Cargando…

Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond

Societal and legal impediments inhibit quality HIV prevention, care, treatment and support services and need to be removed. The political declaration adopted by UN member countries at the high-level meeting on HIV and AIDS in June 2021, included new societal enabler global targets for achievement by...

Descripción completa

Detalles Bibliográficos
Autores principales: Stangl, Anne L., Pliakas, Triantafyllos, Izazola-Licea, Jose Antonio, Ayala, George, Beattie, Tara S., Ferguson, Laura, Orza, Luisa, Mathur, Sanyukta, Pulerwitz, Julie, Iovita, Alexandrina, Bendaud, Victoria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863250/
https://www.ncbi.nlm.nih.gov/pubmed/35192663
http://dx.doi.org/10.1371/journal.pone.0264249
_version_ 1784655198422040576
author Stangl, Anne L.
Pliakas, Triantafyllos
Izazola-Licea, Jose Antonio
Ayala, George
Beattie, Tara S.
Ferguson, Laura
Orza, Luisa
Mathur, Sanyukta
Pulerwitz, Julie
Iovita, Alexandrina
Bendaud, Victoria
author_facet Stangl, Anne L.
Pliakas, Triantafyllos
Izazola-Licea, Jose Antonio
Ayala, George
Beattie, Tara S.
Ferguson, Laura
Orza, Luisa
Mathur, Sanyukta
Pulerwitz, Julie
Iovita, Alexandrina
Bendaud, Victoria
author_sort Stangl, Anne L.
collection PubMed
description Societal and legal impediments inhibit quality HIV prevention, care, treatment and support services and need to be removed. The political declaration adopted by UN member countries at the high-level meeting on HIV and AIDS in June 2021, included new societal enabler global targets for achievement by 2025 that will address this gap. Our paper describes how and why UNAIDS arrived at the societal enabler targets adopted. We conducted a scoping review and led a participatory process between January 2019 and June 2020 to develop an evidence-based framework for action, propose global societal enabler targets, and identify indicators for monitoring progress. A re-envisioned framework called the ‘3 S’s of the HIV response: Society, Systems and Services’ was defined. In the framework, societal enablers enhance the effectiveness of HIV programmes by removing impediments to service availability, access and uptake at the societal level, while service and system enablers improve efficiencies in and expand the reach of HIV services and systems. Investments in societal enabling approaches that remove legal barriers, shift harmful social and gender norms, reduce inequalities and improve institutional and community structures are needed to progressively realize four overarching societal enablers, the first three of which fall within the purview of the HIV sector: (i) societies with supportive legal environments and access to justice, (ii) gender equal societies, (iii) societies free from stigma and discrimination, and (iv) co-action across development sectors to reduce exclusion and poverty. Three top-line and 15 detailed targets were recommended for monitoring progress towards their achievement. The clear articulation of societal enablers in the re-envisioned framework should have a substantial impact on improving the effectiveness of core HIV programmes if implemented. Together with the new global targets, the framework will also galvanize advocacy to scale up societal enabling approaches with proven impact on HIV outcomes.
format Online
Article
Text
id pubmed-8863250
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-88632502022-02-23 Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond Stangl, Anne L. Pliakas, Triantafyllos Izazola-Licea, Jose Antonio Ayala, George Beattie, Tara S. Ferguson, Laura Orza, Luisa Mathur, Sanyukta Pulerwitz, Julie Iovita, Alexandrina Bendaud, Victoria PLoS One Research Article Societal and legal impediments inhibit quality HIV prevention, care, treatment and support services and need to be removed. The political declaration adopted by UN member countries at the high-level meeting on HIV and AIDS in June 2021, included new societal enabler global targets for achievement by 2025 that will address this gap. Our paper describes how and why UNAIDS arrived at the societal enabler targets adopted. We conducted a scoping review and led a participatory process between January 2019 and June 2020 to develop an evidence-based framework for action, propose global societal enabler targets, and identify indicators for monitoring progress. A re-envisioned framework called the ‘3 S’s of the HIV response: Society, Systems and Services’ was defined. In the framework, societal enablers enhance the effectiveness of HIV programmes by removing impediments to service availability, access and uptake at the societal level, while service and system enablers improve efficiencies in and expand the reach of HIV services and systems. Investments in societal enabling approaches that remove legal barriers, shift harmful social and gender norms, reduce inequalities and improve institutional and community structures are needed to progressively realize four overarching societal enablers, the first three of which fall within the purview of the HIV sector: (i) societies with supportive legal environments and access to justice, (ii) gender equal societies, (iii) societies free from stigma and discrimination, and (iv) co-action across development sectors to reduce exclusion and poverty. Three top-line and 15 detailed targets were recommended for monitoring progress towards their achievement. The clear articulation of societal enablers in the re-envisioned framework should have a substantial impact on improving the effectiveness of core HIV programmes if implemented. Together with the new global targets, the framework will also galvanize advocacy to scale up societal enabling approaches with proven impact on HIV outcomes. Public Library of Science 2022-02-22 /pmc/articles/PMC8863250/ /pubmed/35192663 http://dx.doi.org/10.1371/journal.pone.0264249 Text en © 2022 Stangl et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Stangl, Anne L.
Pliakas, Triantafyllos
Izazola-Licea, Jose Antonio
Ayala, George
Beattie, Tara S.
Ferguson, Laura
Orza, Luisa
Mathur, Sanyukta
Pulerwitz, Julie
Iovita, Alexandrina
Bendaud, Victoria
Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title_full Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title_fullStr Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title_full_unstemmed Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title_short Removing the societal and legal impediments to the HIV response: An evidence-based framework for 2025 and beyond
title_sort removing the societal and legal impediments to the hiv response: an evidence-based framework for 2025 and beyond
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863250/
https://www.ncbi.nlm.nih.gov/pubmed/35192663
http://dx.doi.org/10.1371/journal.pone.0264249
work_keys_str_mv AT stanglannel removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT pliakastriantafyllos removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT izazolaliceajoseantonio removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT ayalageorge removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT beattietaras removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT fergusonlaura removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT orzaluisa removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT mathursanyukta removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT pulerwitzjulie removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT iovitaalexandrina removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond
AT bendaudvictoria removingthesocietalandlegalimpedimentstothehivresponseanevidencebasedframeworkfor2025andbeyond