TAC Electronic Newsletter
23 April 2006
Contents
- Memorandum handed over today at
Prevention Summit and March
- Joint TAC/ALP Statement: Participation in
UNGASS
- An email from the Director-General of Health to TAC General
Secretary, Sipho Mthathi
Prevention Memorandum
To: UNAIDS and the United Nations General
Assembly High Level
Meeting on AIDS, c/o Catherine Hankins
South African Government c/o Speaker of Parliament Baleka Mbete and
Caroline Makhasi
South African Business Coalition on HIV/AIDS c/o Brad Meers
Delegates of the International Microbicides Conference c/o Kim
Dickson
23 April 2006
Make Community-Driven HIV Prevention Work in South Africa and
Internationally
Prevent 2 Million Infections in South Africa by 2010
Set prevention targets in every country!
Endorse the demands for scaled-up, scientific, human rights based
HIV prevention NOW!
We are marching today to renew our commitment to preventing HIV in
South Africa and internationally. We are calling for a community
led
alliance to prevent HIV that embraces all organisations, and which is
driven by local communities. Our message is simple: we can
prevent HIV
infections. We can treat AIDS. As civil society we will
act, but we
call on the governments of South Africa and the world to provide
leadership.
We are marching today because of the crisis in HIV prevention in many
parts of the world. UNAIDS estimates that over 4 million people
were
infected with HIV in 2005 alone. The HIV prevention crisis is
particularly acute in South Africa. The recent Human Sciences
Research
Council (HSRC) household survey found that more than one in ten people
in South Africa is HIV-positive. Scientific estimates are that
over
1,400 people were infected in South Africa every day in 2005.
Unless
we act decisively, it is projected that another 2.5 million people in
South Africa will become infected by 2010.
The continued increase in new HIV infections is obviously an
emergency. Every new HIV infection means an increased burden of
illness on individuals, families, households, communities, the health
service and the country. The tragedy is that most of these
infections
are preventable. They can be stopped if we scale-up HIV
prevention
strategies in South Africa: this means more leadership, more money,
more condoms, more public education and bold efforts to transform
cultural and societal norms that place women at risk.
Our messages to our comrades, friends, partners, husbands, wives and
colleagues are:
- Test for HIV and know your status
- Always use a condom – consistently and correctly
- Declare your school, workplace, church and community an HIV
prevention zone
- Stop violence against girls and women. Report rape and
sexual
assault to the police. Make sure the legal system puts rapists in
prison.
- Organise in your community to end rape and violence against women
We recognise that there are many obstacles to HIV prevention. The
most
important ones are the lack of political and resource commitment to HIV
prevention in SA and internationally. But there are also
important
economic and cultural barriers. As the beginnings of a prevention
alliance, we say we will mobilise to overcome all these barriers.
We will mobilise to overcome sexism and violence against women that is
prevalent in our families, communities and society as a whole.
Stigma
and violence against women and children raise their risk of HIV
infection. So does the economic dependence of women on men, which
is
caused by unemployment and poverty. We commit to fighting
attitudes
and institutions that entrench the oppression of women.
We will also mobilise to overcome the social exclusion and economic
marginalisation of young men. This is causing despair and
violence,
often targeted at other young men, girls and women. We say to
young
men that the march to prevent HIV is also a march for hope and dignity,
for decent employment.
We will mobilise and overcome the absence of proper sex education in
and out of our schools. This denies young people the knowledge we
need
to protect ourselves from HIV infection, teenage pregnancy and other
sexually transmitted infections. Similarly, homophobia prevents
gay
men from reducing their risk of HIV infection. Criminalisation
and
hypocrisy prevents sex workers from accessing prevention
services.
Intravenous drug users are denied access to scientifically proven and
life-saving prevention methods because drug use is against the law.
We are marching today because lack of access to prevention
methods such
as male and female condoms, dental dams, clean needles and
post-exposure prophylaxis for rape survivors are a violation of the
rights to health, life and dignity.
We are marching because access to mother-to-child prevention programmes
in Africa and developing countries still reach fewer than 10% of people
who need them. This means hundreds of thousands of children are
still
being born with HIV.
We believe this cycle of infection, neglect, vulnerability and risk can
be broken – but only if we want to. Therefore we call for a
comprehensive programme in South Africa that will prevent two million
new infections by the end of 2010. We hope this will inspire
activists
and governments across the world to set prevention targets for their
countries.
The key to achieving these targets is political leadership from
government, corporate commitment, civil society action and individual
responsibility.
To the delegates of the International Microbicides Conference we
say:
Microbicide research offers much hope for HIV prevention. If safe
and
effective, microbicides will offer women more choices – they will be
less dependent on having to convince men to accept the use of male or
female condoms. We support the objectives of the International
Microbicides Conference and continued microbicide research.
We therefore call for:
- greater investment by international institutions and the
pharmaceutical industry in research into and the development of
microbicides; and
- commitment to making microbicides widely available and affordable
if and when they are developed, particularly for people in developing
countries and poor people everywhere.
To the upcoming UN General Assembly high level meeting on HIV/AIDS
we say:
The high level meeting provides a unique opportunity to provide
leadership and vision for a comprehensive, united and sustained
response. The least we expect from a new declaration of
commitment is
universal access to prevention, treatment and care services and human
rights by 2010.
We therefore call for
- Political commitment
- Prevention targets must be set in and met by all countries.
- Governments must recognise that HIV prevention and treatment
programmes complement each other, and commit to prioritising both.
- Predictable and sustainable funding:
- All national governments, where possible, must commit to funding
their own HIV prevention programmes.
- Industrialised countries must ensure that the Global Fund is
adequately funded.
- Unreasonable restrictions on the use of donor funds must be
removed.
- Programming based on evidence and respect for human rights:
- Unequivocal support for and resources to ensure the
implementation of prevention interventions that have been proven to
work, such as needle-exchange programmes for injecting drug users and
consistent and correct condom use
- Encouraging and providing resources for developing countries to
move beyond the single-dose nevirapine regimen to prevent
mother-to-child transmission of HIV
To the South African Business Coalition on HIV/AIDS (SABCOHA)
Recognising that business has an important role to play in HIV
prevention, we call for:
- A commitment to ensuring access to HIV prevention and treatment
programmes in every workplace within one year
- Direct investment by business in HIV prevention and treatment
campaigns, including the establishment of a dedicated fund that will
aim to raise at least R1bn each year
- The speedy dismantling of the hostel system so that mineworkers
can live with their families
To the South African Government
We call on our government urgently to develop and implement a
comprehensive, evidence and rights-based national HIV prevention plan
to complement the antiretroviral ARV treatment plan. That plan
must
include:
- Clear indicators, targets and timeframes, including a commitment
to prevent at least two million new HIV infections in South Africa by
the end of 2010
- Evidence-based and scientifically accurate public messaging, that
includes calls for people to get tested, treated and to use condoms
consistently and correctly
- Real leadership in the campaign against violence against women,
including unequivocal support for the introduction of a basic income
grant to increase the financial independence of women, and the
widespread availability of post-exposure prophylaxis
- Prevention programmes for those who are HIV positive as well as
those who are negative
- Introduction of better regimens for preventing mother-to-child
transmission of HIV, and better monitoring of and reporting on the
existing programme
- Standardisation of HIV counselling, including safer sex
counselling and condom distribution
- Availability of condoms and life-skills programmes, including
sex-education, in every school
- Decriminalisation of sex-work and the unequal age of consent for
lesbian and gay youth
- Publicly funded and implemented HIV prevention programmes for sex
workers, gay men and other men who have sex with men, and other
stigmatised groups that may be particularly vulnerable to HIV infection
- Fast-tracking the passage of the Criminal Laws (Sexual Offences)
Amendment Bill, with appropriate safeguards to protect the rights of
people living with HIV/AIDS
- Transformation of the justice system so that its handling of rape
survivors stops inhibiting women from reporting sexual violence through
fear of secondary victimisation by the system. The current
pattern of
convictions rates must improve dramatically.
- Introduce the routine offer of HIV testing at all clinics and
hospitals where antiretroviral treatment is available
The task we have in front of us is huge. It requires the
accountability of all of us. We also recognise the centrality of the
media as a key socialising institution. We expect that the media
will
hold itself accountable to the highest standard of truthful, critical
yet ethical reporting. To this effect, the media must immediately
commit to stop perpetuating stereotypes and sensationalised
reporting.
We commit to holding the media to these standards.
As individuals and organisations comprising civil society, we commit to
publicising the demands of this memorandum and educating the public
about HIV prevention. We commit ourselves to working with the
institutions to whom this memorandum is addressed to reduce new HIV
infections. Most importantly, we commit to working within our own
communities, be they people with HIV or at risk of HIV, sex workers,
recreational drug users or gay men, to implement effective,
evidence-based, scientifically-accurate and rights-based HIV prevention
interventions.
Together we can stop the HIV epidemic. We have to.
Signed
Treatment Action Campaign
South African Democratic Teachers Union
Chris Hani Institute
AIDS Law Project
Gender AIDS Forum
Masanyane
RADAR
Triangle Project
Sex Workers Advocacy & Training Taskforce
[END OF PREVENTION MEMO]
Joint TAC/ALP Statement: Participation in
UNGASS
23 April 2006
In its latest press release regarding the participation of the
Treatment Action Campaign (TAC) and the AIDS Law Project (ALP) in the
United Nations General Assembly Special Session on HIV/AIDS (UNGASS),
the Department of Health (DoH) has lied.
In particular, it makes the claim that “[t]he invitation sent to [TAC
General-Secretary Sipho] Mthathi was addressed to her as TAC
office-bearer and does not make any reference to her participation at
the UNGASS as being [in her] personal capacity.” However, in an email
sent to Mthathi on Thursday, 13 April 2006, Mr Thami Mseleku
(Director-General of Health) expressly stated that her “invitation,
even though recognising that … [she is] from the TAC, is not an
invitation to the TAC.” The full text of the email is copied below.
The DoH’s press release also takes issue with Mthathi’s justified claim
that the failure to include the ALP undermines the integrity of the
country delegation. The DoH statement conveniently fails to note that
the only reason why the ALP would need to be part of the country
delegation is because the South African government objected to its
accreditation at UNGASS.
Unfortunately, the DoH’s latest press release does not even attempt to
engage the broader issue that it at stake – a long history of
deliberate and persistent undermining of an engaged, active and vocal
civil society. We hope that as it prepares for UNGASS, the DoH will
reflect on its most recent blunder in its response to the HIV/AIDS
epidemic and come back to South Africa with a willingness to engage
openly, honestly and with integrity. The country expects nothing less.
TAC and the ALP will send representatives to UNGASS. We will campaign
for our government and all UN country members to set targets for
treatment and prevention of HIV and to make the resources available to
meet these targets. We hope the South African government will go to
UNGASS with the same purpose.
Email from Thami Mseleku (DG of Health) to Sipho Mthathi (TAC
General Secretary)
From: Thami Mseleku [mailto:MselekuT@health.gov.za]
Sent: 13 April 2006 01:39 PM
Subject: Re: Letter from Sipho Mthathi
Dear Sipho
Thank you for your response to the discussion we had yesterday. I note
the suggestions you make about further representation, and will discuss
with the Minister and the Core group of the Department.With regard to
paragraph 2 of your letter, may I reiterate that you have been invited,
like all other delegates, to participate in the delegation of the
country. You can choose to accept the Minister's invitation or decline
it. However your invitation, even though recognising that you are from
the TAC, is not an invitation to the TAC. therefore the matter of the
right to choose your delegate does not arise. I therefore do not expect
correspondence in that regard. My only expectation is for correspondence
relating to whether you accept the invitation or not.
I thought I explained the principle on which this delegation has been
put together. We have not invited any organisation to nominate people to
the delegation, and we are not making any exception to the TAC. I am
therefore not sure why your application to be accredited as an
independent organisation arises in this regard. If you are willing to be
part of a country delegation, you will therefore be treated as all
members of that delegation, including in terms of the responsibility of
the country to carry the cost of the delegation. I cannot stand on the
way of the TAC to send you or anybody to the meeting as an independent
organisation, and to pay for itself, by whatever means. But this is not
a delegation of an independent accredited TAC. It is a country
delegation, put togather by the government of the day.
Let me once again reiterate that we as a department of health are very
much open to finding ways to resolve whatever difficulties are there
with the TAC, but we will continue to act in the interest of our country
and our people. We hope this is the same spirit in which you take this
matter
Kind regards
Thami Mseleku
Director-General
[END OF UNGASS STATEMENT]
[END OF NEWSLETTER]