XVIII International AIDS Conference


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Amazonaids - a UN integrated plan in support to the HIV response in the Amazon region of Brazil

A. Benzaken Schwarz1, B.J. Smid2, J. Cortes3, C. Pedro3

1FUAM and SBDST/AM, Manaus, Brazil, 2SEPLAN/AM, Manaus, Brazil, 3UNAIDS, Brasilia, Brazil

Issues: Based on the national priorities established by the Brazilian federal government in 2007, the UNAIDS Theme Group on HIV (an expanded multisectorial body established by UNAIDS in some countries) has agreed to pioneer an integrated work plan in the Amazon Frontier Region to strengthen local responses to the epidemic and to face regional inequalities. It was agreed on the need of promoting joint UN programming on HIV in order to have more impact and optimization of resources and to achieve the goal for the UN System of “delivering as one”.
Description: Due to the inequities found in the Amazon region, high rate of AIDS mortality and an increasing number of HIV-positive indigenous persons, the UNAIDS Theme Group Integrated Plan for the state of Amazonas (AMAZONAIDS) has its focus on the three municipalities located in the Upper Solimões river frontier region. After planning and agreements based on the local governments and civil society priorities the main areas of interventions are: universal access to early diagnosis, treatment, care and support; health promotion and HIV/AIDS and other STD prevention strategies; local governance and the strengthening of the vulnerable and most at risk populations including indigenous peoples.
Lessons learned: Integrated and well planned actions involving several governmental sectors and civil society have proved to be fundamental for the appropriate interventions and implementation strategies to improve cost effectiveness. Local level ownership and harmonized efforts have been crucial for the AIDS response impact in the municipalities. The UN approach on delivering as one in the State of Amazonas is an example of a good practice for the HIV response in other regions.
Next steps: Network governance capacity building for local public managers, social mobilization and the fostering of integrated and coordinated actions among all partners as well as the improvement of the on going monitoring and evaluation process.

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