World AIDS Day: UNHCR stresses need to close the gap in HIV treatment

News Stories, 1 December 2014

© UNHCR/B.Sokol
A woman is tested for HIV in the Democratic Republic of the Congo's North Kivu state, where conflict has displaced huge numbers of displaced and made access difficult. Tests for HIV and sexually transmitted diseases give almost instant results.

GENEVA, December 1 (UNHCR) High Commissioner for Refugees António Guterres on Monday marked World AIDS Day by stressing the importance of closing the gap between people who have access to HIV prevention, treatment, care and support services and those who are being left behind.

The theme of this year's World Aids Day is "Close the Gap," which Guterres said was also an important call to action at a time when the world is setting ambitious new Sustainable Development Goals for the next 15 years. "Ending the AIDS epidemic as a public health threat by 2030 should be a central component of the post-2015 development agenda," he said in a message to staff.

The High Commissioner also said this year's theme had particular resonance for UNHCR as expanding conflicts and growing forced displacement risk placing ever greater numbers of people beyond the effective reach of HIV prevention, treatment, care and support services.

"For UNHCR, closing the gap means ensuring that humanitarian and development responses are aligned in a way that ensures reliable, consistent and continuing access to HIV services for refugees, internally displaced persons and others of concern," he stressed.

Antiretroviral therapy (ART) has proven to dramatically extend the lifespan of people living with HIV and effectively prevent transmission. Increasing access to ART is one of the objectives of UNHCR's Global Strategy for Public Health 2014-2018. UNHCR in partnership with 14 other agencies recently updated the "Guidelines for the Delivery of Antiretroviral Therapy to Migrants and Crisis-Affected Persons in Sub-Saharan Africa," which now also include forcibly displaced populations.

Guterres noted that mandatory HIV testing for refugees and asylum-seekers still takes place in several countries, often without essential counselling services or adequate privacy protections. Such practices persist even in countries where national legislation provides that all HIV testing should be voluntary. To address this gap, UNHCR in partnership with WHO and the UNAIDS Secretariat has updated the "Policy Statement on HIV Testing and Counselling for Refugees and other persons of concern to UNHCR." The statement strongly advocates against compulsory or mandatory HIV testing of individuals on public health and protection grounds or for any other purposes.

"We will continue to be strong advocates for HIV prevention services, treatment, care and support and social protection, as well as for respect of the human rights of people living with HIV," he concluded.

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HIV and Reproductive Health

Treatment for HIV and access to comprehensive reproductive health services.

Public Health

The health of refugees and other displaced people is a priority for UNHCR.

Health crisis in South Sudan

There are roughly 105,000 refugees in South Sudan's Maban County. Many are at serious health risk. UNHCR and its partners are working vigorously to prevent and contain the outbreak of malaria and several water-borne diseases.

Most of the refugees, especially children and the elderly, arrived at the camps in a weakened condition. The on-going rains tend to make things worse, as puddles become incubation areas for malaria-bearing mosquitoes. Moderately malnourished children and elderly can easily become severely malnourished if they catch so much as a cold.

The problems are hardest felt in Maban County's Yusuf Batil camp, where as many as 15 per cent of the children under 5 are severely malnourished.

UNHCR and its partners are doing everything possible to prevent and combat illness. In Yusuf Batil camp, 200 community health workers go from home to home looking educating refugees about basic hygene such as hand washing and identifying ill people as they go. Such nutritional foods as Plumpy'nut are being supplied to children who need them. A hospital dedicated to the treatment of cholera has been established. Mosquito nets have been distributed throughout the camps in order to prevent malaria.

Health crisis in South Sudan

UNHCR and Partners Tackle Malnutrition in Mauritania Camp

The UN refugee agency has just renewed its appeal for funds to help meet the needs of tens of thousands of Malian refugees and almost 300,000 internally displaced people. The funding UNHCR is seeking is needed, among other things, for the provision of supplementary and therapeutic food and delivery of health care, including for those suffering from malnutrition. This is one of UNHCR's main concerns in the Mbera refugee camp in Mauritania, which hosts more than 70,000 Malians. A survey on nutrition conducted last January in the camp found that more than 13 per cent of refugee children aged under five suffer from acute malnutrition and more than 41 per cent from chronic malnutrition. Several measures have been taken to treat and prevent malnutrition, including distribution of nutritional supplements to babies and infants, organization of awareness sessions for mothers, increased access to health facilities, launch of a measles vaccination campaign and installation of better water and sanitation infrastructure. Additional funding is needed to improve the prevention and response mechanisms. UNHCR appealed last year for US$144 million for its Mali crisis operations in 2013, but has received only 32 per cent to date. The most urgent needs are food, shelter, sanitation, health care and education.

The photographs in this set were taken by Bechir Malum.

UNHCR and Partners Tackle Malnutrition in Mauritania Camp

Kuwaiti Funds Provide Vital Medical Aid for Syrians in Lebanon

As the number of Syrian refugees in Lebanon continues to grow, ensuring access to quality health care is becoming an increasing challenge for humanitarian aid groups and the international community. So, Kuwait's unprecedented donation in April of US$110 million for UNHCR's Syria crisis operations this year came at a most opportune time. Slightly more than 40 per cent of the amount has been used to fund programmes in Lebanon, including the provision of vital - and often life-saving - medical care. In the following photo gallery, photographer Shawn Baldwin looks at the essential work being done in just one Kuwaiti-supported clinic in northern Lebanon. The small Al Nahda Primary Health Care Clinic in the town of Beddawi has a staff of seven doctors and one nurse. Between 600 and 700 people seek medical attention there every month and the clinic meets the needs of some of the most vulnerable refugees.

Kuwaiti Funds Provide Vital Medical Aid for Syrians in Lebanon

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Chad: Health for allPlay video

Chad: Health for all

Refugees in southern Chad receive health care under a European Union-funded programme. A new clinic tackles malaria, malnutrition, respiratory infections and more.
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Jordan: Getting Health Care

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