Leadership and Accountability Nathan Ford Rachel Cohen Bernard Gardiner Lydia Guterman Rich McKay
Turning the Tide Archbishop Emeritus B. Nzimbi, during INERELA+ meetings in Kenya “We want to apologize for not doing what we should have done and for doing what we should not have done. We need to wake up to meet the needs and challenges of the pandemic”
“When morality gets in the way of policy, the result too often morbidity and mortality” “HIV is a virus Not a moral Issue”
Developing an Accountability Framework for Civil Society Representatives working on global health issues
>12,000 signatoriesSandra Roelofs (first lady of Georgie)Anand Grover, SR Right to healthManfried Nowak, SR Torture 7,000 delegates have not signed up Vienna declaration is a living document2012
In Namibia and elsewhere, WLHA are forcibly and coercively sterilized at public hospitals often as a condition of delivery or abortion services. June 2010: Forcibly sterilized women and their families protest in Windhoek, Namibia.
Decriminalization prevents HIV transmission In New Zealand, police were targeting sex workers, using their condoms as evidence to arrest them for illegal activity. Through a human rights-based approach, legislation was passed to decriminalize sex work. This removed a significant barrier to HIV prevention.
The Future of Universal Access? 15 by 15
Don’t fool us twice! International Council of AIDS Service Organizations (ICASO)
Scenario 1 - MSM risks are the predominant exposure mode for HIV infection in the population
EPIDEMIC SCENARIOS: Unavailable Data • Kyrgyzstan • Lebanon • Libya • Syria • Tunisia • West Bank and Gaza Algeria Azerbaijan Djibouti Iran Iraq Jordan Kazakhstan 94 other Countries
“The is not one science for the developed world and another for the developing world”
Free Trade Agreements Anti-generic counterfeiting legislationUS Special 301Drug seizures in-transit
Maximizing efficiency gains in the AIDS response TRIPS flexibilities (compulsory licensing, patent oppositions) Innovative mechanisms: the Patent Pool for AIDS medicines Local production in countries with generic manufacturing capacity
“HIV positive people are now surviving with an incurable disease but dying from an incurable disease” Treatment for hepatitis C >$20,000 ppy
Efficient mechanisms (e.g. World Bank, Global Fund, bilateral) • Efficient implementers • Efficient technical assistance • Innovative financing mechanisms
Bilateral Aid for AIDS in 2008 Bonus paid to London Financial staff at Christmas 2006 Amounts spent on Valentine's day Cost of war in Iraq in 2008 - 25 50 75 100 125 150 175 200 US$ billion How much is too much?