Strategy for Prevention
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“We can make our biggest impact through
prevention—helping young people avoid
infection and ensuring that HIV-negative women
stay that way, especially when pregnant.”
Thoraya A. Obaid Executive Director, UNFPA
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UNFPA can make its greatest contribution
to the fight against HIV/AIDS by working to
prevent the sexual transmission of the virus,
which is one of the major modes of transmission.
As from the start of the epidemic, the
virus is spread through unprotected sexual
activity, unscreened blood and blood products,
contaminated needles, mother-to-child
transmission and breastfeeding.
Prevention is directly linked to the Fund’s
mandate, which is to help ensure universal
access to sexual and reproductive health to
all couples and individuals. Efforts to prevent
HIV infection build directly on decades of
action to prevent the sexually transmitted
infections that affect more than 300 million
people each year. Longstanding involvement
in sexual and reproductive issues, so often
culturally and politically sensitive, also
contributes to UNFPA’s effectiveness.
Prevention is a priority of the global agreements
that guide our work. UNFPA advances
the strategy endorsed by 179 countries at the
1994 International Conference on Population
and Development (ICPD) and reviewed by a
special session of the United Nations General
Assembly in 1999 (ICPD+5). Prevention
efforts are also guided by the Millennium
Development Goals, which all 189 United
Nations Member States have pledged to meet
by 2015. Most recently, the United Nations
General Assembly Special Session on HIV/AIDS
mapped out goals and targets to guide national
and international responses in its Declaration
of Commitment on HIV/AIDS.
Currently, prevention is the most feasible
approach to reversing the epidemic—lacking
a vaccine and with treatment unaffordable or
inaccessible to most people who need it.
UNFPA also joins with partners in UNAIDS
to advocate efforts to ensure blood safety,
provide drugs and treatment for people
living with HIV/AIDS, and provide care
for children orphaned by AIDS.
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