WHO's Contribution
to Scaling Up towards
Universal Access to
HIV/AIDS Prevention, Care
and Treatment
2006-2010
Department of HIV/AIDS
February 2006
WHO's Mission in HIV/AIDS
WHO's mission in HIV/AIDS is to achieve the
highest possible standard of health for all
people by reducing the impact of HIV/AIDS on
their lives.
February 2006
Universal access - past and present
1977 - 30th WHA "Health for All by 2000"
1978 - International Conference on Primary Health Care
"…universal access to individuals and families…"
2000 - Millennium Development Goals
2001 - Declaration of Commitment on HIV/AIDS
February 2006
Universal access - past and present
2003 - WHO declares a public health emergency
WHO and UNAIDS launch the "3 by 5" Initiative
56th World Health Assembly endorses the Global Health
Sector Strategy for HIV/AIDS 2003-2007
2005 - Global Task Team recommendations
for coordination within the multilateral system of the global
HIV/AIDS response
improving the managerial and technical support to countryled HIV/AIDS responses through the multilateral system.
February 2006
Universal access - past and present
July 2005 – G8 leaders announce their intention to
"work… with WHO, UNAIDS and other international bodies to
develop and implement a package for HIV prevention,
treatment and care, with the aim of as close as possible to
universal access to treatment for all those who need it by
2010".
September 2005 - 60th Session of the UN
General Assembly endorsement of the goal by all UN
Member States at the High Level Plenary Meeting
February 2006
Universal access in the health sector
 Universal access refers to access to prevention, treatment, care and
support interventions for all who need it.
 Access (availability, affordability and acceptability) should be
measured at the country level within the context of globally accepted
guiding principles, ensuring access for all in need to services that
provide a minimal standard for quality.
 Coverage indicates the optimal availability and utilization, in
accordance with the epidemiology, of a specific intervention.
Proceedings of a Technical Meeting for the Development of a Framework for Universal Access to
HIV/AIDS Prevention, Care, Treatment and Support in the Health Sector
February 2006
Universal access in the health sector
"The health sector is wide-ranging and encompasses
organized public and private health services (including
those for health promotion, disease prevention, diagnosis,
treatment and care); health ministries; nongovernmental
organizations; community groups; and professional
associations; as well as institutions which directly input
into the health care system (e.g. the pharmaceutical
industry, and teaching institutions)."
Global Health Sector Strategy for HIV/AIDS 2003-2007
February 2006
WHO's Strategic Directions for 2006-2010
1.
Care and treatment are within the domain of the
health sector.
2.
A significant proportion of prevention activities is
delivered by the health sector.
3.
Target-driven approaches work in public health.
February 2006
WHO's Strategic Directions for 2006-2010
4.
A public health approach enables rapid scaling up of
quality interventions.
5.
Approaches need to be flexible and responsive to
different epidemiological contexts.
6.
Health systems strengthening and expansion is
essential for universal access to be achieved.
February 2006
WHO's Strategic Directions for 2006-2010
1. Enabling individuals to know their HIV status through HIV testing
and counselling
2. Accelerating the momentum of HIV/AIDS treatment and care
scale-up
3. Maximizing the health sector's contribution to HIV prevention
4. Investing in strategic information to guide a more effective
HIV/AIDS response
5. Taking urgent action to strengthen and expand health systems
February 2006
Priority Interventions (1)
Strategic Direction I:
Priority Interventions
Enabling individuals to
safely know their HIV
status through confidential
HIV testing and
counselling
- Voluntary testing and counseling
- Provider initiated testing and
counseling
-Infant diagnosis and family
counseling
February 2006
Priority Interventions (2)
Strategic Direction II:
Priority Interventions
Maximizing the health
sector's contribution to
HIV prevention
- Prevention of mother to child
transmission (PMTCT)
- Prevention of sexual transmission
- Prevention of HIV transmission
through injecting drug use (harm
reduction)
- Prevention of HIV transmission
within the health care setting
- New technologies for HIV
prevention
- Positive prevention for people living
with HIV/AIDS
February 2006
Priority Interventions (3)
Strategic Direction III:
Priority Interventions
Accelerating the scale-up
of HIV/AIDS treatment and
care
-Antiretroviral therapy for paediatric
and adults HIV/AIDS
-Prevention and management of
opportunistic infections and comorbidities
- Care, including nutrition, palliative
care and end of life care
- Linking HIV/AIDS and tuberculosis
services
February 2006
Priority Interventions (4)
Strategic Direction IV:
Priority Interventions
Investing in strategic
information to guide a
more effective response
- Surveillance of HIV/AIDS and STIs
-HIV/AIDS treatment monitoring,
including HIV drug resistance
surveillance and monitoring
-Monitoring and evaluation of and
reporting on the health sector's
response towards universal access
- Operational research
February 2006
Priority Interventions (5)
Strategic Direction V:
Priority Interventions
Strengthening and
expanding health systems
- Leadership & stewardship
- National strategic planning and
management
- Procurement and supply
management
- Laboratory strengthening
- Human resource development and
management
- Strategies for sustainable financing
February 2006
Operationalizing WHO's contribution
to achieving universal access
Within the Strategic Directions and Priority Interventions
WHO will:
1. Advocate for action and mobilize partnerships
2. Establish and disseminate the evidence base on the
effectiveness of different health sector interventions
and models of good practice for service delivery;
3. Provide global policy guidance;
February 2006
Operationalizing WHO's contribution
to achieving universal access
4. Set norms and standards and develop, update and
adapt assessment, policy, programme and monitoring
and evaluation tools and guidelines;
5. Provide technical support to countries to scale up
national HIV/AIDS responses in the health sector ;
6. Monitor and evaluate the implementation of
interventions and programmes and assist countries to
select indicators and targets.
February 2006
Operationalizing WHO's contribution
to achieving universal access
NEXT STEPS

Develop a 2006-2010 detailed operational plan to support WHO's
contribution

Complete the development of the Essential Package for Universal
Access to HIV/AIDS Prevention, Care, Treatment and Support in
the Health Sector including optimal models for implementation

Include as an agenda item for the 59th World Health Assembly May
2006

Resource mobilization
February 2006
Operationalizing WHO's contribution
to achieving universal access
For more information, please visit
The WHO Universal Access website:
http://www.who.int/hiv/universalaccess2010/
February 2006