October Special Session - Intervention by Violeta Ross - Agenda Item 3: UBRAF 2022-2026

Delivered by Violeta Ross, Latin America and the Caribbean Delegate, on behalf of the NGO Delegation

Thank you, Chair.

I speak on behalf of the NGO Delegation from one province of Montero in Santa Cruz-Bolivia. I am here documenting a successful experience of social contracting of people living with HIV. This province has the highest rates of HIV, TB and now also of COVID-19.

Despite the hard conditions, the lack of information and support from the National AIDS Program, they managed to secure social contracting of five people living with HIV. This excellent outcome is a result of the alliance between local leaders living with HIV, health staffs who were trained in Japan by JICA and who now became representatives of the municipality.

As I attend this meeting, I can´t stop thinking how UNAIDS and the UBRAF are real for these people and local leaders like the ones in this province. For us, a fully funded UBRAF is essential to achieving the goals of the HIV response. While this new UBRAF has improved significantly, we think the document presented has to improve in the following areas:

We would like to see the indicators formulated sooner, not as late as June 2022.

We need clear mechanisms to be able to track the budget implementation at regional and country levels. Even for us, advocates who are part of a global policy making body like the UNAIDS PCB, this information is not always accessible.

The accountability mechanism has to give clear examples on what happens at regional level and how this becomes real for people with HIV and key populations. This accountability mechanism must also include Co-sponsors, especially with regards to utilization of UBRAF funds and results achieved.

HIV is a good example in governance in health, regarding the UBRAF, we have to maintain the accountability mechanisms at global, regional and country level. This is also a good advocacy tool for sustainable HIV financing. We must strengthen our investments in community-led responses. We urge Member States to work towards a fully-funded UBRAF and that is our main ask.

October Special Session - Intervention by Iwatutu Joyce Adewole - Agenda Item 3: UBRAF 2022-2026

Delivered by Iwatutu Joyce Adewole, Africa NGO Delegate, on behalf of the NGO Delegation


Chair,

I speak on behalf of the NGO Delegation.

I am a young woman from Africa, the epi-centre of the global HIV epidemic. I sit here watching member states debate the adoption of meeting reports and technicalities and improvements of the UBRAF, and wonder whether they will fulfil their promise to scale up the HIV response and meet the targets. Meanwhile, in Africa, members of all our communities continue to die of AIDS-related illness.

The world has lost 32.7 million people and seen 75.7 million become HIV positive; many because we are unable to create a sufficiently enabling environment, or access HIV prevention and treatment services, or because of unresponsive programmes, or punitive laws and policies. The cost of continuing to underfund UNAIDS going forward is that we will not prevent the 3.6 million new HIV infections and 1.7 million AIDS-related deaths we have committed to by 2030.

I want us all today to remember that the NGO Delegation is more than just 10 people. We are the communities of key populations living with and affected by HIV worldwide. Our engagement in the HIV response is non-negotiable -- we are at the forefront of innovative, practical, far-reaching, and cost-effective programmes and we want a fully-funded UBRAF that enables and fully supports community-led responses. The red ribbon of the response and of UNAIDS is a symbol of our promise to serve those communities and to end AIDS.

My message to you from girls and young women in Africa is simple. Approve, and fully fund this UBRAF. The time to act and invest is now.

I thank you.

October Special Session - Intervention by Jules Kim - Agenda Item 3: UBRAF 2022-2026

Delivered by Jules Kim, Asia Pacific Delegate, on behalf of the NGO Delegation


Thank you Chair, I speak on behalf of the NGO Delegation.

Our Delegation believes that a strong UNAIDS remains essential to the achievement of the Global AIDS goals, and as an essential ally in the struggle of our communities to overcome HIV and realize our rights to health and wellness. So many of our communities are still facing the burden of HIV across the regions, with concentrated epidemics among key populations in many regions, including my region, the Asia Pacific, where key populations represent 98% of new infections.

It thus goes without saying that we support a fully funded UBRAF 2022-2026.

That being said, we do not uncritically support it.

The UBRAF before us is vastly improved from previous versions. We believe, however: firstly, accountability must be tightened up significantly. Secondly, more transparency, especially from our perspective on how the scale up of community-led responses will be resourced. Thirdly, we and our constituencies are concerned to know what areas will not receive funding in the event of the UBRAF not being fully funded. It is our concern that critical interventions, especially on human rights, community-led responses and social enablers will be lost if UBRAF is not fully funded.

On the latter, however, we are concerned that this does not become a self-fulfilling prophecy. Those most vocal in asking what will happen in the event of an under-funded UBRAF, are those with the power to fully fund the UBRAF. Since 2016, the UBRAF has been under-funded. We have tied one hand behind UNAIDS’s back and then complained that it doesn’t fully meet our aspirations for it, and then used that to wonder whether we can fully fund UNAIDS. This must stop.

Chair, This UBRAF is not perfect. But in global health, the perfect is the enemy of the good. We call on member states here, and globally, to step up and put more money where their mouths are. Be part of the solution to the issues you raise. Fully find this UBRAF.

Call for submission on country case studies for the Thematic Segment of the 49th meeting of the UNAIDS Programme Coordinating Board


At its 47th meeting, the UNAIDS Programme Coordinating Board (PCB) agreed that the topic of the thematic segment of its 49th meeting would be “What does the regional and country-level data tell us, are we listening, and how can we better leverage that data and related technology to meet our 2025 and 2030 goals?”.The thematic segment will take place on 10 December 2021.

The thematic segment will provide an opportunity for the PCB to discuss how the availability and strategic use of high-quality, timely and reliable data is critical to ending AIDS as a public health threat. In particular, the thematic segment will focus on the following issues:

  • How epidemic and behavioural surveys, population size estimates, service coverage data, resource allocation and spending data, policy data, etc. have helped countries achieve results in their national AIDS responses.
  • The main gaps and challenges that are preventing countries and communities from collecting, analyzing and using the data they need to guide their national AIDS responses.
  • The role of community-generated data to monitor the affordability, availability, accessibility, acceptability and quality of services for the populations in greatest need of HIV services.
  • How countries can sustainably improve collection, analysis and use of data to guide national target-setting, planning, resource allocation, service delivery, the removal of legal and policy barriers and the strengthening of societal enablers, in line with global targets for 2025.
  • How UNAIDS supports countries to collect, analyze and report data needed to guide national responses, and to track progress against the Global Strategy and the commitments and targets within the UN General Assembly Political Declaration.

To inform the session, UNAIDS is seeking case studies of where high-quality, timely and reliable data has effectively been used for target setting, resource allocation, for maximising service coverage and for data-driven policy change.


Scope of submissions

Specifically, UNAIDS is seeking examples in the following areas:

  1. How improvements to routine patient monitoring and health monitoring information systems have improved health outcomes for people living with HIV and the management of national or sub-national AIDS responses.
  2. How the triangulation of quality, comparable and diverse data (economic, policy, programme, etc.) has driven HIV response target-setting, planning and resource allocation.
  3. How disaggregation of data by age, sex and other factors has allowed for tailoring of HIV programmes and services to the needs of different population and age groups.
  4. How improvements in the collection, analysis and use of data—including population size estimates and bio-behavioural surveys—have driven effective HIV prevention programming for key populations.
  5. How data have been used to address gaps in maternal, infant and paediatric services, optimize efforts to eliminate vertical transmission and provide treatment to children living with HIV.
  6. How community-led monitoring has helped identify service gaps, barriers in access to existing services and opportunities for making services people-centred.
  7. How research and community-collected data have been used to revise laws and policies to enable more effective HIV responses.

Who can submit?

UNAIDS welcomes submissions from national AIDS programmes; Ministries of Health and other relevant Ministries; civil society organisations particularly those representing or providing services to people living with or affected by HIV and key populations; academic institutions; national human rights institutions; United Nations system and other international organizations; and other national or local entities involved in planning, implementing and monitoring of regional, national and sub-national HIV responses.


How will the submissions be used?

The submissions will be used to inform the background note to the UNAIDS 49th PCB Thematic Segment. Some submissions may also be selected to be presented during the Thematic Day on 10 December 2021. Finally, all the submissions received before the deadline of 25 October 2021 will be compiled in a document on good practices which will be posted on the UNAIDS Programme Coordinating Board website

Submissions are accepted in English and French.

The submissions must be made through the electronic submission form by close of business Monday 25 October 2021:

English: https://forms.office.com/r/pmySb0RWGT

French: https://forms.office.com/r/uDCdvPUs3N

For more information on the UNAIDS Programme Coordinating Board, please see: http://www.unaids.org/en/aboutunaids/unaidsprogrammecoordinatingboard/

For questions on this call for submissions of good practices, please contact Chris Fontaine [email protected] and Adriana Hewson [email protected].


Thank you for your time and attention.

October Special Session on UBRAF Documents

Here are the documents related to the Special Session on UBRAF (6 October 2021):

Documents of the meeting:



Documents are updated as they are uploaded to the UNAIDS Special Session on UBRAF website. (updated 24 September 2021, 12:30 CEST)

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