WHO's Mission Towards Universal Access to HIV Care 2006-2010

1. WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment2006-2010Department of HIV/AIDS

2. WHO's Mission in HIV/AIDS WHO's mission in HIV/AIDS is to achieve the highest possible standard of health for all people by reducing the impact of HIV/AIDS on their lives.

3. Universal access - past and present • 1977- 30th WHA "Health for All by 2000" • 1978 - International Conference on Primary Health Care "…universal access to individuals and families…" • 2000- Millennium Development Goals • 2001- Declaration of Commitment on HIV/AIDS

4. Universal access - past and present • 2003- WHO declares a public health emergency • WHO and UNAIDS launch the "3 by 5" Initiative • 56th World Health Assembly endorses the Global Health Sector Strategy for HIV/AIDS 2003-2007 • 2005- Global Task Team recommendations • for coordination within the multilateral system of the global HIV/AIDS response • improving the managerial and technical support to country-led HIV/AIDS responses through the multilateral system.

5. Universal access - past and present • July 2005 – G8 leaders announce their intention to • "work… with WHO, UNAIDS and other international bodies to develop and implement a package for HIV prevention, treatment and care, with the aim of as close as possible to universal access to treatment for all those who need it by 2010". • September 2005 - 60th Session of the UN General Assembly endorsement of the goal by all UN Member States at the High Level Plenary Meeting

6. Universal access in the health sector • Universal access refers to access to prevention, treatment, care and support interventions for all who need it. • Access (availability, affordability and acceptability) should be measured at the country level within the context of globally accepted guiding principles, ensuring access for all in need to services that provide a minimal standard for quality. • Coverage indicates the optimal availability and utilization, in accordance with the epidemiology, of a specific intervention. Proceedings of a Technical Meeting for the Development of a Framework for Universal Access to HIV/AIDS Prevention, Care, Treatment and Support in the Health Sector

7. Universal access in the health sector "The health sector is wide-ranging and encompasses organized public and private health services (including those for health promotion, disease prevention, diagnosis, treatment and care); health ministries; nongovernmental organizations; community groups; and professional associations; as well as institutions which directly input into the health care system (e.g. the pharmaceutical industry, and teaching institutions)." Global Health Sector Strategy for HIV/AIDS 2003-2007

8. WHO's Strategic Directions for 2006-2010 1. Care and treatment are within the domain of the health sector. 2. A significant proportion of prevention activities is delivered by the health sector. 3. Target-driven approaches work in public health.

9. WHO's Strategic Directions for 2006-2010 4. A public health approach enables rapid scaling up of quality interventions. • Approaches need to be flexible and responsive to different epidemiological contexts. 6. Health systems strengthening and expansion is essential for universal access to be achieved.

10. WHO's Strategic Directions for 2006-2010 • Enabling individuals to know their HIV status through HIV testing and counselling • Accelerating the momentum of HIV/AIDS treatment and care scale-up • Maximizing the health sector's contribution to HIV prevention • Investing in strategic information to guide a more effective HIV/AIDS response • Taking urgent action to strengthen and expand health systems

11. Priority Interventions (1)

12. Priority Interventions (2)

13. Priority Interventions (3)

14. Priority Interventions (4)

15. Priority Interventions (5)

16. Operationalizing WHO's contribution to achieving universal access Within the Strategic Directions and Priority Interventions WHO will: • Advocate for action and mobilize partnerships • Establish and disseminate the evidence base on the effectiveness of different health sector interventions and models of good practice for service delivery; • Provide global policy guidance;

17. Operationalizing WHO's contribution to achieving universal access 4. Set norms and standards and develop, update and adapt assessment, policy, programme and monitoring and evaluation tools and guidelines; 5. Provide technical support to countries to scale up national HIV/AIDS responses in the health sector ; 6. Monitor and evaluate the implementation of interventions and programmes and assist countries to select indicators and targets.

18. Operationalizing WHO's contribution to achieving universal access NEXT STEPS • Develop a 2006-2010 detailed operational plan to support WHO's contribution • Complete the development of the Essential Package for Universal Access to HIV/AIDS Prevention, Care, Treatment and Support in the Health Sector including optimal models for implementation • Include as an agenda item for the 59th World Health Assembly May 2006 • Resource mobilization

19. Operationalizing WHO's contribution to achieving universal access For more information, please visit The WHO Universal Access website: http://www.who.int/hiv/universalaccess2010/