Getting to Zero UNAIDS STRATEGY Ø Zero new HIV infections Ø Zero AIDS-related deaths Ø Zero discrimination CAJP-OAS/ Washington, April 2011

Created in 1994 by a resolution of the United Nations Economic and Social Council (ECOSOC),the Joint United Nations Programme on HIV/AIDS has been functioning since UNAIDS provides global leadership in response to the AIDS epidemic by fostering political incentives, catalyzing transformative social movements and making resources available, thereby ensuring execution of effective national strategies, multisectoral participation and respect for the human rights of those affected. UNAIDS combines the work of ten UN organizations (UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, ILO, UNESCO, WHO, and the World Bank) and the Secretariat, following a biennial work plan to optimize coherence, coordination and the effects of the UN response to the AIDS epidemic, in support of the countries.

Three strategic guidelines for renewing the global response to HIV Revolutionize HIV prevention Catalyze the next phase of treatment, care and support Advance human rights and gender equality for the HIV response

UNAIDS The epidemic in Latin America is concentrated in certain population groups

6.36% 6.30% 6.22% 5.54% 1.98% 1.33% 0.89% 0.23% 0.22% 0.0% 54.97% No risk Blood transfusions Partners (injecting drug users) Medical injections Sex workers Clients of sex workers Injecting drug users Partners (casual heterosexual sex) Female partners of MSM Casual heterosexual sex Partners of clients of sex workers Low-risk heterosexual MSM % Most exposed groups Source: Regional UNGASS Report, UNAIDS 2010 The increase in the amount of strategic information available indicates that sex between men is the principal mode by which HIV is transmitted in Latin America. These studies need to be replicated in the other countries % Modes of transmission in Peru, 2010 Estimate of new sexually transmitted cases each year, among different population groups

Legislation and sexual diversity

F Focus efforts on the laws that shape the responses to access to HIV Obstacles in services Travel restriction s Criminalizatio n of HIV of sexual Criminalizatio n relation s SW Laws Criminalizatio n of IDUs Number of Countries and Territories* 209 countries and territories. Not every country or territory supplied information on each type of law. *Number of countries and territories with certain laws that shape the response to HIV. The data were compiled from Source: GNP et al. Number of countries and territories*

UNAIDS Source: Summary report of the data received from Latin America and the Caribbean during the 2010 UNAIDS Programme Coordination Board (PCB) NGO Consultation 2010 Experienced S&D when accessing services Latin America Impact of the stigma and discrimination on the access to HIV prevention, treatment, care and support, as perceived by civil society Little or no stigma and/or discrimination (S&D) Afraid to access services Denied access to services Difficult or impossible for some other reason Dont know Prevention Treatment Sexual and reproductive health services Care and support

UNAIDS In 2008, the percentage spent on key population groups was low or nothing when compared to the percentage spent on the general population. Study Countries Comparison Countries Source: Rodriguez-Garcia, Gaillard and Arán.

Partnerships in a new world Effective partnerships remain fundamental to successful and sustainable HIV responses. Partnerships give voice to the people who are infected and affected, act as a catalytic force for change, and provide accountability for political commitments. Effective partnerships must enable nationally owned responses, foster South–South cooperation and move beyond the traditional HIV and health sectors to broader development areas. These partnerships must include political alliances that link HIV movements with movements seeking justice through social change.