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Putting the last mile first

The Global Network of People Living with HIV (GNP+) demands Universal Health Coverage that:

  1. Puts the last mile first – placing the needs of the poorest and most marginalised members of society at the start and centre, and transforming ‘leave no one behind’ from rhetoric to reality.
  2. Builds comprehensive, people-centred and community-led and based systems for health – moving beyond narrow ‘health systems’ to a holistic approach that maximises and resources the unique role, reach and impact of community responses.
  3. Embodies rights and equity – with legal and policy frameworks that address the full range of, and barriers to, social determinants of health, especially for key and affected communities.
  4. Puts key and affected communities in the driving seat – listening to their needs, respecting their experience, and providing concrete opportunities to shape plans, packages and fiscal mechanisms.

Speaking Out: Nepal

Three decades after the first case of HIV was found in Nepal, HIV has become one of the most devastating diseases the country has ever faced. To date it is estimated that 40,000 people are living with HIV and nearly 4,000 have died of HIV-related illnesses in Nepal. Throughout this time, people living with HIV and key affected populations, have experienced and witnessed many violations of their human rights. The project, ‘Human Rights Count for Key Populations Living with HIV (KPLHIV)’, aims to document these violations, to aid advocacy against them and to devise long-term solutions.

Speaking Out: Kenya

In Kenya, networks of key populations and people living with HIV decided to focus on human rights violations among female sex workers living with HIV. Interviews with 30 sex workers living with HIV in six counties – Nairobi, Mombasa, Kiambu, Machakos, Kisumu and Busia – brought to the surface the many human rights violations female sex workers living with HIV face while accessing healthcare services, and violations by law enforcement officers.

Based on real life examples of violations, the Kenyan networks defined recommendations to promote the right to healthcare and access to justice, and to reform laws and policies.

Global Action with Local Impact: Why Advocacy Matters 2011-2014

This report examines the role of global-level advocacy in addressing HIV among key populations, including people living with HIV (PLHIV), people who inject drugs, sex workers, and lesbian, gay, bisexual, and transgender (LGBT) people. Entitled “Global Action with Local Impact: Why Advocacy Matters,” the report details strategies used and outcomes achieved by five constituency-led global network organizations focused on key populations, providing numerous case study examples illustrating the concrete impact of advocacy at the global level.

The report focuses on global-level work conducted as part of the Bridging the Gaps program, an international multi-agency effort devoted to achieving universal access to HIV services and ensuring full human rights for key populations. Supported by the Netherlands Ministry of Foreign Affairs, the program is a collaboration between five Dutch-based organizations, five global key population networks, and 80 grassroots organizations across 16 countries.

The report includes principles of practice for global advocacy and a detailed theory of change depicting causal chains that lead to improvements in health and human rights for key populations. Numerous examples of global advocacy are included with a focus on concrete results of global advocacy initiatives. All work featured in the report was conducted by Bridging the Gaps global partners: the Global Network of People Living with HIV (GNP+), the International Network of People Who Use Drugs (INPUD), the Global Network of Sex Work Projects (NSWP), the MSMGF, and the International Treatment Preparedness Coalition (ITPC).

More information on each of the other global key population networks featured in the report can be found on their respective websites: INPUD (www.inpud.net);  NSWP (www.nswp.org); the MSMGF (www.msmgf.org); and ITPC (www.itpcglobal.org). 

Difficult Decisions: A Tool for Care Workers Managing Ethical Dilemmas

When it comes to HIV care and support, making better decisions matters to all of us.

Ethical decision-making:

  • It matters to all people with HIV, including key populations and their children; and
  • It matters to care workers who want to make the best possible decision.

If you want to make the best possible decision—or wish that the organization that supports you would improve its decision-making—now there’s a simple tool that can help, available in English, French, Spanish and Russian.