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European Action Plan for HIV/AIDS 2012-2015

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Geneva, WHO, 2011

This action plan is an urgent call to action to the 53 Member States of the
European Region to respond to the public health challenge of HIV in Europe.
It suggests there is a pressing need for action in Europe to tackle: the rapidly increasing numbers of people becoming infected; the social inequities that mean that socially marginalized and stigmatized citizens are the most vulnerable to HIV; the structural barriers that prevent key populations at higher risk from accessing prevention, treatment and care; the scandalously low coverage with life-saving antiretroviral therapy; the impact on the control of tuberculosis, viral hepatitis and other communicable diseases; and the considerable burdens placed on health systems. Immediate action is possible in a Region rich in experience of effective policies and programmes. In many central and western European countries, effective programmes have stabilized or prevented epidemics. In the western part of the Region, AIDS cases and AIDS mortality have declined as a result of increased access to treatment. Even in the eastern part, where the epidemic is worst, integration and links between HIV and other health programmes are demonstrating some good results. Mother-to-child transmission of HIV has rapidly decreased through the integration of HIV prevention with maternal and child health services. Further, HIV programming in the Region is showing great potential for strengthening health systems. Laws and regulations have been addressed in many countries, and the power of citizens has been harnessed through civil society organizations and community participation. The Action Plan is anchored in the guiding principles of: equity in health; community participation; human rights; evidence-informed policies and ethical public health approaches. It is structured around four strategic directions: optimize HIV prevention, diagnosis, treatment and care outcomes; leverage broader health outcomes through HIV responses; build strong and sustainable systems; and reduce vulnerability and remove structural barriers to accessing services (addressing social determinants of health). The Plan puts into action in the WHO European Region both the UNAIDS HIV/AIDS Strategy for 2011–2015 and the WHO Global Health Sector Strategy on HIV/AIDS 2011–2015. It is coherent with the European Commission communication on HIV/AIDS 2009–2013.