"Access to HIV Prevention: Closing the Gap" (by The Global HIV Prevention Working Group)

Download this publication (pdf):
http://www.unaids.org/publications/Prevention130503_en.pdf

About the Report

Access to HIV Prevention: Closing the Gap, is a report by the Global HIV Prevention Working Group. "This report provides, for the first time, a region-by-region analysis of gaps in access to HIV prevention interventions, examines current spending levels versus projected need, and recommends funding and programmatic activities to avert 29 million of the 45 million new HIV infections projected between 2002 and 2010. The Working Group's analysis of global HIV prevention funding finds that annual spending from all sources in 2002 was $3.8 billion short of what will be needed by 2005.The report also finds that access to proven prevention interventions is extremely limited, and highly variable, depending on region and the intervention"

Excerpt from 'Summary of Results'

"Having reviewed the most recent evidence on HIV prevention needs and current resources, this report finds: Access to HIV Prevention. Globally, fewer than one in five people at risk of infection have access to basic prevention services.

Sub-Saharan Africa. In the region hit hardest by HIV/AIDS, where the epidemic's devastation is becoming more and more acute primarily due to sexual transmission, many young people remain unaware of basic facts about HIV/AIDS. Only six percent of people have access to voluntary counseling and testing and only one percent of pregnant women are able to obtain access to treatment to prevent mother-to-child transmission.
Asia and the Pacific. In Asia, where injecting drug use is combining with unprotected sex, rising rates of sexually transmitted diseases (stds), and other factors that accelerate the spread of HIV, only 10 percent of injecting drug users (idus) are benefiting from harm reduction programs* and 10 percent or fewer of the most vulnerable populations are reached by prevention interventions.
Eastern Europe and Central Asia. The rapidly growing epidemic in Eastern Europe and Central Asia is primarily fueled by injecting drug use, and secondarily by increasing sexual transmission. Yet only one in nine idus in the region has meaningful access to harm reduction programs, and only one in six people who need std services can obtain them.
Caribbean and Latin America. Only 11 percent of men who have sex with men, who account for the single largest share of infections in the region, have access to targeted behavioral interventions, while fewer than one-third of individuals at risk are reached by AIDS awareness campaigns.
North Africa and the Middle East. Harm reduction programs are extremely limited in this region where injecting drug use is a major source of transmission. Sex workers, a highly vulnerable