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UNODC is cosponsor of the Joint United Nations Programme on HIV/AIDS - UNAIDS

CONTAINING AND REVERSING DRUG-ABUSE-DRIVEN HIV IN SOUTH ASIA


World leaders have given new impetus to scaling-up comprehensive HIV prevention and AIDS treatment, care and support with injecting drug users.

We see this through various statements and resolutions such as the Gleneagles G8 Communiqué, the United Nations General Assembly 2005 World Summit Outcome, and the United Nations General Assembly resolution on the implementation of the Declaration of Commitment on HIV/AIDS.

The United Nations Office on Drugs and Crime, a co-sponsor of UNAIDS since 1999, focuses its HIV/AIDS work on three specific and particularly vulnerable populations.  These are injecting drug users (IDUs), prisoners and potential and actual victims of human trafficking.

UNODC provides support to governments and civil society organizations in developing, and then implementing, comprehensive and evidence-based HIV/AIDS prevention and care programmes for IDUs.  These have been agreed upon by governments in the UNAIDS Policy Position Paper and in the Political Declaration of the UN General Assembly of June 2006

UNODC provides similar support with regard to prison settings.

The Office is the custodian of the United Nations Standard Minimum Rules for the Treatment of Prisoners and assists governments in implementing international standards and UN resolutions that stipulate that all prisoners have the right to receive health care, including HIV/AIDS prevention and care.

In addition, UNODC, as the custodian of the United Nations Protocol to Prevent, Suppress and Punish Trafficking in Persons, Especially Women and Girls, which supplements the UN Convention against Transnational Organized Crime, strengthens the capacity of governments to provide potential and actual trafficking victims with essential HIV/AIDS prevention and care services.

Young people and women who are also IDUs and/or in prison settings and/or potential or actual victims of human trafficking are among the most vulnerable groups within UNODC's mandate.  Specific evidence-based interventions are being put in place to help protect them from HIV infection.

We believe that partnering with UNAIDS co-sponsors and key partners -- including civil society organizations and organizations of people living with HIV/AIDS within the GIPA context -- is particularly important.  We also believe that civil society organizations in particular play a vital role in HIV/AIDS prevention and care among these vulnerable groups.

EVIDENCE FOR ACTION

Through our partnership with UNAIDS and the Wolrd Health Organization, we have tried to contribute to the body of evidence for action in specific areas of relevance to our mandates.  The following publications may be consulted in this regard.

UNODC's Response for Prevention of HIV Among Drug Users in South Asia Through Opioid Substitution Treatment (OST)
 
STATE OF PLAY: INJECTING DRUG USERS
HIV infection is often associated with unsafe injecting drug practices - the use of contaminated injecting equipment is a major route of HIV transmission.
Once the virus is introduced into an injecting drug user community, prevalence can rise up to 90 per cent in a short space of time.
STATE OF PLAY: PRISON SETTINGS
Overcrowding, unsafe sexual activities and drug injecting, violence, gangs, lack of protection for the youngest, female and weakest prisoners, corruption and poor prison management create an environment
that increases the vulnerability of prisoners to HIV infection and other diseases such as tuberculosis, hepatitis and other sexually-transmitted infections.
STATE OF PLAY: HUMAN TRAFFICKING
Little reliable data exist about the exact scale of this crime.  However, thus far, it is clear that women and girls are most at risk. 
But so too are young boys.  Many girls and women are being trafficked for the purpose of sexual exploitation and it seems highly likely that coercing or forcing trafficking victims into unprotected sexual acts with multiple partners is a significant factor in the spread of HIV.
   
HIV AIDS SITUATION IN SOUTH ASIA

There are several sources of information on the HIV/AIDS situation in South Asia.  The following links may be consulted.

World Bank Report on South Asia

UNAIDS COUNTRY PROFILES

     
 

         
   
 
WHAT DOES UNODC DO TO CONTAIN AND REVERSE DRUG-ABUSE-DRIVEN HIV IN SOUTH ASIA?

Prevention and care interventions need to be comprehensive and multi-sectoral to address the needs of these very diverse vulnerable populations.  To prevent a new wave of HIV/AIDS epidemics, UNODC considers it essential that such interventions be evidence-based and scaled-up immediately.  We see our role as one which encourages countries to adopt a comprehensive package of prevention and care interventions as outlined in the UNAIDS Policy Position Paper.  We also see our role as one of helping to build the capacity of government agencies and civil society organizations to implement these interventions.

 

A number of UNODC interventions in South Asia are doing so at present.

For a more detailed perspective on each of the mandated areas of UNODC intervention, please see below:

 



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