Blame & Banishment - Médecins du Monde
Blame & Banishment - Médecins du Monde
Blame & Banishment - Médecins du Monde
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<strong>Blame</strong> and <strong>Banishment</strong>: The underground HIV epidemic affecting children in Eastern Europe and Central Asia<br />
Foreword<br />
Eastern Europe and Central Asia continue to see rapid increases in HIV infections among<br />
men, women and children. Despite some notable successes in responding to the epidemic, it<br />
is unlikely that the Universal Access targets and the Millennium Development Goals (MDGs)<br />
related to HIV/AIDS will be achieved. Access to antiretroviral treatment is still among the<br />
lowest in the world, and stigma and discrimination that violate the basic rights and dignity<br />
of people living with and affected by HIV, including children, are hampering further progress<br />
in prevention, care and support.<br />
This report brings to life the experiences of children, families and young people living with<br />
HIV. It gives voice to their stories of despair, stigma and social exclusion, as well as to their<br />
courage and hope. It explores the systemic failures in responding to their needs and outlines<br />
some good practices. It also describes the contradictions that children and young people,<br />
particularly those who are most at risk of HIV, face on a daily basis: societies insist that<br />
they conform to social norms, yet exclude them and brand them as misfits; health and social<br />
protection systems do not serve their needs and diminish their chances of living normal<br />
lives, but blame them when they fail to cope. The report also features some compelling<br />
photographs of the realities of living on the edge.<br />
Policy reforms, programmatic shifts and a reallocation of resources to strengthen health<br />
and social protection systems are required if the further spread of the epidemic is to be<br />
halted. Reforms must aim to expand and grant equitable access to services for all, including<br />
those who are currently excluded and missed. Successes in HIV prevention, treatment and<br />
care can only be increased and sustained if they are underpinned by social environments<br />
that advance human and child rights, gender equality and social justice.<br />
<strong>Blame</strong> and <strong>Banishment</strong> is a call to address the remaining gaps in the response to HIV in the<br />
region. It is a call for protecting the rights and dignity of children and young people who are<br />
vulnerable, at risk and living with or affected by HIV. It is also a call to build an environment<br />
of equity, trust and care rather than blame and banishment.<br />
Steven Allen<br />
Regional Director<br />
UNICEF Regional Office for CEE/CIS<br />
VII