While global prevalence of HIV infection (percentage of persons infected with HIV) appears to have stabilized in recent years, the global number of people living with HIV is increasing because of ongoing accumulation of new infections with longer survival times, measured over a continuously growing general population.
Across the world, a small but growing number of countries have reduced HIV prevalence through sound prevention efforts. The high rates of transmission of HIV result largely from failure to use the available and effective prevention strategies and tools, and poor coverage of HIV prevention programmes. HIV prevention services were only reaching 20% of people in need in 2005, while coverage for key populations at higher risk of exposure to HIV were considerably lower.
Effective HIV prevention programming focuses on the critical relationships between the epidemiology of HIV infection, the risk behaviours that expose to HIV transmission, and also addresses the collective social and institutional factors, such as sexual norms, gender inequality, and HIV related stigma, that will otherwise continue to fuel HIV epidemic.
Risk behaviours are enmeshed in complex webs of economic, legal, political, cultural and psychosocial determinants that must be analyzed and addressed by policies that are also effectively implemented, and through scaled-up programming.
Comprehensive HIV prevention requires a combination of programmatic and policy actions that promote safer behaviours, reduce vulnerability to transmission, encourage use of key prevention technologies, promote social norms that favor risk reduction and address drivers of the epidemic.
Effective prevention efforts focus on measures that directly support risk reduction by providing information and skills as well as access to needed commodities (such as condoms, sterile injecting equipment, and drug substitution therapy) for the populations most in need. In short, national planners and policymakers must: 1) Know their epidemic; and 2) Set priorities accordingly.
Prevention and treatment must be scaled up in a balanced way, to capitalize fully on synergies between the two. Comprehensive HIV prevention requires a combination of programmatic interventions and policy actions that promote safer behaviours, reduce biological and social vulnerabilities to transmission, encourage use of key prevention technologies, and promote social norms that favour risk reduction.
HIV prevention includes addressing an array of issues discussed in other thematic areas in the policy section of the website. Forging links among HIV prevention with related programmes and services such as sexual and reproductive health services and legal services for women, can also contribute to intensification of HIV prevention. Strong linkages as well as special efforts to reach those at higher risk and excluded from access to services will result in more relevant and cost-effective programmes with greater impact.
Essential Policy Actions for HIV Prevention
- Ensure that human rights are promoted, protected and respected and that measures are taken to eliminate discrimination and combat stigma.
- Build and maintain leadership from all sections of society, including governments, affected communities, nongovernmental organizations, faith-based organizations, the education sector, media, the private sector and trade unions.
- Involve people living with HIV, in the design, implementation and evaluation of prevention strategies, addressing the distinct prevention needs.
- Address cultural norms and beliefs, recognizing both the key role they may play in supporting prevention efforts and the potential they have to fuel HIV transmission.
- Promote gender equality and address gender norms and relations to reduce the vulnerability of women and girls, involving men and boys in this effort.
- Promote widespread knowledge and awareness of how HIV is transmitted and how infection can be averted.
- Promote the links between HIV prevention and sexual and reproductive health.
- Support the mobilization of community-based responses throughout the continuum of prevention, care and treatment.
- Promote programmes targeted at HIV prevention needs of key affected groups and populations.
- Mobilizing and strengthening financial, and human and institutional capacity across all sectors, particularly in health and education.
- Review and reform legal frameworks to remove barriers to effective, evidence based HIV prevention, combat stigma and discrimination and protect the rights of people living with HIV or vulnerable or at risk to HIV.
- Ensure that sufficient investments are made in the research and development of, and advocacy for, new prevention technologies.
The latest from the GCWA
14 Dec, 2009|
(Dec. 14, 2009) — Today the UK-based Microbicide Development Programme (MDP), a partnership of African and European researchers, announced the results of its Phase III clinical trial of PRO 2000, a vaginal gel being tested to prevent HIV transmission to women during sex.
12 Dec, 2009|
El secretario de Salud, José Ángel Córdova Villalobos, propuso al Consejo Nacional para la Prevención y Control del VIH/sida (Conasida) incrementar el volumen de compra de condones para mujeres, con el propósito de contrarrestar la feminización de la epidemia y por una cuestión de equidad de género. Por primera vez este año, el Centro Nacional para el Control del VIH/sida (Censida) adquirirá 250 mil preservativos para mujeres, gracias a un convenio de colaboración con el Fondo de Población de Naciones Unidas.
9 Dec, 2009|
Rwanda / Prevention: Breastfeeding with maternal antiretroviral therapy or formula feeding to prevent HIV postnatal mother-to-ch
The aim of the study was to assess the 9-month HIV-free survival of children with two strategies to prevent HIV mother-to-child transmission in a nonrandomized interventional cohort study. Four public health centres in Rwanda enrolled participants between May 2005 and January 2007. All consenting HIV-infected pregnant women were included. Women could choose the mode of feeding for their infant: breastfeeding with maternal antiretroviral therapy for 6 months or formula feeding. All received antiretroviral therapy from 28 weeks of gestation.
9 Dec, 2009|
Tanzania / Prevention: Comparing couples’ and individual voluntary counseling and testing for HIV at antenatal clinics in Tanzan
Voluntary counselling and testing for couples is an important HIV-prevention effort in sub-Saharan Africa where a substantial proportion of HIV transmission occurs within stable partnerships. This study aimed to determine the acceptance and effectiveness of couples voluntary counselling and testing as compared to individual voluntary counselling and testing.
4 Dec, 2009|
The HIV/AIDS prevalence among expectant mothers in Namibia is decreasing since 2002, Prime Minister Nahas Angula said this week. “It is indeed very encouraging to see that our efforts over many years of fighting HIV/AIDS in Namibia are indeed bearing fruits,” he said. Angula said this during the annual commemoration of World AIDS Day.
1 Dec, 2009|
Last month my second son, Jack, would have been 17 years old, were it not for AIDS. That’s how long ago that I learnt that I am HIV positive. I was 33. That means a third of my life has now been spent with my knowing that I share my body with this bug. How does that make me feel? Physically speaking, I am very healthy, You can see that just by looking at me. My CD4 count is 650 or so and last month I cycled 45 miles one day on holiday – and apart from a sore bum, felt just fine.
1 Dec, 2009|
ATHENA - 10 reasons why criminalization of HIV exposure or transmission harms women
23 Nov, 2009|
Bangladesh / GCWA partner: Sports for girls are more than play in Bangladesh, they’re tool for progress (even survival)
Sport is a tool for social, political and economic equality. In Bangladesh — where girls face routine physical violence, child marriage, and are denied the same access to education as boys — that couldn’t be more critical. Consider that the country’s Demographic and Health Survey showed that 36 percent of women believe that “wife beating is justified.” Clearly, the power of sport to build physical strength and self-worth among schoolgirls is about more than play.
17 Nov, 2009|
CHANDIGARH: One may think that those residing in rural areas lack knowledge on HIV/AIDS. However, surprisingly, a major chunk of urban women know little on the disease which has become a world-wide threat.
16 Nov, 2009|
La vida de los bebés de madres portadoras del VIH/SIDA depende de un cuidado adecuado.