It calls for leadership by people living with HIV, including those from key populations
It transforms the concept of access to services, from a simple biomedical model to a holistic approach to meeting the needs of people living with HIV and their families in their communities
It puts the person living with HIV in the centre, and calls for a comprehensive set of actions – at policy and service delivery levels – that take into consideration the individual’s lived environment; and
It recognises the importance of meeting not only the person’s clinical needs but also their health needs and to protect their human rights.
The Opeational Guidelines were developed for and by people living with HIV based on numerous consultations at the global, regional, and national levels. It articulates the next stage in the HIV response, where people living with HIV are at the centre and services offered in an environment that is supportive to meet all the needs of people living with HIV and their families. Instead of being regarded by “positive prevention” programmes as mere recipients of care and vessels of a virus that needs to be contained, people living with HIV embrace a new paradigm where they are actively involved as part of the solution to the epidemic and not seen as part of the problem.