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Dispatches from Toronto AIDS Conference


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Thursday, Aug. 17, 2006

Wednesday, Aug. 16, 2006

Tuesday, Aug. 15, 2006

Monday, Aug. 14, 2006

Sunday, Aug. 13, 2006


Thursday Session Highlights

Aug. 16—Today’s conference sessions opened with a challenge: What is the price of inaction?, speakers asked at “Time to Deliver: The Price of Inaction.” Mark Heywood of Treatment Action (South Africa) put the question to his government, challenging South Africa to set and meet targets by 2008 to include getting 500,000 people into treatment. Youth advocate Kerrel McKay (Jamaica) gave a personal perspective about the price of inaction: her father died of AIDS when she was 15 years old, spurring her work today to mobilize youth to fight AIDS in her community.

Siphiwe Hlophe was awarded the first ever “Fighting Spirit” award from AIDS Action this week.Other highlights included:

  • HIV, Gender and Development: The Poverty, Malnutrition and Food Security Cycle, with UN Special Envoy for AIDS in Africa Stephen Lewis and CEDPA alumna Siphiwe Hlophe, Director of Swaziland’s Positive Living for Life. Hlophe was awarded the first ever Fighting Spirit award from AIDS Action this week.
  • A speaker from the World Food Program outlined data and programming in Southern Africa that shows how food insecurity affects women and girls, and how HIV/AIDS increases food insecurity. Families affected by AIDS are more likely to also suffer from malnutrition, as households sell off assets including animals and land, and spend less time in agriculture and more time in caring for those who are infected by HIV.
  • Hlophe reported on the agricultural work of her organization with widows and orphans in Swaziland. They run community farms that provide food staples for people living with HIV and AIDS, teach families affected by AIDS how to grow kitchen gardens to grow their own food, and produce seedlings for sale.


Wednesday Session Highlights

Aug. 16—Some 76 percent of people infected by HIV do not have access to treatment, according to research released at Wednesday's opening plenary on “Advancing Treatment and Universal Access.” Dr. Kevin de Cock of WHO’s HIV/AIDS Department of HIV/AIDS reported that 1.6 million people currently have access to anti-retroviral therapy. However, if governments do not commit all available resources to scaling up treatment, the growing epidemic will expand beyond “any feasible treatment target.”

Other highlights included:

  • At The Other Side of Access: Charting a Path for Expanding HIV/AIDS Prevention Services, CARE USA, Futures Institute, Global Health Council and the YRG Centre for AIDS Research and Education detailed the effectiveness of evidence-based prevention programs, and argued that prevention efforts must be scaled up to stem the tide of AIDS.
  • The Global Health Council’s Nils Daulaire noted that “for every person brought onto AIDS treatment, ten more are becoming infected.” This leads to “$20 billion [that is] being accrued every year in the global debt burden” to treat every infected person over their lifetime at current treatment costs, which is unsustainable.
  • AIDS advocates must do more to increase political commitment to comprehensive, proven prevention methods including condoms, harm reduction, outreach to marginalized populations including sex workers, and behavior change. In addition, more resources must be committed to address the structural causes that lead to women’s increased vulnerability to HIV, including poverty, intimate partner violence and gender inequality.

Fighting AIDS in Cross River

Margaret Ebokpo, CEDPA alumna, Women in Management 2001Aug. 16—CEDPA caught up with alumna Margaret Ebokpo at the Toronto AIDS Conference. Ebokpo, a lawyer and nurse, is Executive Director of the Women in Detention Rights Initiative in Cross River, Nigeria.

She says that the intersection of poverty and gender inequality is fueling the AIDS epidemic in Cross River, and that “we need to address gender inequality urgently.” She urges increased efforts to educate women and give them a voice so that “they can decide what they want from their lives” and lead efforts to improve their communities.

Ebokpo was a participant in the 2001 Women in Management program. She applied to gain more skills in management and leadership, she says.

Speaking about CEDPA’s program, Ebokpo says she values the exchange of best practices and experiences among the participants from around the world. “I discovered that women from Cambodia, women from the Eastern block, we all had the same problems” and could learn from one another, Ebokpo said.


Tuesday Session Highlights

Aug. 15—The government of France announced that for the first time, it would contribute 300 million Euros to the Global Fund to Prevent AIDS, Tuberculosis and Malaria.

 

Former U.S. President Bill Clinton urged leaders to base prevention strategies on scientific evidence.Other highlights included a session on Global Leaders Speak Out, which included former U.S. President Bill Clinton and UN Special Envoy for HIV/AIDS in Africa Stephen Lewis, who urged world leaders to meet financial obligations to ensure AIDS prevention, treatment and care reach those who most need it.

We are fortunate to live in a time when we have the opportunity to meet our obligation, Clinton said, saying that the world community has the resources and tools to fight the epidemic.

Clinton urged leaders to base prevention strategies on scientific evidence. We know how to overcome AIDS, he said, We know how to prevent millions of needless deaths.


Protesters Demand Rights for Women and Girls

A demonstrator holds a sign that reads Aug. 14—More than a thousand demonstrators in downtown Toronto demanded that women and girls become more of a priority in AIDS policies and programs.

Mary Robinson, UN Commissioner for Human Rights and former president of Ireland, called on policymakers to move beyond rhetoric and use a rights-based approach to AIDS policies. "Millions of women don't know their rights," she said, and challenged women's organizations to push AIDS to the forefront of their priorities.

Robinson was joined by other speakers including Stephen Lewis, the UN special envoy for HIV/AIDS in Africa and Louise Binder, co-founder of Blueprint for Action on Women and Girls and HIV/AIDS.

Demonstrators took to the streets after the rally, chanting the slogan from the 1995 Beijing Women's Conference “women’s rights are human rights,” and marched to the convention center where the AIDS conference is being held.


Monday Session Highlights

Aug. 14—At a luncheon session today, two of the leading global networks of people living with AIDSthe International Community of Women Living with HIV/AIDS (ICW) and the Global Network of People Living with HIV/AIDS (GNP+)announced they have received a major institutional strengthening grant to join forces over the next three years.

Other highlights included:

  • Women at the Frontlines in the AIDS Response, about challenges and advances in addressing HIV/AIDS in women, who are now nearly 60 percent of those living with HIV, with Journalist Judy Woodruff, Melinda Gates of the Gates Foundation and Sheila Johnson of Black Entertainment Television, among others.
  • Former president of Ireland Mary Robinson emphasized at the rally that “millions of women don’t know they have rights.”<p>
    A session on educating girls as a method of prevention, with former Irish President Mary Robinson and Geeta Rao Gupta of the International Center for Research on Women (ICRW). Gupta noted that the “the persistent gender gap in education leads to serious consequences in HIV/AIDS.” President Robinson stated that “girls and women are more vulnerable” than men and boys when it comes to contracting HIV because of their “lack of power in relationships,” and called for national governments to honor their commitments to universal education goals and provide long term funding for education.
  • A discussion of “Media and AIDS,” with actor Richard Gere, MTV President Bill Roedy, and heads of the Caribbean Broadcast Corporation, South Africa Broadcasting Corporation, STAR India and the Black AIDS Institute. These media corporations have joined with others in their regions to raise awareness around AIDS and encourage behavior change to increase prevention. In South Africa, broadcasters have agreed to devote five percent of their daytime programming to HIV/AIDS awareness. A lesson learned there is that fear messages (“if you don't do this, you will die”) are not working; youth know about AIDS but are not changing high-risk behavior. Instead, the broadcasters are becoming more sophisticated in their messages so that behavior change messages are presented through public service announcements, special programming and in integrating messages into storylines of programs.

AIDS Conference Opens to Thousands

Melinda Gates speak at Sunday's opening session, while Bill Gates looks on.Aug. 13—The XVI International AIDS Conference opened in the Rogers Centre here in Toronto, an 11.5 acre baseball stadium with a size that symbolized the enormity of both the passion and the challenge that is ahead in the AIDS fight.

More than 20,000 people from 170 countries sat under the dimmed lights as they listened to remarks by leaders including Bill and Melinda Gates, UNAIDS Executive Director Peter Piot, and conference co-chairs Helen D. Gayle of CARE and Mark A. Wainberg of the McGill University AIDS Centre.

These leaders called for increased action and commitment to fight AIDS, particularly to meet the needs of women and girls, step up prevention efforts among vulnerable populations, advance new technologies against HIV and AIDS, and meet funding commitments. As noted by Helene Gayle, "we must ensure that promises made are promises kept" and that "rhetoric meets reality" in fighting AIDS.

Frika Chia Iskandar, an Indonesian AIDS activist, introduced herself to the assembly by stating that "I am the new face of AIDSa young Asian woman," and challenged donors to direct more funding to the needs and realities of those living with AIDS.

UNAIDS Executive Director Peter Piot reminded participants that "we are at a great time of hope and great opportunity because we have achieved more in the last five years that the last 20," but also noted the huge gap in preventing the spread of HIV, particularly among youth.

The theme of prevention was continued by Bill and Melinda Gates, who shared a podium to address the question of how to stem the four million new HIV infections that occur each year. Bill Gates called the gap between these new infections and the relatively small number of those receiving anti-retroviral therapy as the "harsh mathematics of this epidemic."

He stressed that women and girls are particularly vulnerable to infection and stigma, and that "we have to put the power of prevention in the hands of women" if we are to be successful, challenging his foundation and other donors to focus more on the development of microbicides and oral prevention drugs that could enable women to better protect themselves from infection.

Melinda Gates continued the theme of prevention, stressing that in addition to developing new technologies, "we must bring the tools we already have to those who need them," including condoms because "in the fight against AIDS, condoms save lives."

The attendees gave many of the speakers standing ovations, cheering and clapping in solidarity with the calls for action. The one note of controversy involved the decision by Canada's Prime Minister Stephen Harper to not attend the convention, which prompted Liberian President Ellen Johnson-Sirleaf to boycott her planned attendance in a symbolic protest.


CEDPA Alumni Leading Fight Against AIDS

Ugandan advocate Proscovia Namakula from Uganda and Tanzanian parliamentarian Hon. Lediana Mafuru Mng’ong’o.Aug. 13—Among the thousands of AIDS advocates, managers, scientists and political leaders attending the AIDS conference are many CEDPA alumni leading efforts against AIDS around the world.

CEDPA met up with some of them at a reception and strategy session held today a few hours before the official conference began. Among those who attended were Tanzanian parliamentarian Hon. Lediana Mafuru Mng’ong’o (pictured standing right) and Ugandan advocate Proscovia Namakula (pictured left).

As the national coordinator for the National Forum of People Living with HIV/AIDS Networks in Uganda, Namakula has increased her focus on developing collaboration among the many national and international networks of people living with HIV/AIDS. She would like to see more networks work together to elevate shared advocacy goals and eliminate competition for funding.

Elected to the Tanzanian parliament in 2000, Mng’ong’o uses her position as Chair of the Coalition of African Parliamentarians against HIV/AIDS to campaign for the rights of women and children affected by HIV. She has lobbied her fellow parliamentarians, along with women leaders and government ministers, to break the silence about HIV and reduce stigma.

Mng’ong’o holds roundtables with parliamentarians and people living with HIV/AIDS, and makes home visits to people receiving treatment, to align policymaking with the realities and needs of people’s lives.

Mng’ong’o was part of the Women in Management program in 2000, where she said she was urged by her fellow participants to get involved in politics.

Featured in CEDPA’s recent WomenLead magazine, Namakula participated in the last year’s WomenLead in the Fight Against AIDS training.