The global agenda for sustainable development includes a target of ending the AIDS epidemic by 2030. Experience to date shows the significant progress that can be achieved in the AIDS response through the mobilization of scientific knowledge, political will, financial resources and civil society. To achieve this ambitious objective, UNAIDS has called on all countries to harness the next several years (until 2020) as a key window of opportunity for rapidly scaling up the HIV response in three main areas: HIV prevention, HIV testing and HIV treatment.
This Fast-Track approach—endorsed by the United Nations (UN) General Assembly in the 2016 Political Declaration on Ending AIDS—requires maximizing existing tools in order to quicken the pace of progress to achieve specific targets and end the AIDS epidemic as a public health threat by 2030. Despite this, it will not be possible to Fast-Track the HIV response and end the AIDS epidemic without addressing human rights.
This document offers guidance on why and how efforts to Fast-Track HIV prevention, testing and treatment services can and should be grounded in human rights. Beyond being an imperative in themselves, human rights principles and approaches are critical to addressing barriers to HIV services and to achieving HIV targets. Human rights principles and approaches will help maximize the reach and impact of HIV prevention, testing and treatment programmes. They also will help address potential human rights challenges and prevent abuses that may occur in the context of urgent efforts to FastTrack the achievement of HIV prevention, testing and treatment targets.
In particular, this document describes the key human rights principles, distilled from international legal standards, that should inform the scale-up of HIV services, and it briefly explains how these apply to HIV prevention, testing and treatment services. This document also summarizes the human rights programmes that should accompany and/or be integrated into HIV prevention, testing and treatment services. It provides three checklists to support and guide governments, donors, programme implementers (including direct service providers), civil society groups and other stakeholders when designing, monitoring and evaluating HIV prevention, testing and treatment services in order to ensure that the results are based on human rights principles and approaches, and that they leave no one behind.
As the world intensifies actions to Fast-Track the HIV response, it is time for all key stakeholders involved in the HIV response to translate clear guidance on human rights into HIV-related prevention, testing and treatment programmes.