GENEVA/NAIROBI/WASHINGTON D.C., 28 September 2010: Significant progress has been made in several low- and middle-income countries in increasing access to hiv/aids services, according to a new report released Tuesday.
The report Towards Universal Access by the World Health Organization (WHO), UNICEF, and the Joint United Nations Programme on hiv/aids (UNAIDS) is the fourth annual report for tracking progress made in achieving the 2010 target of providing universal access to hiv prevention, treatment and care.
The report assessed hiv/aids progress in 144 low- and middle-income countries in 2009 and found:
15 countries, including Botswana, Guyana and South Africa, were able to provide more than 80 per cent of hiv-positive pregnant women in need, the services and medicines to prevent mother-to-child hiv transmission;
14 countries, including Brazil, Namibia and Ukraine, provided hiv treatment to more than 80 per cent of the hiv-positive children in need;
Eight countries, including Cambodia, Cuba and Rwanda, have achieved universal access to antiretroviral treatment (ART) for adults.
– Countries in all parts of the world are demonstrating that universal access is achievable, said Dr Hiroki Nakatani, WHO’s Assistant Director-General for hiv/aids, Tuberculosis, Malaria and Neglected Tropical Diseases. – But globally, it remains an unfulfilled commitment. And we must join forces to make it a worldwide reality in the coming years, he added.
Remarkable progress in Eastern and Southern Africa, the region most severely affected by hiv, offers hope. In this region, hiv treatment coverage has increased from 32 per cent to 41 per cent in one year. And half of the pregnant women were able to access hiv testing and counselling in 2009.
– We’re on the right track, we’ve shown what works and now we need to do more of it, said Dr Paul De Lay, Deputy Executive Director, Programme, UNAIDS. – But we’re 10 billion US dollar short. At the Global Fund replenishment conference in New York next week countries have a chance to put this right––to make a smart investment and secure the future of the aids response.”
In 2009, 5,25 million people had access to hiv treatment in low- and middle-income countries, accounting for 36 per cent of those in need. This represents an increase of over 1,2 million people from December 2008, the largest increase in any single year.
In sub-Saharan Africa, close to one million more people started on ART, the number increasing from 2,95 million at the end of 2008 to 3,91 million at the end of 2009, covering 37 per cent of those in need. Latin America and the Caribbean region reached 50 per cent coverage for ART, East, South and South-East Asia–31 per cent, Europe and Central Asia–19 per cent, and North Africa and the Middle East–11 per cent.
Challenges in delivering universal access
Obstacles to scaling up hiv treatment persist in most countries, including funding shortages, limited human resources, and weak procurement and supply management systems for hiv drugs and diagnostics and other health systems bottlenecks. One third of countries reported at least one or more cases when supply of hiv medicines had been interrupted in 2009.
Prevention efforts to reach most-at-risk populations such as sex workers, drug users, and men who have sex with men are limited. For example, only about one third of injecting drug users in reporting countries were reached with hiv prevention programmes in 2009.
Availability and safety of blood and blood products continue to be a concern for hiv prevention, especially in low-income countries. While 99 per cent and 85 per cent of blood donations in high- and middle-income countries, respectively, were screened in a quality-assured manner in 2009, in low-income countries the comparable figure was 48 per cent.
Results from population surveys in ten countries showed more than 60 per cent of hiv-positive people did not know their hiv status. As a result, many patients start treatment too late. Around 18 per cent of patients initiating treatment were lost to follow-up during the first year, a large proportion of them dying due to late initiation of treatment.
– The report findings indicate challenges but also clear opportunities for optimizing investments and increasing efficiency. By starting treatment earlier and improving adherence within the first year, we can save many more lives, said Dr Gottfried Hirnschall, WHO’s Director for hiv/aids. – We also need to not only further increase access to key hiv/aids interventions but also to pay attention to ensure higher quality of these life-saving services, he said.
Steps towards universal access beyond 2010
The report called for a clear set of actions to be taken by the international community including:
renewing political and funding commitments to achieve universal access to hiv/aids prevention, treatment and care;
improving integration and linkages between hiv/aids and related services such as tuberculosis, maternal and child health, sexual health and harm reduction for drug users;
strengthening health systems to achieve broader public health outcomes; and
taking bold measures to address legal and structural barriers that increase hiv/aids vulnerability, particularly for most-at-risk populations.
This call to action is consistent with the key strategies proposed by a broad range of stakeholders for the new Global Health Sector Strategy for hiv/aids, 2011-2015. WHO is developing the strategy which is meant to guide the next phase of the health sector response to hiv/aids, once discussed and ratified by the World Health Assembly next year.
