UNAIDS: The First 10 Years

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UNAIDS The First 10 Years100In West Africa, Côte d’Ivoire has hasdrecorded the highest prevalences of HIVin the region since the start of sentinelsurvailence. UNAIDS/UNICEF/Giacomo Pirozzi
Côte d’IvoireCôte d’Ivoire101In West Africa, Cote d’Ivoire has recorded the highest prevalences of HIV in theregion since the start of sentinel surveillance. In 1986 prevalence among pregnantwomen was found to be 3%, increasing to 14% in 1995, while a national surveyfound estimated prevalence of 9.5%. Among sex workers, the figures emerging fromcross-sectional studies have been particularly alarming, ranging from 27% in 1986 to89% in 1992-1993, decreasing to 28% in 2000. Currently (2007) national adult HIVprevalence is estimated at 7.1%.The coup d’état in December 1999 and the outbreak of civil conflict in September2002 resulted in Côte d’Ivoire’s mixed success in fighting its epidemic, and thesecircumstances have also posed challenges to the United Nations system.One intervention, the Drug Access Initiative, was launched in 1998 by the IvorianMinistry of Health in collaboration with UNAIDS, the United States Centers forDisease Control and Prevention RETRO-CI project, the Agence Nationale deRecherche sur le SIDA (National Agency for AIDS Research) and the InfectiousDisease Clinic of the Hôpital de Treichville. By March 2000, antiretroviral treatmentwas provided through six medical centres in Abidjan, prescribing treatment to 649people, while 2144 people in total had passed through the eligibility screening. Whilethese numbers were modest, the programme was the first to provide treatment inCôte d’Ivoire at that time. After the first two years, the programme was absorbed bythe Ministry of Health and now represents the main treatment programme in thecountry. Through the creation of a national solidarity fund ofUS$ 2.5 million in 1998, the government put in considerable national resources tosustain this treatment programme.The majority of people who had received treatment by November 2005, a total of17 600 out of an estimated 111 000 who would need it, accessed it through publicsector facilities spread over 33 out of 79 districts in the country. According to theWorld Health Organization’s 2005 Summary Country Profi le for HIV/AIDS TreatmentScale Up – Côte d’Ivoire, voluntary counselling and testing services are accessible in 95facilities, again mostly in the public sector.The National AIDS Programme, RETRO-CI project and the Antwerp Instituteof Tropical Medicine are also running a successful HIV prevention and supportprogramme with sex workers – initiated through the Clinique de Confiance launchedby Peter Ghys, now Manager of Epidemic and Impact Monitoring at UNAIDS.
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UNAIDSThe First 10 Years1996-2007by
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ContentsUNAIDS History: Preface 5Ch
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UNAIDS History: PrefaceThis is the
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Chapter 1Chapter 1:The beginning of
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Chapter 1AIDS was also treated as a
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Chapter 111AIDS activist and writer
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Chapter 1The United Nations respons
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Chapter 1AIDS prevention’. In Dec
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Chapter 117A Zimbabwean woman being
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Chapter 1GPA’s fate was sealed in
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Chapter 1The Task Force’s main pr
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Chapter 123With growing rates ofHIV
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Chapter 1million new HIV infections
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Chapter 2Chapter 2:The development
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Chapter 2strongly that UNAIDS by no
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Chapter 23115th meeting of theUNAID
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Chapter 233Peter Piot on the dayof
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Chapter 235The group who attendedPe
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Chapter 237Participants at theUNAID
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Chapter 2Although the relationship
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Chapter 2Throughout 1995, UNAIDS st
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Chapter 2Agreeing the budget43There
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Chapter 2many other global programm
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Chapter 3Chapter 3:UNAIDS opens for
Page 51 and 52: Chapter 3She added that it was, nev
Page 53 and 54: Chapter 3resources. “The UN colle
Page 55 and 56: Chapter 3Groups in moving from the
Page 57 and 58: Chapter 3De Lay explained: “And t
Page 59 and 60: Chapter 3their resources, because t
Page 61 and 62: Chapter 359In 1996 scientistsannoun
Page 63 and 64: Chapter 3In collaboration with the
Page 65 and 66: Chapter 3Prevention: the crucial is
Page 67 and 68: Chapter 3Establishing the broad coa
Page 69 and 70: Chapter 3The World AIDS Campaign67I
Page 71 and 72: Chapter 3“UNAIDS did seem to be a
Page 73 and 74: Chapter 3Bertozzi also talks about
Page 75 and 76: Chapter 4CHAPTER 4:Changing the pol
Page 77 and 78: Chapter 4But too many political lea
Page 79 and 80: Chapter 4technical standards and en
Page 81 and 82: Chapter 479Lucky Mazibuko wasthe
Page 83 and 84: Chapter 481Participants at theCospo
Page 85 and 86: Chapter 4The United Nations Office
Page 87 and 88: Chapter 4systems. As the UNAIDS Pro
Page 89 and 90: Chapter 4“I had no ideathat that
Page 91 and 92: Chapter 4Such feelings led, in July
Page 93 and 94: Chapter 4UNAIDS’ partnershipwith
Page 95 and 96: Chapter 4A furtherchallenge wasto p
Page 97 and 98: Chapter 4The Secretary-General’s
Page 99 and 100: Chapter 4should not be talking abou
Page 101: Chapter 4their habit while in priso
Page 105 and 106: Côte d’IvoireSubstantial financi
Page 107 and 108: Chapter 5Chapter 5:The end of the b
Page 109 and 110: Chapter 5Piot recalled: “There ha
Page 111 and 112: Chapter 5Fighting for AIDS treatmen
Page 113 and 114: Chapter 5and discrimination were hi
Page 115 and 116: Chapter 5“We’re keen on this pa
Page 117 and 118: Chapter 5UNAIDS has developed an ad
Page 119 and 120: Chapter 5major donor in the early y
Page 121 and 122: Chapter 5“I let people seethat I
Page 123 and 124: Chapter 5Policy making: increasing
Page 125 and 126: Chapter 5123Still far too manyposit
Page 127 and 128: Chapter 5The Agreement on Trade-Rel
Page 129 and 130: Chapter 5Crucially, condom supplies
Page 131 and 132: Chapter 5to treatment as well as pr
Page 133 and 134: Chapter 5Nina Ferencic, UNAIDS Regi
Page 135 and 136: Chapter 5133The AIDS red ribbonglow
Page 137 and 138: Chapter 5135UNGASS helped to putthe
Page 139 and 140: Chapter 5The International Labour O
Page 141 and 142: UkraineUkraine139Ukraine has the hi
Page 143 and 144: UkraineDevelopment Programme,the Un
Page 145 and 146: Ukraineare allocated for the provis
Page 147 and 148: Chapter 6Chapter 6:Changing the Uni
Page 149 and 150: Chapter 6147Women urgently need tob
Page 151 and 152: Chapter 6Major reasons for this wer
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Chapter 6Roger Salla Ntounga, now U
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Chapter 6Continuing advocacy153“A
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Chapter 6Zackie Achmat ( secondfrom
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Chapter 6and discussions on HIV-rel
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Chapter 6also a seat for a person a
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Chapter 6not to replace existing di
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Chapter 6163Attitudes to AIDS inChi
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Chapter 6By the end of theAAI, perc
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Chapter 6167Former US PresidentBill
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Chapter 62003 - a year of the signi
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Chapter 6was the requirement that 3
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Chapter 6monitoring and evaluation.
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Haiti175Haitian AIDSorphans queuein
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Haiti177Haiti has the highestpreval
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Haitihave AIDS?), by Haiti’s most
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Chapter 7Chapter 7:Making the money
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Chapter 7183At a youth forum onHIV/
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Chapter 7Kristan Schoultz, former U
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Chapter 7ment and health even thoug
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Chapter 7latures and citizens, dono
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Chapter 7Piot commented that when h
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Chapter 7Since 2004, UNAIDS has pla
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Chapter 7Challenges to the “Three
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Chapter 7197Sex workers inCalcutta
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Chapter 7Special human resources pr
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Chapter 7from the developed world f
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KenyaKenya - an early proponent of
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KenyaIn response to this challenge,
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Kenya207Charles aged 9, receivesora
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Chapter 8CHAPTER 8:Improving the fo
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Chapter 8“Prevention ischallengin
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Chapter 8213UNAIDS ExecutiveDirecto
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Chapter 8Sigrun Mogedal, who is cur
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Chapter 8217The rates of HIV have s
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Chapter 8The GCWA provided funds to
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Chapter 8The needs of children and
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Chapter 8The project aimed to bring
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Chapter 8Worldwide, it wasestimated
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Chapter 8The “3 by 5” initiativ
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Chapter 8Kevin Moody, a former memb
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MalawiMalawi231Malawi, a sub-Sahara
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MalawiUNAIDS adopted a two-pronged
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Malawigovernment structures and sys
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Malawi… usher in the new era of d
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Malawi239Today, increased numbersof
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MalawiUNAIDS has helped to coordina
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Chapter 9Chapter 9:Looking to the f
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Chapter 9Putting AIDS on the politi
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Chapter 9A global reference point24
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Chapter 9249UN Secretary-GeneralKof
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Chapter 9Stigma, human rights and t
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Chapter 9Coalition building253As th
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The challengesThe challenges: the n
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The challenges257HIV/AIDS awareness
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The challengesto HIV infection. Thu
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The challengesThe challenges:need t
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The challengesConclusion263Given th
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Acronyms265NACCNGONIHOAFLAOECDPAFPA
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Index267antiretrovirals see drugs f
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Indexsupply problems 123women 214,
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IndexFrançois-Xavier Bagnoud Cente
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IndexHauya, Roy (Malawi, National A
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IndexLatin America, Horizontal Tech
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IndexNakajima, Hiroshi (WHO Directo
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Index2007 statistics 243Haiti 178pr
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IndexSimon, Yolanda (Caribbean Regi
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IndexUN Economic and Social Council
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IndexWensley, Penny (Australia) 127
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Uniting the world against AIDS
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UNAIDS: The First 10 Years

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