HIV Epidemic and SGBV* in DRC FAST-TRACK Dr Mamadou SAKHO UNAIDS Country Director

HIV epidemic SGBV & human rigths violations reporting: example of 2 nd quater Fast-track: trends and programmatic progress Leadership, funding and partners with FBO Challenges Recommandations (Fast- track window 2016/2021) KNOW YOUR EPIDEMIC, KNOW YOUR RESPONSE

HIV among groups: Women (1.6%), Men (0.6%), Youth (0.8%), Female sex workers (6.9%), MSM (16.9%) HIV PREVALENCE (DHS ) NUMBER OF PEOPLE LIVING WITH HIV PER PROVINCE (PVVIH) 2015

SGBV AND HUMAN RIGHTS VIOLATIONS REPORTED Example of second quarter violations were reported last quarter 155 victims including 31 adult victims of rape Types of violations: physical integrity- liberty and security of the person- life SGBV is reported in all provinces The most affected provinces remains the eastern provinces of the DRC, namely the provinces of North Kivu (132), Orientale (69) and South Kivu (26) Stigmatization and discrimination persist limiting accessing key and affected populations HIV & SGBV strong linkage appears: HIV new infections and prevalence in the East are higher( varies 1.5% to 4%) compared to DRC (1.2%)

FAST- TRACKING : CONCRETE RESULTS AND IMPACT

RÉDUCTION DE LA TRANSMISSION DU VIH PAR LA VOIE SEXUELLE UNAIDS, MONUSCO, civil society including FBO have targeted - women and girls, youth, - key populations - people in conflicts and humanitarian areas Anglican, Protestants, the Catholic Church and many others religious groups have been highly involved in the HIV national response in DRC

HIV Early diagnostics has been increased from 3% en 2011 à 9,8% en 2013 et 17% en 2014 Option B+ is experienced (in Katanga and Kinshasa) : 3%(849) in 2013 to 12%(2773) in HIV/SR/ MNCH progresively integrated in ANC facilities ELIMINATION OF NEW INFECTIONS AMONG CHILDREN AND REDUCING MATERNAL MORTALITY

ACCESS ARV TREATMENT

ART- Coïnfection TB/ VIH The number of patients receiving ARV treatment has been almost doubled, rising from 66,305 (16%) to (31%) Coinfection TB/VIH treatment improved de 19,1% in 2013 to 29,4% in Refuies, IDPs, Emergency and humanitaires++

LEADERSHIP, DOMESTIC FUNDING AND PARTNERSHIP WITH FAITH BASED ORGANIZATION  Continious high-level advocacy towards parliamentarians, policymakers, faith based organisations (FBO), journalists, lawyers  National ownership showed : The head of State led the campaign on “protect your goal”  National Human Rigth Commission: PLHA network representative nominated by the President  A key result from the advocacy was that the Government committed to increase state resources to 59.8 USD (from 3 million USD) within 2015–2017  297 millions USD Grant agreement with Global Funds for TB/VIH Concept Note : The FBO are the key principal recipients and sub recipients

CHALLENGES Stigmatization and discrimination towards SGBV victims and a lack of knowledge and perception about HIV and SGBV Lack of high quality data collection, analysis, and use mechanism Weak coordination and lack of synergy mainly at operational level between actors (NGO, FBO, health system, government and development partners) The legal environment and the insecurity remains key barriers for targeting prisoners, female sex workers, IDU, LGBIT, young girls and women. Multi-sectorial funding and human resources capacity, guidelines and commodities remain insufficient

RECOMMANDATIONS To engage political and community leaders and law makers for non application and removal of punitive laws and integration and delivery of HIV & SGVB services to the most affected populations To enhance multi-sectoral coordination, harmonization at national and operational between actors (NGO, FBO, health system, government and development partners) To promote community-led HIV & SGBV programs on Human rights and gender equality in order to eliminate stigmatization and discrimination To strengthen HIV & SGVB data collection and analysis for informed planning, intelligent investment and social progress monitoring

Rapid Reduction of New HIV Infections and Mortality through Optimization and Innovation Geneva, May 2014