Transforming Australia’s HIV prevention and treatment efforts to achieve an AIDS-free generation: the United Nations Political Declaration on HIV/AIDS and the Melbourne Declaration ‘Action on HIV’

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 101 ◽  
Author(s):  
Bill Whittaker

This paper discusses Australia’s response to the 2011 United Nations Political Declaration on HIV/AIDS in the context of recent ground-breaking advances in HIV prevention and treatment. Australia’s progress in responding to these developments is examined and compared with that of eight other countries in Asia and the Pacific. The implications of the 2012 Melbourne Declaration ‘Action on HIV’ is also discussed as a vehicle for generating advocacy to revolutionise Australia’s HIV response and to urge Australia’s leadership in achieving an ‘AIDS-free generation’.

Author(s):  
Kia Lilly Caldwell

Brazil has been long considered a global leader in HIV/AIDS prevention and treatment; however, little is known about the effectiveness of these prevention and treatment efforts for the Afro-Brazilian population. This chapter examines the shift toward greater government action focused on HIV prevention for Afro-Brazilians. The chapter also explores HIV prevention initiatives developed by black women’s organizations and how the dynamics of gender, race, and class shape HIV vulnerability for Afro-Brazilian women. Finally, this chapter examines critiques of racially specific HIV prevention initiatives and the tensions between universalism and race consciousness that have characterized the shift toward focusing on the black population in HIV prevention efforts.


1962 ◽  
Vol 16 (1) ◽  
pp. 37-56 ◽  
Author(s):  
Harold Karan Jacobson

Colonialism, at least as it is generally defined in the United Nations as Western rule of non-metropolitan areas, is rapidly being brought to a close. As a consequence, within a few years some of the activities of the United Nations will be reduced to almost insignificant proportions. Seven of the eleven territories that were once included within the trusteeship system have already achieved self-government or independence, and another, Ruanda-Urundi, will soon attain that goal. Unless new territories are added, only Nauru, New Guinea, and the Pacific Islands will remain under trusteeship. The list of territories which according to the General Assembly are subject to the provisions of Chapter XI of the Charter has not been cut as drastically, but in terms of the number of people involved, the reduction is equally impressive. Even with the high rate of population growth and the addition of the Spanish and Portuguese dependencies, the number of people living in such areas is about one-fifth of the 1946 figure of 215,000,000. With a few important exceptions such as Kenya, Uganda, Nyasaland and the Rhodesias, and Angola and Mozambique, the territories which in the UN's view “have not yet attained a full measure of self-government” are small and have populations of less than one million. It has already been recommended that the future of the Department of Trusteeship and Information from Non-Self-Governing Territories and the possibility of allocating its duties to other departments be reviewed in the light of these developments.


Sexual Health ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 59 ◽  
Author(s):  
Abigail W. Batchelder ◽  
Steven Safren ◽  
Avery D. Mitchell ◽  
Ivan Ivardic ◽  
Conall O'Cleirigh

Despite continued advances in HIV prevention and treatment, gay and bisexual men and other men who have sex with men (MSM) remain the population most impacted by HIV/AIDS in the US and many other Western countries. Additionally, MSM are disproportionately affected by various psychological problems, including depression, distress, trauma and substance use. These challenges frequently co-occur, and are associated with higher rates of behaviours related to HIV acquisition and transmission, HIV infection, and, for those living with HIV/AIDS, lower levels of treatment engagement. Moreover, racial disparities exist among MSM in the US; for example, young African American MSM bear a disproportionate burden of the continuing HIV epidemic, likely related to disparate HIV prevalence in partner pools as well as long-standing structural inequities. In this review, the mental health challenges facing MSM primarily in the US, related to HIV and STI prevention and across the HIV care cascade, including HIV diagnosis, engagement and retention in care, and antiretroviral adherence, are illustrated. Disparities among MSM including racial and ethnic, age-related and structural barriers associated with HIV prevention and treatment, as well as current interventions, are also described. Moving forward towards 2020, resources will be needed to assess and implement scalable intervention strategies to address psychological and social barriers to HIV and STI risk reduction and treatment for MSM, with a particular focus on the most vulnerable subpopulations. As access to prevention and treatment strategies expand, and new breakthroughs continue to emerge, behavioural strategies will continue to be needed to reduce risk and increase uptake and engagement among MSM most at risk through 2020 and beyond.


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