ACTIONS FOR CIVIL SOCIETY ON THE POST 2015 PROCESS

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The Civil Society Working Group on AIDS in the Post-2015
Development Agenda needs you!
The Civil Society Working Group on AIDS in the Post-2015 development process was
created to strengthen the involvement of civil society and key populations in the post-2015
process. The post-2015 CSWG will function as a consultation, advocacy, coordination and
advisory group focused on ensuring the meaningful involvement of AIDS civil society and key
populations in the post-2015 process. The CSWG is composed of a core group of civil society
global advocates representing different constituencies, issues and regions of the world.
PLWHIV, MSM, sex workers, people who use drugs, transgender people, youth, and women
are represented. We believe the post2015 framework should be underpinned by human
rights and a commitment to equity so to ensure that no one is left behind. Leaving no one
behind requires particular emphasis across the framework to ensure the inclusion of the
poorest, most marginalised and vulnerable people.
You can make a difference for the Post-2015 Development Agenda!
What you need to know:
A new set of global development priorities are being developed by governments that will
guide future government policies, programming and funding in all countries from Post 2015.
http://sustainabledevelopment.un.org/

That this Post 2015 development discussion is about to enter a new phase that will last from
September 2014 to September 2015. You can track key events over the next year here:
http://www.icaso.org/timeline/
The first draft has been drawn up:
An Open Working Group (OWG) made up of representatives in 30 seats from 70 countries of
the United Nations General Assembly has worked to develop a first draft of Goals and
Targets, which has already been revised in discussions. This new language is included below.
The last meeting of the OWG is from 14-18th July 2014 in New York. The report of this group
will propose a set of Goals and Targets for Member states of the United Nations to discuss. It
will be posted here: http://sustainabledevelopment.un.org/owg.html
You can still make a difference in the last OWG meeting!
The discussions take place in New York, among government representatives chosen by each
country. Their task is to represent the views coming from their country, so you can influence
the views coming from your government by:
o Reaching out to your Ministers of Foreign Affairs, Gender, and Health with these key
messages.
o Using social and other media campaigns to get your issues into the public
discussions
o UNAIDS country offices can help you make these contacts

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So what are the key messages to get across?
The Civil Society Working Group (CSWG) on HIV in the Post 2015 development agenda has
worked to develop key messages. These messages address HIV, human rights, key
populations, gender and SRHR.
Each section
i) Highlights relevant language for an issue in the current OWG document,
ii) Outlines briefly key messages from the Civil Society Working Group on HIV in the Post
2015 Development Agenda (CSWG) and
iii) Gives you three talking points to get your message across to a government minister.
CSWG Key Messages on HIV in General
1. Although significant progress has been made towards achieving universal access to HIV
prevention, treatment, care and support, the target of reaching it will not be met, a
failure illustrating the major gaps that remain in the response.
2. Governments must recognize the important role AIDS responses have had on
improving health systems and gains in other health and broader MDGs, including
improvements in maternal and child health, and the continued need to invest in
integrated responses and strengthening health and community systems.
3. Governments must recognize the impact that AIDS has on children, including the need
to mobilize programs to ensure the elimination of pediatric HIV and AIDS and for a
multisectoral community-based response to protect orphans and other vulnerable
children.
4. Governments must make explicit reference to the need for new and improved
prevention modalities as a means to end preventable deaths - setting targets and
indicators around coverage, prevalence and incidence are insufficient. We call for
language on the need to develop new priority interventions, including cures for and/or
vaccines against HIV, TB and malaria.
5. Governments must remove legal barriers that prevent marginalized groups such as
young people, men who have sex with men, people who use drugs, LGBTI people, and
women from accessing critical HIV services and support.
6. Governments must ensure that no one will be left behind and address all factors of
marginalization, including social inequality and inequality based on gender, gender
identity and sexual orientation.
7. Governments must ensure inclusion of SMART indicators that measure HIV targets,
shape the HIV response, and reflect the needs of civil society and key populations.
Wherever possible, data should be disaggregated according to each population group
most affected by HIV.
Three things to ask your government in two minutes:
Please include a request in your intervention at the General Assembly for a
commitment to ending AIDS as a public health threat in the Post 2015 goals including
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three targets: reducing new HIV infections, discrimination and AIDS-related deaths by
90% of 2010 levels.
Make sure no one is left behind- this means we need strong language in the goals and
targets to ensure rights-based and gender transformative action on the social, political
and economic determinants of HIV.
Ask for strong inclusive accountability mechanisms, to enable broad participation and
ownership in implementing and monitoring the post-2015 agenda- lets learn from the
success of civil society action on AIDS so far.
The next 5 years will determine what we can achieve by 2030. We have a narrow
window in which to act.
Key Messages on HIV under the Health Goal
Open Working Group Proposed Language
The current proposed health goal is to: Attain healthy lives for all at all ages
The wording on AIDS is currently: 3.3) by 2030 end the epidemics of HIV/AIDS, tuberculosis,
malaria, and neglected tropical diseases
Universal Health Coverage (UHC) has been proposed by the OWG as one of the targets
under the health goal: 3.7) achieve universal health coverage (UHC), including financial risk
protection, access to essential health care services, and access to safe, effective and
affordable essential medicines and vaccines for all
http://sustainabledevelopment.un.org/content/documents/4044zerodraft.pdf
Civil Society Working Group
1. We very much agree with the OWG progress report paragraph 88: achieving an outcome
like maximize healthy lives would require not only universal health coverage but that a
range of social and environmental determinants of health are addressed.
2. Universal health coverage should not be the overarching post-2015 health goal, but it
should be broken down into concrete and measurable targets on access to services and
financial risk protection under an outcome-focused health goal. The health goal must
also include health-outcome targets and targets addressing the social determinants of
health, including inequality.
3. Universal health coverage cannot be the overarching post-2015 health goal as it is too
focused on (public) health systems strengthening and health services coverage, and
does not address health outcomes and the social determinants of health.
4. UHC is only meaningful when it is considered as a mechanism measurable at the target
level, which needs to be broken down into concrete and measurable targets on quality
access to services and financial risk protection for all. In addition to UHC targets, there is
a need for addressing health outcomes and the economic, social and environmental
determinants of health.
5. Access to treatment is unequal, with patients in wealthy countries having access to new
treatments years before people in the global south. Denying access to life-saving
medicine is unacceptable, and emphasizes the need for global partnerships to promote
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access to treatment. This will be equally urgent, if not more so, when a cure for HIV is
developed. We ask that the post-2015 framework include an explicit reference to the
need to increase global access to treatment and to new treatment options (including
any cure that is eventually developed).
Things to ask your Health Minister in two minutes:
Please ensure that targets under the health goal continue to include ending AIDS as a
public health threat and universal health coverage, including financial risk protection,
access to essential health care
Please track carefully the discussions on targets under the health goal to make sure
they include concrete targets and indicators to measure: the rapid reduction of new
HIV infections, stigma and discrimination experienced by people living with HIV and
vulnerable populations and key populations, and AIDS-related deaths by 90% of 2010
levels.
UHC needs to have a specific focus on marginalized populations and include
community based health care
It is necessary to include health targets under other goal areas such as gender equality
because UHC focuses on health systems and does not address the social and economic
determinants of health.
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Key Messages on Human Rights
OWG
We reaffirm that we continue to be guided by the purposes and principles of the Charter of the
United Nations, with full respect for international law and its principles. We further reaffirm the
importance of freedom, peace and security, respect for all human rights, including the right to
development and the right to an adequate standard of living, including the right to food, the
rule of law, good governance, gender equality, womens empowerment and the overall
commitment to just and democratic societies for development. We reaffirm the importance of
the Universal Declaration of Human Rights, as well as other international instruments relating to
human rights and international law.
Current references to human rights and law include:
4.6 by 2030 integrate ensure all learners acquire knowledge, skills, and values to promote sustainable
development, including through education for sustainable lifestyles, human rights, gender equality, peace
and non-violence, global citizenship and promotion of cultural diversity
10.3 ensure equal opportunity and reduce inequalities of opportunity and outcome, including through
eliminating discriminatory laws, policies and practices and promoting appropriate legislation, policies and
actions in this regard
http://sustainabledevelopment.un.org/content/documents/4044zerodraft.pdf
Civil Society Working Group
1. Governments must ensure an evidence-based, human rights approach in all HIV
prevention, treatment, care and support programs and policies.
2. Governments must repeal laws that criminalize same-sex relationships, the unintentional
transmission of or exposure to HIV, use and possession of drugs (for personal use), and sex
work.
3. Governments must take action to ensure protection of the human right of all people to be
free from stigma, discrimination and all types of violence, including gender-based violence,
by both State and non-State actors.
4. Governments must ensure the realization of full human rights of people of all ages,
including people living with HIV, women, sex workers, transgender people, men who have
sex with men, people who use drugs, migrants, young people, prisoners and people with
disabilities, by facilitating and promoting their meaningful participation in the design,
implementation, monitoring and evaluation of HIV prevention, treatment, care and
support programming.
5. All barriers legal, economic, social and cultural that sustain and enforce gender
inequality, thereby contributing to the spread of HIV, which disproportionately affects
women and girls must be removed.
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6. Women and girls of all ages must be supported to gain independent control over their own
sexuality, bodies and lives and take concrete measures to increase their access to and
influence over the use of income, services and resources.
Three things to ask your representative to the GA in New York in two minutes:
Please support the elimination of discriminatory laws, policies and practices, currently
proposed under target 10.3 (reduce inequalities of opportunity and outcome, including
through eliminating discriminatory laws, policies and practices and promoting
appropriate legislation, policies and actions in this regard.) An enabling legal
environment is key to an effective HIV response.
Please support language in 16.4 to increase inclusive, participatory and representative
decision-making at all levels by 2030. The meaningful involvement of people living with
and affected by HIV is driving success in the response to the epidemic and is crucial to
future progress.
Please support language in 6.5 to provide equal access for all to independent,
effective, and responsive justice systems and promote the rule of law by 2030. Access to
justice is essential for people living with and affected by HIV, to demand their rights and
advance the vision of zero discrimination.
Key Messages on Key Populations
OWG
Under health goal:
3.5) strengthen prevention and treatment of substance abuse, including narcotic drug abuse and
harmful use of alcohol
Civil Society Working Group
1. Globally there is an increasing move towards stricter and more punitive laws against key
populations. Universal access to HIV prevention, treatment, care and support services can
never be achieved if groups most affected by HIV such as women and girls, men who have
sex with men, people who use drugs, sex workers, young people, transgender people and
people living with HIV are discriminated against, stigmatized or criminalized.
2. Discrimination, violence and abuses against and criminalization of key population groups
particularly people living with HIV: people who use drugs: female, male and transgender
sex workers; sexual minorities including men who have sex with men and transgender
people continue to fuel the epidemic and hinder efforts to achieve universal access. Key
populations must be included in the post-2015 outcome document, or HIV will resurge.
Ending AIDS requires promoting strategic investment in HIV programming with key
populations. Governments and donors must base their programming and funding
allocation on epidemiological data, evidence of what is most effective, and human rights.
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3. Governments must ensure that key populations are meaningfully involved in the
development, implementation, and monitoring of all policies and programming in the
response to HIV. Ways to include key populations include ensuring that equitable access to
services and improved health outcomes for key populations is included as part of the HIV-
related targets and indicators in the post-2015 framework.
4. Governments must take urgent action in establishing and implementing laws, programs
and policies for zero-tolerance of abuse and violence against women, young people, LGBTI
people, men who have sex with men, sex workers, and other marginalized populations.
5. In line with the UN Secretary Generals High Level Panel call for a data revolution, the
post-2015 Development Framework must include support for disaggregation of data by
marginalized social groups, including data on sexual orientation and gender identity,
collected in accordance with a rights-based approach, with strictly monitored and
confidential systems and inclusive accountability mechanisms. Where there is limited data
available, there is a need to strengthen evidence-based independent research and data
collection to cover the gaps, as part of a wider data revolution proposed by the UN
Secretary Generals high level panel.
6. The post-2015 Development Framework must include targets to reform legal frameworks
that are obstacles for ensuring universal access to services for key populations, such as
targets related to removing discriminatory laws (for example those that criminalize
homosexual activity) and targets related to removing age limits and parental and marital
requirements that bar young people from accessing critical testing, treatment, and support
services and commodities.).
7. We support the inclusion of a target related to reducing violence, with emphasis on
gender-based violence. As decreasing violence was not included in the MDGs, this requires
baseline data to be collected from which to measure any decrease.
Three things to ask your representative to the GA in New York in two minutes:
Please promote strategic investment in HIV programming with key populations.
Programming and funding allocation should be based on epidemiological data, evidence
of what is most effective, and human rights.
Please ensure, in the discussions on Universal Health Coverage that for monitoring new
HIV infections and treatment access under UHC, indicators are disaggregated by age, sex
and key populations
Please advocate for the removal of target 3.5, because the Political Declaration and Plan
of Action on International Cooperation towards an Integrated and Balanced Strategy to
Counter the World Drug Problem agreed by member states in 2009 is still current and
already sets targets for addressing drug use. If that is not possible, replace it with:
Reduce by x% the burden of health harm and premature death associated with
unhealthy foods and alcohol, tobacco and other drugs.
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Key Messages on Gender and SRHR
OWG
Proposed goal 5. Achieve gender equality and empower women and girls everywhere

5.2 eliminate all forms of violence against all women and girls in public and private spaces
5.3 eliminate all harmful practices, such as child, early and forced marriage and female genital
mutilations
5.6 ensure universal access to sexual and reproductive health and reproductive rights in
accordance with the Programme of Action of the ICPD and the Beijing Platform for Action
5.a ensure womens equal right to own and control assets and productive resources
5.b by 2030 achieve universal access to ICT for women and men to promote womens
empowerment
5.c adopt and strengthen sound, enforceable legislation and policies for the promotion of gender
equality at all levels and the empowerment of all women and girls
Civil Society Working Group
1. Governments must ensure that all people can fully realize their sexual and reproductive
health and rights. To achieve this, all people must have access to comprehensive care,
treatment, and services that are integrated, evidence-based, high quality, age-appropriate,
free of charge, and based in human rights.
2. Access to sexual and reproductive health information, services, and commodities, including
comprehensive sexuality education for all adolescents and young people in and out of
school, must be prioritized.
3. Recognizing that women and girls are at greater risk of sexual transmission of HIV than
men and boys for both physiological and socially constructed reasons, and recognizing that
access to sexual and reproductive health services is associated with lower rates of HIV,
sexual and reproductive health and rights must be fully integrated within HIV
programming.
4. The full range of contraceptive commodities, services and information must be universally
and freely available, regardless of gender identity, sexual orientation, marital status,
economic status, or age.
5. SRHR programming must be integrated within all HIV programming, especially for key
populations. The realization of sexual rights is integral to decreasing stigma, particularly
against MSM and transgender people, as documented by the Global Commission on HIV
and the Law.1
1
http://www.hivlawcommission.org/index.php/report


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6. All young people must have access to comprehensive sexuality education that is evidence-
based, high quality, age-appropriate, free of charge, and based in human rights so that
they may make informed and autonomous decisions about their lives. These services are
especially important for young people amongst key populations.
7. Governments must ensure an end to violence, including structural and intimate partner
violence, that bars many marginalized groups, including women, sexual minorities, and
young people, from accessing services for sexual and reproductive health. Governments
must put in place policies that aim to eliminate all forms of violence, particularly violence
against women and gender-based violence, and include avenues and resources for redress
and action.
Three things to ask your Minister of Gender in two minutes:
Call for the gender equality goal to include the full realization of womens rights in its
formulation.
Support a target on the respect, promotion and protection of sexual and reproductive
health and rights for all, especially women and girls.
Call for the reference to the ICPD Programme of Action and the Beijing Platform for
Action not to be included in the SRHR target, so as not to restrict the scope.