A disability inclusive National AIDS Strategic Plan: What to

take away

Muriel Mac-SeingHIV and AIDS Technical Advisor, Handicap

International

Skills Building Workshop, Mini Room 1, 14:30-18:3019th International AIDS Conference, Washington DC, July 25,

2012

Thanks to HEARD and its initial report on NSP review 2010. This presentation has been inspired

by the work of colleagues, especially of Dr Jill Hanass-

Hancock, HEARD

Thanks to all the Framework contributors:

For the first time inUNAIDS’ Strategy 2011-2015…

“When social support and other programmesfor persons with disabilities are delivered in

an HIV-sensitive manner, they contributeto overcoming the historic neglect of HIV prevention and support to persons with

disabilities.”

Outline of presentation

Background Purpose of the Framework on disability

inclusion in national AIDS strategic plan (NSP)

Guiding principles of an NSP Priority areas and strategies of an NSP Step by step guideline: a road map to

disability inclusion Resources websites

Background UN convention on the rights of persons with disabilities

(2006) As of now, 153 counties signed the UNCRPD and 117

ratified it Article 9 on accessibility Article 25 in on health (including reproductive health and

HIV ) Two guiding principles: 1) Universal accommodation and

2) Reasonable accommodation

UNAIDS (2006) International Guidelines on HIV and AIDS and human rights recommends a rights-based approach

WHO/World Bank (2011) estimate that 15% of the world’s population have a disability; 2-3% with severe disabilities

Declaration of UN High Level Meeting on HIV (2011) includes disability

Background (cont’d) Growing evidence and recognition at

international level of the interrelationship between HIV and AIDS and disability: Persons with disabilities as likely, if not more

likely to be at risk of HIV infection Persons with disabilities are sexually active and

as likely as others to engage in unprotected sex There is insufficient access to HIV prevention,

information, treatment, care and support services

Persons with disabilities, especially women and girls are at risk of sexual violence

People living with HIV experience disability as a result of their illness, opportunistic infections, treatment or HIV-related stigma and discrimination

Purpose of the Framework

It is a tool to guide the development and review of NSPs in terms of disability inclusion and in the realisation of the UNCRPD’s commitments and international guidelines

To provide a step by step guideline in how to integrate disability into HIV-related plans and programmes at different levels

To provide guidance and contribute to States’ accountability

Guiding principles of Framework

Inclusion of persons with disabilities in NSP Protection of the rights of persons with

disabilities and the prohibition of discrimination based on HIV and disability

Provision of accessible HIV-related prevention, treatment, care and support services

Provision of information and training on the rights of PLHIV and persons with disabilities, as well as provision of accessible legal services

Inclusion of disability in mainstream research, monitoring and surveillance of the HIV epidemic

Priority areas and strategies of NSPs

Human rights approach (equality and non-discrimination): NSPs should protect the rights of people living with HIV and persons with disabilities

HIV-related prevention, treatment, care and support services: they should be provided in accessible and appropriate formats

Legal support services: in terms of promotion of human rights and access to justice in cases of violation of rights

Research, monitoring and surveillance Resource mobilization

A step by step guideline: A roadmap to disability inclusion

Initiation step: initiating the inclusion of disability

Developing legal and other norms on disability step: domesticating the UNCRPD into national laws and frameworks

Towards integration step: developing feasible approaches

Optimal inclusion step: monitoring and implementing of disability inclusive HIV and AIDS programmes

Resources websites

UN Enable: http://www.un.org/disabilities/default.asp?id=1560

UNAIDS:http://data.unaids.org/Publications/IRC-pub07/jc1252-internguidelines_en.pdf

HEARD Resource Centre: http://www.heard.org.za/african-leadership/disability

Handicap International Source Resource site:

http://www.asksource.info

Thanks!

Merci !

Gracias!