Zero Strategy

Adopted by the UNAIDS Programme Committee Board in December 2010, the UNAIDS strategy 2011–2015, better known as a Zero Strategy, is aimed at advancing global progress in achieving country set targets for universal access to HIV prevention, treatment, care and support, halting and reversing the spread of HIV, and contributing to the achievement of the Millennium Development Goals by 2015.

Vision and Goals:

Vision: To get to Zero New Infections

Goals for 2015:

  • Sexual transmission of HIV reduced by half, including among young people, men who have sex with men and transmission in the context of sex work
  • Vertical transmission of HIV eliminated and AIDS-related maternal mortality reduced by half
  • All new HIV infections prevented among people who use drugs

Strategic direction toward this goal is to Revolutionize HIV prevention. Globally, thousands of people are newly infected with HIV every day. A revolution in prevention policies and practices is critically needed. This can be achieved by fostering political incentives for commitment and catalysing transformative social movements regarding sexuality, drug use and HIV education for all, led by people living with HIV and affected communities, women and young people. It is also critical to target epidemic hot spots, particularly in megacities, and to ensure equitable access to high-quality, cost-effective HIV prevention programmes that include rapid adoption of scientific breakthroughs.


Vision: To get to Zero AIDS-related Deaths

Goals for 2015:

  • Universal access to antiretroviral therapy for people living with HIV who are eligible for treatment
  • TB deaths among people living with HIV reduced by half
  • People living with HIV and households affected by HIV are addressed in all national
  • Social protection strategies and have access to essential care and support

Strategic direction toward this goal is to Catalyse the next phase of treatment, care and support. Globally, almost two million people are dying from AIDS-related causes every year. Access to treatment for all who need it can come about through simpler, more affordable and more effective drug regimens and delivery systems. Greater links between antiretroviral therapy services and primary health, maternal and child health, TB, and sexual and reproductive health services will further reduce costs and contribute to greater efficiencies. Enhanced capacity for rapid registration will increase access to medicines, as will countries’ abilities to make use of Trade-Related Aspects of Intellectual Property Rights (TRIPS) flexibilities. Nutritional support and social protection services must be strengthened for people living with and affected by HIV, including orphans and vulnerable children, through the use of social and cash transfers and the expansion of social insurance schemes.


Vision: To get to Zero Discrimination

Goals for 2015:

  • Countries with punitive laws and practices around HIV transmission, sex work, drug use or homosexuality that block effective responses reduced by half
  • HIV-related restrictions on entry, stay and residence eliminated in half of the countries that have such restrictions
  • HIV-specific needs of women and girls are addressed in at least half of all national HIV responses
  • Zero tolerance for gender-based violence

Strategic direction toward this goal is to Advance human rights and gender equality for the HIV response. Social and legal environments that fail to protect against stigma and discrimination or to facilitate access to HIV programmes continue to block universal access. Countries must make greater efforts to realize and protect HIV-related human rights, including the rights of women and girls; to implement protective legal environments for people living with HIV and populations at higher risk of HIV infection, and to ensure HIV coverage for the most underserved and vulnerable communities. People living with and at higher risk of HIV should know their HIV-related rights and be supported to mobilize around them. Much greater investment should be made to address the intersections between HIV vulnerability, gender inequality and violence against women and girls.


Zero Strategy Core Themes

People

Inclusive responses reach the most vulnerable, communities mobilized, human rights protected

Countries

Nationally owned sustainable responses, financing diversified, systems strengthened

Synergies

Movements united, services integrated, efficiencies secured across Millennium Development Goals


"Getting to zero is not an aspirational goal or a magic number. It must be our common plan—to be transformed into reality".

Mr. Michel Sidibé, UNAIDS Executive Director


LINKED MATERIALS

UNAIDS 2011–2015 Strategy: Getting to zero

This Strategy has been developed through wide consultation, informed by the best evidence and driven by a moral imperative to achieve universal access to HIV prevention, treatment, care and support and the Millennium Development Goals.

UNAIDS 2011–2015 Strategy: Getting to zero

This Strategy has been developed through wide consultation, informed by the best evidence and driven by a moral imperative to achieve universal access to HIV prevention, treatment, care and support and the Millennium Development Goals.

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