The Gap Report

How do we close the gap between the people moving forward and the people being left behind? Similar to the Global report, the goal of the Gap Report is to provide the best possible data and to give information and analysis on the people being left behind.

Year of publication:

2014

Media:

Download UNAIDS-Gap-Report.pdf (2.54 MB)

Achieving an AIDS-Free Generation for Gay Men and Other MSM in Southern Africa

This report provides a comprehensive analysis to date of HIV-related funding and programming for MSM in six Southern African countries (Botswana, Malawi, Namibia, Zambia, Zimbabawe and Swaziland). The report also suggests actionable steps to improve the HIV response among MSM. A careful examination of MSM-related policies through donor and multilateral agencies reveals improved efforts but persistently inadequate investments and limited accountability for better results. On-the-ground consultations in the six countries highlighted some models for success combined with persistent, widespread stigma in all contexts and a lack of even the most basic HIV prevention services for MSM in most. The research in this report confirms that countries that criminalize same-sex sexual practices spend fewer resources on HIV-related health services for MSM, do less to track and understand the epidemic in their nations, and are more likely to repurpose donor funds intended to fight the epidemic among MSM. However, criminalization is only one obstacle to effective HIV programs for MSM. Stigma and discrimination in all contexts play equally important roles.

Year of publication:

2013

Media:

Download achieving-an-AIDS-free-generation-for-MSM-southern-africa.pdf (2.21 MB)

Guidance on Prevention of Viral Hepatitis B & C among People Who Inject Drugs

This guidance on prevention of viral hepatitis B and C among people who inject drugs is the first step in the provision of comprehensive guidance on viral hepatitis surveillance, prevention, and treatment by the World Health Organization. These recommendations are based on systematic reviews of scientific evidence, community values, and preferences and implementation issues.

The focus of this guidance is on low- and middle-income countries, but it applies equally to high-income settings. The WHO, UNODC, UNAIDS technical guide for countries to set targets for universal access to HIV prevention, treatment and care for injecting drug users presents a comprehensive package of interventions for HIV prevention, treatment and care for people who inject drugs. This document has helped to achieve global consensus with high-level political bodies, the United Nations, donor agencies and civil society organizations on adopting a public health response that best addresses HIV in countries facing epidemics of injecting drug use. The nine interventions of this package (see box) are also relevant to the prevention of viral hepatitis, in particular the first two, needle and syringe programmes and opioid substitution therapy.

Media:

Download Guidance-on-Prevention-2012.pdf (1.68 MB)

Guidance on Prevention of Viral Hepatitis B & C among People Who Inject Drugs – Policy Brief

Harm Reduction for People Who Use Drugs

Preventing HIV and other harms among people who inject drugs – and providing them with effective, appropriate, and voluntary treatment where needed or wanted – are essential components of national HIV responses, yet often present major challenges. People who inject drugs in low- and middle-income countries have limited and inequitable access to HIV prevention and treatment services. In prisons and pre-trial detention settings, access to comprehensive HIV prevention, treatment and care is even more limited despite evidence that drug use and sexual activity are prevalent in these settings.

Media:

Download harm-reduction-for-people-who-use-drugs-info-note.pdf (272.99 KB)