1. Getting to Zero
The UN/ UNAIDS
in the national response to HIV

2. United Nations
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Established 24 October 1945
Facilitating cooperation in
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international law,
international security,
economic development,
social progress,
human right, and
achievement of world peace
193 Member States

3. United Nations and HIV
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Millennium Declaration and Millennium
Development Goals (2000)
Security Council Resolution 1308 (2000)
Declaration of Commitment on HIV/AIDS (UNGASS
Declaration, 2001)
Political Declaration on HIV/AIDS (2006)
Political Declaration on HIV/AIDS (2011)
Security Council Resolution 1983 (2011)

5. UNAIDS
The Joint United Nations Programme on
HIV/AIDS
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ILO
UNDP
UNESCO
UNFPA
UNHCR
UN Women
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UNICEF
UNODC
WFP
WHO
WORLD BANK

6. UNAIDS Vision
Zero new HIV infections.
Zero discrimination.
Zero AIDS-related death.

7. UNAIDS Mission
UNAIDS is an innovative United Nations partnership
that leads and inspires the world in achieving universal
access to HOV prevention, treatment, care and support
UNAIDS fulfills its mission by:
•Uniting the efforts
•Speaking out in solidarity
•Mobilising resources
•Empowering agents of change with evidence
•Supporting inclusive country leadership

8. UNAIDS Strategy, 2011-15
Global commitments:
•Halt and reverse the spread of HIV
•contribute to the achievement of the Millennium
Development Goals

9. UNAIDS Strategy, 2011-15
Core themes:
•People
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Inclusive responses reach the most vulnerable,
communities mobilised, human rights protected
•Countries
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Nationally owned sustainable responses, financing
diversified, systems strengthened
•Synergies
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Movements united, services integrated, efficiencies
secured across Millenium Development Goals

10. UNAIDS Strategy, 2011-15
Strategic directions:
•Revolutionising HIV prevention
•Catalysing the next generation of treatment, care and
support
•Advancing human rights and gender equality for the
HIV response

11. UNAIDS Strategy, 2011-15
Strategic directions:
•Revolutionising HIV prevention
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sexual transmission of HIV reduced by half, including
among young people, men who have sex with men and
transmission in the context of sex work;
vertical transmission of HIV eliminated and AIDS-related
maternal deaths reduced by half; and
all new HIV infections prevented among people who use
drugs

12. UNAIDS Strategy, 2011-15
Strategic directions:
•Catalysing the next generation of treatment, care and
support
– universal access to antiretroviral therapy for people living
with HIV who are eligible for treatment;
– TB deaths among people living with HIV reduced by half;
and
– people living with HIV and households affected by HIV are
addressed in all national social protection strategies and
have access to essential care and support.

13. UNAIDS Strategy, 2011-15
Strategic directions:
•Advancing human rights and gender equality for the
HIV response
– Countries with punitive laws and practices around HIV
transmission, sex work, drug use or homosexuality that
block effective responses reduced by half;
– HIV-related restrictions on entry, stay and residence
eliminated in half of the countries that have restrictions;
– HIV-specific needs of women and girls are addressed in at
least half of all national HIV responses; and
– Zero tolerance for gender-based violence

14. UN/ UNAIDS at country level
UN Country Team – Heads of UN Agencies
UN Joint Team on AIDS – senior technical staff
TWGs:
Prevention, Treatment
Zimbabwe UN Development Assistance Framework
(ZUNDAF): HIV prioritised
Joint Implementation Matrix (JIM) =
5-year action plan
Annual workplan

15. UN/ UNAIDS at country level
Zimbabwe UN Development Assistance Framework
(ZUNDAF): HIV prioritised:
-Improved access to and uptake of HIV prevention
services
-Improved access to and uptake of treatment, care and
support services
-Improved leadership, coordination and management
of multi-sectoral HIV responses

16. UN/ UNAIDS at country level
• Policy dialogue
• Technical support/ capacity development:
– Technical
– Institutional
– Management
– Coordination
– Resource mobilisation

17. VISION
ZERO NEW HIV INFECTIONS.
ZERO DISCRIMINATION.
ZERO AIDS-RELATED DEATHS.

18. Outcomes of the
2011 UN General Assembly
High Level Meeting on AIDS

19. Key Outcomes
1. Political Declaration on HIV/AIDS: Intensifying our Efforts
to Eliminate HIV/AIDS
2. Global Plan Towards Elimination of New Infections
Among Children by 2015 and Keeping their Mothers Alive
3. Security Council Resolution 1983 (links conflict situations
to women’s vulnerability to HIV)

20. Bold new targets for 2015
50%  in sexual transmission of HIV
50%  of HIV among people who inject drugs
50%  TB deaths in people living with HIV
Ensure no children are born with HIV and reduction of AIDSrelated maternal deaths
 15x15 (15 million people on ART by 2015)
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21. Three investment scenarios
Impact on the epidemic
35
25
20
Business as usual
15
- 2.5
- 2.0
- 1.5
- 1.0
- 0.5
-0
10
5
0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
New HIV Infections
(millions)
USD (Billions)
30

22. Three investment scenarios
Impact on the epidemic
35
25
20
Investment framework
Business as usual
15
- 2.5
- 2.0
- 1.5
- 1.0
- 0.5
-0
10
5
0
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
New HIV Infections
(millions)
USD (Billions)
30

23. Three investment scenarios
Impact on the epidemic
35
Previous projections
25
20
Investment framework
15
Business as usual
- 2.5
- 2.0
- 1.5
- 1.0
- 0.5
-0
10
5
0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
New HIV Infections
(millions)
USD (Billions)
30

24. The new investment framework
Focus on what makes a difference
USD (Billions)
25
20
6 Basic Programme
Activities
15
10
5
0
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
• Behavior Change
Programmes
• Male Circumcision
• Treatment (ART) and Care
• Programmes for Key
Populations
• Condom Promotion
• Prevention of Mother to
Child Transmission

25. The new investment framework
Focus on what makes a difference
USD (Billions)
25
20
Critical Enablers, incl:
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•Community mobilization
•Stigma reduction
•Legal environment
•Programme management
10
5
0
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Basic Programme
Activities

26. The new investment framework
Focus on what makes a difference
USD (Billions)
25
Synergies with broader
development sectors, incl:
20
•Gender
•Health Systems
•Education
•Social Protection
15
10
Critical Enablers
5
Basic Programme
Activities
0
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

27. Cost and economic returns
2011 to 2020
Cost/Returns
Total additional investment
(over 10 years)
Future treatment need
averted
Life years gained
US$46.5 Billion
US$40 Billion
US$1,060
per life year gained

28. VISION
ZERO NEW HIV INFECTIONS.
ZERO DISCRIMINATION.
ZERO AIDS-RELATED DEATHS.

29. Together, we can!