UNDP’s Response to HIV/AIDS HIV/AIDS & Human Development Moscow, 5 June 2007 Joseph Annan Snr. Policy Advisor HIV/AIDS Group, BDP

After a quarter century of the epidemic what does HIV/AIDS & human development mean to you ?

Is it going away? 39.5 Million living with HIV/AIDS 17.7 million women living with HIV 4.3 million infected in million AIDS deaths in million AIDS deaths since the start of the epidemic Source: AIDS Epidemic Update 2006, UNAIDS Sub-Saharan Africa 24.7 million Latin America 1.7 million Caribbean 250,000 N Africa & Middle East 460,000 Eastern Europe & Central Asia 1.7 million East Asia 870,000 S & SE Asia 7.8 million North America 1.4 million Oceania 81,000 W & C Europe 1.2 million

HIV & AIDS: A Major Development Crisis? One of the biggest obstacles to MDGs  MDG 6 - Combating HIV/AIDS, Malaria and other diseases  HIV threatens development & achievement of all MDGs Strikes at the heart of development  Reverses human development gains  Kills people in their most productive years  Spreads and deepens poverty  Erodes government capacity to provide services  Deepens gender inequalities  Erodes social cohesion

HIV/AIDS EPIDEMIC continues to be about: SEX FEAR SHAME DENIAL STIGMA DISCRIMINATION ILLNESS DEATH INCOME LOSS SOCIAL DISLOCATION ECONOMIC STAGNATION INSTITUTIONAL INERTIA What’s our role in addressing these complex issues?

Change with continuity : In 2002 UNDP’s Strategy on HIV/AIDS focused on five types of services (1) Advocacy and Policy Dialogue, (2) Capacity Development, (3) Mainstreaming, (4)Human Rights, and (5) Information and Multi- Media Technology.

UNHCR UNICEF WFP UNDP UNFPA UNODC ILO UNESCO WHO W B UNDP leads UNAIDS response in HIV/AIDS development, governance, human rights and gender

Role of Lead Organization

Change with continuity : UNDP’s HIV/AIDS Practice now 3 service lines + 4 th. Area since 2005  HIV/AIDS and Human Development  Governance of the HIV/AIDS Response  HIV/AIDS, Human Rights and Gender  Making the money work

SL 5.1 builds on our past strengths Mainstreaming into development plans and Poverty Reduction Strategies 2 parallel tracks for programmes on mainstreaming HIV into PRSPs and integrating HIV in sector programmes and decentralised plans. Support for building complementarities Macroeconomic frameworks for sustained financing Cross-Practice Initiative with Poverty Group, designed for policy- oriented research and PRSP-focused action plan on macroeconomic impact of large-scale donor funding Intellectual Property Rights and Access to ARVs Cross-Practice Initiative with Poverty Group since 2002 to build country capacity to review national patent laws and incorporate TRIPS flexibilities to expand access to ARVs

National development strategies incl. PRS Finance and planning National AIDS Framework NAA/MoH/AIDS Ministries Education Transport Health Food security Social services Local Governme nt Employme nt Etc. MAINSTREAMING AIDS into National Development Processes SECTOR/Prog. Mainstreaming & Implementation Local action, Service Delivery and Implement ation of national response JOINT OUTCOMESJOINT OUTCOMES Mainstreaming relation with National Development Processes a fundamental shift in thinking