASE: GATHERING EVIDENCE. one in five people living with HIV reported having avoided visiting a health facility for fear of stigma or discrimination related to their HIV status;

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ADVANCING HUMAN RIGHTS PRINCIPLES: SERVICES AND BEYOND

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  1. ADVANCING HUMAN RIGHTS PRINCIPLES: SERVICES AND BEYOND

  2. MAKE THE CASE: GATHERING EVIDENCE • one in five people living with HIV reported having avoided visiting a health facility for fear of stigma or discrimination related to their HIV status; • one in four people living with HIV reported experiencing some form of discrimination when using health-care services; and • approximately one in three women living with HIV reported discrimination related to their sexual and reproductive health.

  3. INCLUSION GAPS In some countries more than 40% of transgender persons report avoiding health-care facilities because they fear stigma and discrimination. • PLHIV who perceived high HIV stigma were 2.4 times more likely to present late for HIV care • Stigma or fear of stigma leading to non-disclosure undermine ART adherence Lack of confidentiality in undermined HIV testing uptake in SSA countries • Fear of stigma a key barriers to initiating lifelong ART among pregnant women living with HIV in some settings

  4. SUPPORT LITIGATION AND LEGISLATORS • Sex workers • Men who have sex with men • People who inject drugs • Coercive Sterilization • Travel Restrictions

  5. MOBILIZE AND CATALYZE ACTION

  6. SUPPORT COUNTRY ACTION Emergency responses: • Malawi: comments on draft HIV law • Tanzania (on arrest of civil society members and lawyers) • China (on cases of deportation of a student living with HIV) • Zambia (revised UNAIDS/WHO guidance on HIV)

  7. MAKE HUMAN RIGHTS PROGRAMMATIC – TO IMPROVE LEGAL AND SOCIAL ENVIRONMENT FOR HIV AND BEYOND • Reform and monitor laws • Train police on non-discrimination, space for outreach, non-harassment, etc • Train health care workers on non-discrimination, informed consent, confidentiality, duty to treat, infection control • Legal services • Legal literacy (know your rights and laws) • Gender equality and reduce violence against women • Reduce HIV-related stigma

  8. FAST TRACK MUST BE GROUNDED IN HUMAN RIGHTS • Key human rights principles that should inform the scale-up of HIV services are: • Availability, accessibility, acceptability and good quality of services. • Non-discrimination and equality. • Privacy and confidentiality. • Respect for personal dignity and autonomy. • Meaningful participation and accountability

  9. BUILDING AND CROSSING BIDGES • Catalyze and support work with scientific community. • Build bridges across movements challenging criminalization

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