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The work
of the United Nations ranges from the daily efforts of UN staff worldwide
to the talks on HIV/AIDS held by the UN Security Council and the UN General
Assembly Special Session on HIV/AIDS. By redoubling the commitment of
government leaders everywhere, the Special Session in 2001 is set to be
a watershed in the global struggle against the epidemic. It is being held
on 25-27 June, 20 years after the first clinical evidence of AIDS was
reported.
Into the fray
- One of the landmark
steps taken against the epidemic was the 1996 move to draw the main
UN agencies involved in HIV/AIDS into a coordinated response. With the
creation of the Joint United Nations Programme on HIV/AIDS (UNAIDS),
the collective knowledge, resources and scope of its seven cosponsoring
bodies—UNICEF, UNDP, UNFPA, UNDCP, UNESCO, WHO and the World Bank—could
be effectively combined.
- These Cosponsors
have taken huge strides towards mainstreaming HIV/AIDS into their programmes
in countries around the world, where they also join forces with host
governments and other partners to support local efforts to curb the
epidemic.
- Together with
UNAIDS, they are developing a UN system-wide strategic plan to fight
HIV/AIDS. They are also boosting the UN’s efforts by broadening this
common front. Increasingly active against HIV/AIDS are other UN bodies
such as the International Labour Organization (ILO), the Office of the
High Commissioner for Human Rights (OHCHR), the Food and Agriculture
Organization (FAO), the United Nations High Commissioner for Refugees
(UNHCR) and the United Nations Development Fund for Women (UNIFEM).
- Building partnerships
has become the hallmark of the UN’s contribution in the struggle against
HIV/AIDS. Recent examples include the International Partnership against
AIDS in Africa (created to both broaden and sharpen actions against
the epidemic) and the Accelerating Access initiative (aimed at supporting
countries as they set up national action plans that incorporate comprehensive
care programmes).
Individually, too,
UN bodies are assisting countries and communities worldwide in their efforts
to reverse the epidemic and manage its effects. At the fore are the seven
Cosponsors of UNAIDS.
UNICEF
(United Nations
Children’s Fund)
- Acting within the
framework of the Convention on the Rights of the Child, the United Nations
Children’s Fund (UNICEF) is the primary advocate for the protection
of the rights of children to help meet their needs and expand their
life choices. Together with its national committees and allies, UNICEF
mobilizes the moral and material support of governments, organizations
and individuals worldwide in a partnership committed to giving children
a first call on societies’ resources in both good times and bad.
- A decentralized
operational agency, UNICEF works with governments and NGOs in the fields
of health, nutrition, basic education, safer water and sanitation to
improve the lives of children, youth and women. It helps build national
and local capacities to provide, maintain and expand necessary services,
and to empower families and communities with the knowledge and means
for self-reliance.
- The rapid spread
of HIV/AIDS is threatening the progress made in child health over the
past two decades. The epidemic has a significant impact on adolescents,
as adolescence is both a period of increased risk and a window of opportunity
for the development of the skills, attitudes and behaviour necessary
to prevent HIV infection in adulthood. The epidemic affects children
and families, leaving many without protection, care or income.
- UNICEF brings to
UNAIDS its operational field capacity in over 160 countries. It has
demonstrated effectiveness in communication and advocacy and a network
of national committees. UNICEF’s priority programme areas include youth
health, school AIDS education, programme communication, children and
families affected by AIDS, and mother-to-child HIV transmission. UNICEF’s
particular strength in meeting the needs of especially vulnerable families
and children will assume greater importance in the coming years.
UNICEF has a website
for its health programme on HIV/AIDS at http://www.unicef.org/programme/health/index.htm
UNDP
(United Nations
Development Programme)
- An important objective
of the HIV/AIDS-related activities of the United Nations Development
Programme (UNDP) is to support countries to strengthen and expand their
capacity to respond to the development implications of the epidemic.
Activities are focused on identifying effective and sustainable policy
and programme responses surrounding the epidemic’s social and economic
implications. The aim is to strengthen the capacity for an effective
response within governments and civil society as well as within UNDP
itself.
- In partnership
with many organizations, UNDP emphasizes support to initiatives that:
catalyze community and national mobilization; create a supportive ethical,
legal and human rights framework; are gender-sensitive; empower people
to take charge of their own well-being, drawing on local resources and
building on local knowledge and values; and foster an enabling political,
economic and social environment.
- Through its network
of over 130 country offices serving over 150 nations, UNDP plays an
important complementary role to that of other UN organizations. Within
the operational activities of development cooperation through a system
of UN, national and other executing agencies, it provides technical
support in cross-sectoral, multidisciplinary areas of technical assistance
relating to sustainable human development. It also has overall responsibility
for assisting the Secretary-General in improving the coordination of
operational activities for development, including the strengthening
of the Resident Coordinator System.
- UNDP’s regional
programmes provide an important mechanism for fostering intercountry
collaboration and helping regional institutions and networks to strengthen
their capacity to respond effectively to the epidemic.
UNDP’s HIV and Development
Programme can be viewed at http://www.undp.org/hiv/
UNFPA
(United Nations
Population Fund)
- The mandate of
the United Nations Population Fund (UNFPA) is, inter alia, to
build the knowledge and capacity of countries to respond to needs relating
to population.
- A major focus of
UNFPA support at the country level is reproductive health, including
family planning and sexual health. UNFPA considers prevention and management
of sexually transmitted infections (STIs) and prevention of HIV/AIDS
to be integral components of reproductive health. In the context of
reproductive health, the preventative interventions include appropriate
and effective information, education and communication in support of
safe sexual behaviour; interpersonal counselling (for both sexual and
mother-to-child transmission); improved access to and provision of condoms;
and good clinical practices to prevent transmission through exposure
to HIV-infected blood.
- UNFPA augments
UNAIDS work by providing access to its network of country offices that
support national reproductive health programmes. It contributes its
accumulated expertise in reproductive health promotion and service delivery,
with a special focus on the needs of women and adolescents, and on male
responsibility. Also of value is its know-how in logistics management
of reproductive health commodities (including condoms), and its experience
in working with nongovernmental organizations, arranging technical assistance
and strengthening national capacity-building through UNFPA Country Support
Teams.
Details of UNFPA’s
activities can be viewed at http://www.unfpa.org
UNDCP
(United Nations
Drug Control Programme)
- The United Nations
Drug Control Programme (UNDCP) is entrusted with exclusive responsibility
for coordinating and providing effective leadership for all United Nations
drug control activities. UNDCP addresses all aspects of the drug problem,
including such wide-ranging activities as demand reduction, comprising
prevention, treatment and rehabilitation; supply reduction, including
alternative development and law enforcement; and legislative and institutional
advisory services to enhance governments’ capacity to implement the
international drug control conventions. UNDCP is assisting governments
in the implementation of action plans, including the Declaration on
Drug Demand Reduction, adopted at the special session of the General
Assembly devoted to countering the world drug problem, held in June
1998.
- The use of psychoactive
drugs has facilitated the spread of HIV infection in several ways. The
most direct is by HIV transmission through needle-sharing among injecting
drug users. The disinhibiting properties of psychoactive substances
also lead to sexual and other high-risk behaviour that individuals might
otherwise avoid. Through sexual contacts, HIV infection is spread from
the drug-using community to others. International drug control is therefore
a vital tool for HIV prevention. In this context, UNDCP is active in
supporting HIV/AIDS prevention in programmes to reduce the demand for
illicit drugs. Youth and high-risk groups are particularly targeted.
Coordination within the UN system has resulted in more effective programming
responses to drug use and the AIDS epidemic in a number of countries.
- UNDCP operates
from its headquarters in Vienna, Austria, as well as from a field network
currently comprising ten subregional offices and nine country offices.
Liaison offices are maintained in New York and Brussels.
UNDCP’s website can
be viewed at http://www.undcp.org
UNESCO
(United Nations
Educational, Scientific and Cultural Organization)
- The mandate of
UNESCO is to foster international cooperation in intellectual activities
designed to promote human rights, help establish just and lasting peace,
and further the general welfare of mankind. Thus, the ethical imperative
is central to UNESCO’s mandate and to its task of contributing in all
fields of intellectual endeavour to human development and the building
of a culture of peace based on respect for human rights, tolerance and
democratic principles. In its fields of competence—education, science,
culture and communication—UNESCO has both technical responsibilities,
in terms of its programmes and projects, and ‘political’ responsibilities
(in the sense of public and social morality) in the general approaches
and broad principles governing its efforts.
- UNESCO’s cosponsorship
of UNAIDS is based on the conviction that isolated actions against AIDS
that are not developed in an integrated, cross-disciplinary manner may
be doomed to fail.
- Although not a
funding agency, UNESCO can make a contribution to UNAIDS by virtue of
the scope of its fields of competence, its interdisciplinary and cross-disciplinary
approaches combining technical skills and ethical requirements, and
its 50 years’ experience in intellectual cooperation. In the fight against
AIDS, it can bring to bear the vast network of institutions with which
it collaborates—in the short term to meet the most urgent prevention
and care needs, and in the medium term to remedy or offset the foreseeable
effects of the epidemic.
UNESCO’s cultural
website on HIV/AIDS is at http://www.unesco.org/culture/aids/
WHO
(World Health Organization)
- WHO has been an
active cosponsor of unaids since UNAIDS’ inception. As the leading international
public health authority, WHO provides guidance on effective interventions
to combat the pandemic, and technical support to strengthen countries’
health sector responses to HIV/AIDS. WHO develops and disseminates evidence-based
norms and standards, tools, technologies and guidelines, articulates
policy and advocacy positions, identifies the public health research
and development agenda, and assists in capacity-building
through technical and policy support.
- WHO focuses its
normative and technical support on the generation and dissemination
of knowledge, prevention of infection, and provision of care and support
to those infected with HIV. Knowledge generation comprises HIV/AIDS
surveillance, and leadership and direction of research and development
efforts in areas such as access to antiretroviral compounds; women-controlled
barrier protection methods; microbicides; vaccine development; and social
and epidemiological research.
- Prevention efforts
focus on promoting safer sex; providing sexual and reproductive health
information and services for young people; managing sexually transmitted
infections; preventing HIV transmission among mothers and infants; preventing
infection through injecting drug use; promoting safe injection practices
and reducing risks of transmission among health care workers; and ensuring
the safe supply of blood and blood products. The provision of care and
support involves providing voluntary counselling and testing; increasing
access to antiretroviral treatments; management of opportunistic infections
and associated conditions such as tuberculosis; palliative care; and
psychological and social support.
- A major obstacle
to widespread implementation of effective interventions is poorly functioning
and under-funded health systems. WHO is, therefore, intensifying support
to countries’ efforts to strengthen their health sectors and it is developing
a global health sector strategy for adaptation to the needs, capacities
and circumstances of diverse Member States.
WHO’s information
on HIV/AIDS can be viewed at http://www.who.int/asd/index.html
The
World Bank
- The mandate of
the World Bank is to alleviate poverty and improve the quality of life.
HIV/AIDS entails an enormous loss of human and economic resources and
poses a substantial threat to the economic and social growth of many
nations in the developing world. HIV/AIDS requires expensive and long-term
health care; it mainly affects adults in their most productive years;
it raises complex legal and ethical issues; it reaches all segments
of society; and it is spreading rapidly.
- Between 1986 and
early 1999, the World Bank committed over US$ 750 million for more than
75 HIV/AIDS projects worldwide. Most of the resources were provided
on highly concessionary terms through the International Development
Association. To more effectively address the devastating consequences
of HIV/AIDS on development, the Bank is undertaking a new response to
the epidemic, working in partnership with UNAIDS, donor agencies and
governments. The strategic plan for the Intensifying Action against
AIDS builds upon the strong comparative advantages possessed by the
partners to rapidly increase the level of action and available resources
and to bring to scale the interventions needed for prevention and impact
mitigation.
- In its policy dialogue
with borrowing countries, the Bank stresses that HIV/AIDS is a development
priority and highlights the need for top-level political commitment,
systematic health care reforms, human rights protection, and a range
of multisectoral reforms to help reduce the factors contributing to
the epidemic’s spread. Whenever possible, Bank-assisted activities are
advised technically by the other Cosponsors or the UNAIDS Secretariat
and are planned and executed by individual governments, in collaboration
with the concerned national and international partners.
The World Bank’s primary
section about AIDS can be found on their website at http://www.worldbank.org/
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