UNAIDS: The First 10 Years

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UNAIDS The First 10 Years208By 2004 it was very clear that the focus on treatmenthas overshadowed prevention. It was essential tostrengthen prevention and public education programmes,like this one in Moscow.UNAIDS/J. Spaul
Chapter 8CHAPTER 8:Improving the focus on prevention andkey populations, 2004-2005209While the storyof treatment isa dramatic taleof activists, ‘bigbad pharma’,demonstrationsand court cases,prevention is nota ‘sexy’ topic, andhas not receivedthe same mediaattention.Every day, UNAIDS’ staff in Geneva and in country offices were struggling to deal with theurgency and the long-term nature of the epidemic. At the same time as working on advocacyand policy issues, they had to be prepared for troubleshooting – from interruption in theantiretroviral drug supply to the jailing of gay AIDS educators. Every day, a broad range ofissues jostled for their attention. There would always be clear priorities, and ‘making themoney work’ was a major one for this biennium. But there was also a decision to focus moreon policies and programmes that had been sidelined, if not actually neglected – not only byUNAIDS, but by the ‘AIDS industry’ as a whole.Thus, during 2004 and 2005, the UNAIDS Secretariat and Cosponsors highlighted the factthat the focus on treatment had tended to sideline the importance of prevention, as well asovershadow the problem of the growing numbers of infected women.Prevention gains groundSince the announcement about the successful research findings on antiretroviral therapyat the 1996 Vancouver International AIDS Conference, it was inevitable that the spotlightwould be on treatment rather than prevention. While the story of treatment is a dramatictale of activists, ‘big bad pharma’, demonstrations, court cases and, to some extent, a happyending, prevention is not a ‘sexy’ topic, and has not received the same media attention.William Easterly, who was a Senior Research Economist at the World Bank for 16 years 1 , has criticizedthe donors for concentrating on treatment rather than prevention: ‘The rich-country politiciansand aid agencies get more PR [public relations] credit for saving the lives of sick patients,even if the interests of the poor would call for saving them from getting sick in the first place’.Ironically, until recently, the same donors – with the exception of France and Luxemburg –refused to fund antiretroviral therapy and put all their money into HIV prevention.Indeed, although antiretroviral therapy had reduced AIDS-related sickness and death in manycountries, there were still nearly 2.9 million HIV infections estimated in 2004 2 . These infectionscould have been averted had effective prevention programmes been in place. It wasestimated that a comprehensive HIV prevention package could prevent 29 million (or 63%)1Easterly W (2007). The White Man’s Burden: Why the West’s Efforts to Aid the Rest Have Done So Much Illand So Little Good. New York, Penguin Books.2UNAIDS/WHO (2004). AIDS Epidemic Update, 2004. Geneva, 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
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Chapter 3She added that it was, nev
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Chapter 3resources. “The UN colle
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Chapter 3Groups in moving from the
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Chapter 3De Lay explained: “And t
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Chapter 3their resources, because t
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Chapter 359In 1996 scientistsannoun
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Chapter 3In collaboration with the
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Chapter 3Prevention: the crucial is
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Chapter 3Establishing the broad coa
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Chapter 3The World AIDS Campaign67I
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Chapter 3“UNAIDS did seem to be a
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Chapter 3Bertozzi also talks about
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Chapter 4CHAPTER 4:Changing the pol
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Chapter 4But too many political lea
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Chapter 4technical standards and en
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Chapter 479Lucky Mazibuko wasthe
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Chapter 481Participants at theCospo
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Chapter 4The United Nations Office
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Chapter 4systems. As the UNAIDS Pro
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Chapter 4“I had no ideathat that
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Chapter 4Such feelings led, in July
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Chapter 4UNAIDS’ partnershipwith
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Chapter 4A furtherchallenge wasto p
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Chapter 4The Secretary-General’s
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Chapter 4should not be talking abou
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Chapter 4their habit while in priso
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Côte d’IvoireCôte d’Ivoire101
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Côte d’IvoireSubstantial financi
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Chapter 5Chapter 5:The end of the b
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Chapter 5Piot recalled: “There ha
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Chapter 5Fighting for AIDS treatmen
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Chapter 5and discrimination were hi
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Chapter 5“We’re keen on this pa
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Chapter 5UNAIDS has developed an ad
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Chapter 5major donor in the early y
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Chapter 5“I let people seethat I
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Chapter 5Policy making: increasing
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Chapter 5123Still far too manyposit
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Chapter 5The Agreement on Trade-Rel
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Chapter 5Crucially, condom supplies
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Chapter 5to treatment as well as pr
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Chapter 5Nina Ferencic, UNAIDS Regi
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Chapter 5133The AIDS red ribbonglow
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Chapter 5135UNGASS helped to putthe
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Chapter 5The International Labour O
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UkraineUkraine139Ukraine has the hi
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UkraineDevelopment Programme,the Un
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Ukraineare allocated for the provis
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Chapter 6Chapter 6:Changing the Uni
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Chapter 6147Women urgently need tob
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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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Page 161 and 162: Chapter 6also a seat for a person a
Page 163 and 164: Chapter 6not to replace existing di
Page 165 and 166: Chapter 6163Attitudes to AIDS inChi
Page 167 and 168: Chapter 6By the end of theAAI, perc
Page 169 and 170: Chapter 6167Former US PresidentBill
Page 171 and 172: Chapter 62003 - a year of the signi
Page 173 and 174: Chapter 6was the requirement that 3
Page 175 and 176: Chapter 6monitoring and evaluation.
Page 177 and 178: Haiti175Haitian AIDSorphans queuein
Page 179 and 180: Haiti177Haiti has the highestpreval
Page 181 and 182: Haitihave AIDS?), by Haiti’s most
Page 183 and 184: Chapter 7Chapter 7:Making the money
Page 185 and 186: Chapter 7183At a youth forum onHIV/
Page 187 and 188: Chapter 7Kristan Schoultz, former U
Page 189 and 190: Chapter 7ment and health even thoug
Page 191 and 192: Chapter 7latures and citizens, dono
Page 193 and 194: Chapter 7Piot commented that when h
Page 195 and 196: Chapter 7Since 2004, UNAIDS has pla
Page 197 and 198: Chapter 7Challenges to the “Three
Page 199 and 200: Chapter 7197Sex workers inCalcutta
Page 201 and 202: Chapter 7Special human resources pr
Page 203 and 204: Chapter 7from the developed world f
Page 205 and 206: KenyaKenya - an early proponent of
Page 207 and 208: KenyaIn response to this challenge,
Page 209: Kenya207Charles aged 9, receivesora
Page 213 and 214: Chapter 8“Prevention ischallengin
Page 215 and 216: Chapter 8213UNAIDS ExecutiveDirecto
Page 217 and 218: Chapter 8Sigrun Mogedal, who is cur
Page 219 and 220: Chapter 8217The rates of HIV have s
Page 221 and 222: Chapter 8The GCWA provided funds to
Page 223 and 224: Chapter 8The needs of children and
Page 225 and 226: Chapter 8The project aimed to bring
Page 227 and 228: Chapter 8Worldwide, it wasestimated
Page 229 and 230: Chapter 8The “3 by 5” initiativ
Page 231 and 232: Chapter 8Kevin Moody, a former memb
Page 233 and 234: MalawiMalawi231Malawi, a sub-Sahara
Page 235 and 236: MalawiUNAIDS adopted a two-pronged
Page 237 and 238: Malawigovernment structures and sys
Page 239 and 240: Malawi… usher in the new era of d
Page 241 and 242: Malawi239Today, increased numbersof
Page 243 and 244: MalawiUNAIDS has helped to coordina
Page 245 and 246: Chapter 9Chapter 9:Looking to the f
Page 247 and 248: Chapter 9Putting AIDS on the politi
Page 249 and 250: Chapter 9A global reference point24
Page 251 and 252: Chapter 9249UN Secretary-GeneralKof
Page 253 and 254: Chapter 9Stigma, human rights and t
Page 255 and 256: Chapter 9Coalition building253As th
Page 257 and 258: The challengesThe challenges: the n
Page 259 and 260: 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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