1. Senior Behavioral Scientist, ICRW
Current evidence and gaps on the impact of human rights programmes and rights-based approaches on HIV-related outcomes: findings from a systematic review 
Anne L. Stangl
Senior Behavioral Scientist, ICRW
#AIDS2016

2. 23 studies included 53% high quality 15 target populations
Peer Reviewed Articles
Grey Literature Reports
21,610 potentially relevant articles for Title Review
1306 potentially relevant reports for Title Review
- 19,699 articles removed because they were not relevant
- 56 duplicates removed
1071 reports removed because they were not relevant
4 duplicates removed
23 studies included
53% high quality
15 target populations
11 countries
1855 potentially relevant articles for Abstract Review
231 potentially relevant reports for Abstract Review
articles removed because they were not relevant or due to language restrictions
- 15 duplicates removed
223 reports removed because they were not relevant or due to language restrictions
69 potentially relevant articles for Full Text Review
8 potentially relevant reports for Full Text Review
38 articles removed because they did not meet the inclusion criteria
1 was removed because it was pre-2003
3 articles were dropped because their full text was unavailable
8 reports were removed because they did not meet the inclusion criteria
27 articles for Data Abstraction
None included in the Data Abstraction Process
4 articles removed because they did mot meet the inclusion criteria
23 articles included in the
Systematic Review

3. Studies spanned a large geographical area2 7 2 7 1 1 2 1 6 2 1 1 2 1 1 6 3

4. What works? 83% reported improvements in HIV-related health outcome
HIV-related legal services
Monitoring & reforming laws, policies, and regulations*
Legal literacy programs
Sensitization of lawmakers & law enforcement agents*
Training for health care providers on human rights and medical ethics related to HIV
*Most common
83% reported improvements in HIV-related health outcome
52% addressed 2+ UNAIDS’ human rights programme categories

5. Paralegals in health clinics Training for health care providers
Kenyan program increased client’s knowledge about accessing legal aid and provider’s ability to identify rights violations
Paralegals in health clinics
Training for health care providers
Gruskin, et al. 2013

6. Legal-literacy training for police 46-hour special course
Kyrgyzstan study reduced intention to confiscate syringes, increased support for referral to harm reduction…
Legal-literacy training for police
46-hour special course
Ad hoc shorter modules
Beletsky et al., 2011

7. Free HAART access in Taiwan reduced HIV transmission rate by 53%
Policy enacted in 1997
No change in incidence of syphilis
Fang et al., 2004

8. Policy-level interventions were most common
Socio-ecological levels addressed

9. Availability and accessibility of health services a common focus
Attributes of the Right to Health

10. A few important cautions for human rights programmes…
Laws intended to protect key populations, if incomplete or not accompanied by proper enforcement, can be harmful or ineffective
SEPs in California
Changing structures alone will not necessarily lead to individual-level change

11. Engaging large numbers of people, including key populations, is critical to the effectiveness of biomedical prevention
Engaging key populations in HIV prevention efforts is a critical challenge
Human rights
programmes needed to reach the

12. Acknowledgements
My co-authors: Devaki Singh, Michael Windle, Kirsty Sievwright, Katherine Footer, Alexandrina Iovita, Stella Mukasa and Stefan Baral
UNAIDS
Open Society Foundations
UKaid through the STRIVE research consortium