13,383 HIV/AIDS Communication and the Right to Healthm The Drum Beat 747, November 29, 2017

The Drum BeatHIV/AIDS Communication and the Right to Health – The Drum Beat 747
November 29, 2017
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In this issue:

JOIN US: Global Summit: What Works? – Shifting Norms, Changing Behaviours, Amplifying Voices


The Joint United Nations Programme on HIV/AIDS (UNAIDS) asserts that the people most affected by HIV are often the most marginalised in society; they are also the most frequently denied their right to health. People living with HIV are denied their right to health when they: are denied access to health services because of their age, gender, sexual orientation, or HIV status; are denied access to harm reduction services; do not carry condoms for fear of criminalisation; and do not know their HIV status for fear of stigma and discrimination.

With the hope of raising awareness about and galvanising support to ensure the right to health and eliminate health inequalities – with the human-rights-based health system that this requires – UNAIDS has declared the theme of World AIDS Day 2017, December 1, as the right to health. The campaign reminds people that the right to health is much more than access to quality health services and medicines; it also depends on a range of assurances including adequate sanitation and housing, healthy working conditions, a clean environment, and access to justice. This issue of The Drum Beat shares some summaries on The CI’s HIV/AIDS Network that highlight how communication comes into play in securing the right to health as the world works toward fulfilling the 90-90-90 treatment targets, closing the testing gap, and increasing access to treatment for the 22 million people who have HIV and are not receiving or accessin! g treatment.

From The Communication Initiative Network – where communication and media are central to social and economic development.
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  • 1. Confronting Discrimination: Overcoming HIV-Related Stigma and Discrimination in Health-Care Settings and Beyond
    Launched during the Human Rights Council Social Forum, this UNAIDS report compiles evidence on how stigma and discrimination create barriers across the HIV prevention, testing, and treatment cascades and reduce the impact of the AIDS response. The report also brings together best practices on confronting stigma and discrimination. The evidence shows that the establishment of people-centred service delivery models, supportive legal and policy frameworks, monitoring and enforcement mechanisms, and sensitisation training for healthcare workers and other duty bearers can promote inclusion and increase access to services. [Oct 2017]
  • 2. Fast-Track and Human Rights: Advancing Human Rights in Efforts to Accelerate the Response to HIV
    This UNAIDS 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. In particular, it 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 provides 3 checklists to support and guide those who are 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. [May 2017]
  • 3. Disability and HIV
    This UNAIDS report highlights existing key evidence on the relationship between disability and HIV. It discusses the concrete steps needed for a person-centred, disability-inclusive HIV response that allows for increased participation of people with disabilities and integrates rehabilitation within the continuum of HIV care. The report examines strategies for developing integrated and comprehensive HIV services – e.g., integration and use of e-health tools advancing early identification of disability, linkage to care, and learning tools – and then lays out a framework for action. [Aug 2017]
  • 4. Comprehensive Package for Reducing Stigma and Discrimination in Health Facilities
    In health facilities, people with HIV may experience negative attitudes and harmful actions that deter them from accessing services, disclosing information to providers, and adhering to treatment. The United States Agency for International Development (USAID)- and President’s Emergency Plan For AIDS Relief (PEPFAR)-funded Health Policy Project (HPP) led a global effort to compile and refine a coordinated package of participatory, evidence-informed, “best practice” stigma reduction tools for health facilities. The resulting intervention package aims to support a stigma-free facility. [Jun 2015]
  • See also:
    The Drum Beat 704 – Communication to Fast-Track the End of AIDS

  • 5. Human Rights of Women Living with HIV in the Americas
    This report is designed to inform discussions among Organization of American States (OAS) member states and their allies of the challenges that gender inequalities represent for the response to HIV in Latin American and Caribbean (LAC) countries, and of the actions that must be implemented at scale in order to enable HIV-positive women to exercise their rights to decent work, education, housing, healthcare, social protection, information, and social and political participation, as well as to live free from stigma, discrimination, and violence. It was developed by the Inter-American Commission of Women (CIM), OAS, and UNAIDS, with the collaboration of the International Community of Women Living with HIV/AIDS (ICW Latina). For this report, special emphasis was placed on the collection of information on women in all their diversity. [Jul 2015]
  • 6. Strategies for Reducing Police Arrest in the Context of an HIV Prevention Programme for Female Sex Workers: Evidence from Structural Interventions in Karnataka, South India
    by Parinita Bhattacharjee et al.
    This study examined a structural intervention designed to prevent HIV infection by addressing violence against female sex workers (FSWs) in the form of police arrest in Karnataka, India. FSWs frequently experience violence in their work environments, violating their basic rights and increasing their vulnerability to HIV infection. This paper provides an in-depth description of the design and implementation of structural interventions that may play a role in reducing police arrest among FSWs. The authors conclude that in settings where sex work is criminalised, structural interventions that educate police officers can be an effective approach for reducing HIV risk among FSWs. [Jul 2016]
  • 7. #WhatWomenWant
    Launched in February 2016 by the ATHENA Network, the #WhatWomenWant advocacy campaign mobilises advocates and thought leaders across issues of gender equality, HIV, gender-based violence (GBV), women’s rights, and sexual and reproductive health and rights (SRHR) for women in all of their diversity, to expand who is in the conversation and who has access to it. Its in-person and social media outlets provide a space for young feminists to contribute to and influence global policy discourse on the HIV response. The campaign aims to amplify young feminist voices through various channels of participation and to strengthen and highlight feminist thought leadership in the HIV response, including a harmonised way to organise.
  • 8. Women’s Empowerment in South Africa – Evaluation of the Raising Her Voice Project
    This report shares the findings of an evaluation of the Oxfam Great Britain (OGB)-supported Raising Her Voice (RHV) project in South Africa (RHV-SA). People Opposing Women’s Abuse (POWA) identified the need to work at the intersection of GBV, HIV and AIDS, and poverty, as GBV and economic marginalisation increase women’s vulnerability to HIV and AIDS; contracting HIV in turn exacerbates marginalisation and social exclusion. At the same time, the project aimed to contribute to a regional initiative to support the Pan-African Solidarity for African Women’s Rights coalition (SOAWR) in its work to ensure the implementation of the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa, better known as the Maputo Protocol. [Jun 2017]
  • 9. WHO Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV
    Developed by the World Health Organization (WHO) Department of Reproductive Health and Research (RHR), this guideline is meant to help countries plan, develop, and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV, taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address as they take a woman-centred approach. [Feb 2017]
  • See also:
    Gender Considerations Along the HIV Treatment Cascade: An Evidence Review

Please consider attending the 2018 International Social and Behavior Change Communication (SBCC) Summit (featuring Entertainment-Education) – April 16 to 20 2018, Nusa Dua, Indonesia

Registration is now open (early bird discount ends December 15) for anyone with an interest in learning about and furthering the science and art of SBCC. Click here for more information.

SBCC and entertainment-education professionals are also encouraged to submit abstracts related to the overarching conference theme: Shifting Norms, Changing Behavior, Amplifying Voices: What Works? The deadline (extended) for abstract submission is December 4. Click here for details.


  • 10. Male Engagement in HIV Response – A Platform of Action
    This UNAIDS meeting report highlights gender inequalities and harmful gender norms as important drivers of the HIV epidemic and major hindrances to an effective HIV response. While access to HIV services for women and girls remain a concern, a growing body of evidence also shows that men and adolescent boys have limited access to HIV services. There is an urgent need, UNAIDS explains, to reach men and adolescent boys with evidence-informed HIV prevention, voluntary testing and counselling, and treatment and care services that are informed by age-, sex-, and geographically-disaggregated data. However, that outreach cannot be achieved in isolation from the ongoing efforts to advance gender equality and change harmful gender norms, including eliminating gender-based violence. [Jul 2016]
  • 11. (Even) Greater Than the Sum of Its Parts: A Case Study on Working Together as the Consortium of MSM and Transgender Networks
    by Sarah Middleton-Lee 
    This report from the Consortium of MSM (men who have sex with men) and Transgender Networks “documents the impact of the Consortium’s efforts and describes the added value of collaboration.” Among examples of communication practices are the following: promoting the right to engagement in policy forums on HIV; building knowledge and skills for engagement; mobilising support from other movements such as those for human rights and lesbian, gay, bisexual, and transgender (LGBT) communities; facilitating communication among stakeholders; and representing rights at external meetings such as on Sustainable Development Goals (SDGs), global fora, and advisory groups to the Global Fund and UNAIDS. [Jan 2016]
  • 12. Pioneering HIV Services for and with Men Having Sex with Men in MENA: A Case Study about Empowering and Increasing Access to Quality HIV Prevention, Care and Support to MSM in a Hostile Environment
    by Tania Kisserli, Nathalie Likhite, and Manuel Couffignal
    This case study documents experiences and lessons learned from the implementation of a rights-based, community-led programme that sought to create access to quality HIV prevention, care, and support services for MSM in the Middle East and North Africa (MENA) region. Led by the International HIV/AIDS Alliance and supported by USAID, the programme effected change in 4 main areas, all of which worked together to foster changes at multiple levels. Organisers suggest that working with and for MSM can be expanded to other populations vulnerable to HIV who remain in the shadows in MENA: transgender people, people living with HIV, sex workers, undocumented migrants, and refugees. [Mar 2017]
  • See also:
    Implementing Comprehensive HIV and STI Programs with Men Who Have Sex With Men: Practical Guidance for Collaborative Interventions

  • 13. ALL IN to End the Adolescent AIDS Epidemic: A Progress Report
    As part of United Nations Children’s Fund (UNICEF)’s and UNAIDS’ ALL IN! partnership, a Stigma Index has been developed to help communities understand the experiences of people living with HIV (PLHIV) with stigma and discrimination, and to inform advocacy and formulate plans to end this. Over 50 countries have used this tool to learn, for example, that one out of every three adolescents living with HIV (ALHIV) in Zimbabwe feared being gossiped about, and adolescents were more likely than any other age group among PLHIV to feel ashamed of their infection, blame others for it, feel suicidal, and exclude themselves from social gatherings with other adolescents. This report showcases the research, community mobilisation, programmes, and policy actions aimed at ending the AIDS epidemic in adolescents (ages 10-19) in support of the ALL IN! agenda. [Dec 2016]
  • 14. Youth Participation in HIV and Sexual and Reproductive Health Decision-Making, Policies, Programmes: Perspectives from the Field
    by Meheret Ogbazghi Melles and Chelsea L. Ricker
    This study presents and analyses the experiences of youth who are participating in HIV and SRH decision-making, policies, and programmes. By combining a literature review of evaluation evidence with in-depth interviews and a global survey of young people, the study explores how young people view efforts to include them in decision-making, policies, and programmes and recommends strategies to better support meaningful youth participation globally. Overall, evidence indicates a need for further investments in capacity building, training, inclusive participation spaces, and research on meaningful youth participation. [May 2017]
  • 15. Lessons from Link Up! – Link Up Experiences of Reaching Adolescents Living with HIV
    This brief highlights new understanding and recommendations gained through the Link Up project around engaging and providing services for ALHIV. Link Up, implemented by the International HIV/AIDS Alliance and its partners, sought to improve the SRHR of 10-24 years olds affected by HIV in Bangladesh, Burundi, Ethiopia, Myanmar, and Uganda. The brief offers practical ideas to help achieve the recommendations that emerged from the project. For example, to reduce stigma, the brief recommends: continuing community dialogues; investing in school-based interventions; and ensuring that ALHIV are informed about their rights and have access to mechanisms for reporting stigma and discrimination, especially within the health system. [Oct 2016]
  • 16. HIV and Young People Who Inject Drugs
    by Alice Armstrong, James Baer, Rachel Baggaley, and Annette Verster
    This technical brief from WHO aims to catalyse and inform discussions about how best to provide services, programmes, and support for young people who inject drugs. It offers an account of: current knowledge concerning the HIV risk and vulnerability of young people who inject drugs; the barriers and constraints they face to accessing appropriate services; examples of programmes that may work well in addressing their needs and rights; and approaches and considerations for providing services that both draw upon and build the strengths, competencies, and capacities of young people who inject drugs. [Oct 2015]
  • See also:
    Bridging the Gaps: UNDP Youth Strategy and Key Populations
    Our Time To Be Heard: Stories Giving Voice to Young People and Their Experience of HIV

  • 17. Rights – Evidence – ACTion (REAct) Guide
    by Enrique Restoy, Mala Ram, Jane Coombes, and Monika Sigrist
    This guide provides an introduction to Rights – Evidence – ACTion (REAct), a secure, information technology (IT)-based system for monitoring and responding to human rights-related barriers in accessing HIV and health services, which is owned and managed by community-based organisations. Created by the International HIV/AIDS Alliance, REAct helps respond to these barriers by collecting relevant evidence in order to identify and provide, or refer to, individual emergency support and human rights-based HIV programmes. It is also used to generate evidence for advocacy and future programming. [Feb 2015]
  • 18. Sawa Sawa – Facilitator Guides on Positive Prevention and Community Dialogues to Reduce Stigma
    These two materials have been produced for Sawa Sawa, an HIV programme being implemented by the Health Communication Capacity Collaborative (HC3) in the Sofala Province of Mozambique. The programme, which runs from January 2017 – December 2017, seeks to reduce stigma in communities in order to improve health seeking behaviours for HIV services, particularly among men. One of the ways it achieves this is through community dialogues. In addition, the programme runs Positive Prevention groups for PLHIV, which are designed to teach clients about the difference between CD4 and viral load and the importance of viral suppression, as well as provide a supporting environment for PLHIV. [Feb 2017]
  • 19. LINKAGES Enhanced Peer Outreach Approach (EPOA) Implementation Guide and Training Curriculum
    This implementation guide and training curriculum are designed to help organisations implement the enhanced peer outreach approach (EPOA), an approach being piloted by the LINKAGES Project to address the challenge of expanding outreach to key populations (KPs). The EPOA is led by peer outreach workers, who engage KP members to persuade peers in their own social and sexual networks to be tested for HIV. It focuses on those who are not found at traditional hot spots, which is particularly important because technology changes the ways that some KP members contact and meet sexual partners. [May 2017]
  • 20. Positive Health, Dignity, and Prevention: Training Modules for Promoting Leadership Among Persons Living with HIV
    The curriculum modules contained in this document are intended to enhance the understanding and skills of communities living with HIV in Positive Health, Dignity, and Prevention (PHDP) in Jamaica. PHDP is a global policy framework authored in 2011 by the Global Network of People Living with HIV (GIPA) and UNAIDS that advances a holistic framework for people living with HIV to manage their health, advocate for high-quality HIV services, and prevent onward HIV transmission. [2015]
  • See also:
    Close the Gap: TB and Human Rights – An Activists Guide

ENQUIRY: Your priorities, opportunities and challenges!
What kinds of challenges and opportunities infuse your communication and media development, social and behavioural change work? This survey is a chance for you to let us know! In 2018, we will report back on results and trends so you can gain insights from your peers in the network.
Click here to lend your voice.
This issue of The Drum Beat was written by Kier Olsen DeVries.
The Drum Beat is the email and web network of The Communication Initiative Partnership.

Full list of the CI Partners:
ANDIBBC Media ActionBernard van Leer FoundationBreakthroughCiturna TVFundación ImaginarioFundación Nuevo Periodismo Iberoamericano (FNPI)Heartlines,Johns Hopkins Bloomberg School of Public Health Center for Communication ProgramsMaternal and Child Survival Program (MCSP)MISAOpen Society FoundationsOxfam NovibPAHOThe Panos InstitutePuntos de EncuentroSAfAIDSSesame WorkshopSoul CitySTEPS InternationalUNAIDSUNICEFUniversidad de los Andes,World Health Organization (WHO)W.K. Kellogg Foundation

The Drum Beat seeks to cover the full range of communication for development activities. Inclusion of an item does not imply endorsement or support by The Partners.

Chair of the Partners Group: Garth Japhet, Founder, Soul City garth@heartlines.org.za

Executive Director: Warren Feek wfeek@comminit.com

The Editor of The Drum Beat is Kier Olsen DeVries.
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