Human Rights-Based Approaches to Programming

HIV and AIDS

The HIV and AIDS pandemic is not just a public health issue, HIV and AIDS presents an obstacle to all human rights, for example, the right to education, the right to work and the right to safety and protection from abuse and violence.

Protecting human rights is therefore crucial to responding effectively to HIV and AIDS. A rights-based approach does this by integrating international human rights principles in health policy, planning and legislation.

Adopting a rights-based approach means providing people with the power, skills, knowledge and resources to protect them from contracting HIV and AIDS. Rights-based approaches to prevention do not just provide information, they seek behavioural change for example by ensuring that all people have the power and resources to refuse sex and access safe medical practices. Prevention programmes should identify the needs of those particularly vulnerable to HIV and AIDS infection, such as sex workers, drug users and mobile populations.

A rights-based approach aims to guarantee access to treatment and care to those affected by HIV and AIDS. At the policy level, this means ensuring that States are held accountable for the consequences of exclusionary health policies. At the programme level, rights-based approaches seek to provide psycho-social support, medical treatment and nutritional support.

Tackling discrimination is fundamental to rights-based approaches to HIV and AIDS. The stigma attached to HIV and AIDS stifles education and knowledge. This causes the virus, and panic, to spread faster. Rights-based approaches address discrimination by working with parents, teachers the media and religious organisations, to address attitudes about sex and sexuality.

Large numbers of deaths caused by HIV and AIDS have heavily reduced labour, skills and knowledge. Rights-based approaches can help to mitigate this by encouraging a multi-sectoral response and fostering strong political and community support. This can help to assess and monitor the impact of AIDS on industry and macro-economic stability.

Example: Rights-based approaches to HIV/ AIDS in Vietnam

Studies have found that major transmission of HIV occurs along transport routes. This is because mobile populations, such as truck-drivers, away from their families for long periods of time, are more likely to have multiple sexual partners at different truck stops along the highway. In response, World Vision and the Australian Government’s overseas aid program set up The National Highway One Project in Vietnam to prevent the spread of infection by increasing awareness of HIV and prevention among truck drivers and communities.

Community members in frequent contact with the drivers, were trained to distribute condoms and information, including leaflets, and audio-cassettes containing songs interspersed with conversations between truck drivers. Young men and women in roadside locations took part in education sessions and produced colourful murals and billboards which reinforced the message that HIV and AIDS threatens everyone, not just 'high-risk groups' By educating the wider community, the project aimed to encourage behavioural change.

Source: Global Education (World Vision)

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HIV/AIDS Stigma and Human Rights: A Resource Manual for NGOs, Community Groups and Persons Living with AIDS
20.1.2005
The training manual aims to tackle stigma at a local level. It is a practical tool introducing rights in an accessible format, with basic information on HIV/AIDS, why it is a human rights issue and common human rights issues for People Living With AIDS.
HIV/ AIDS and Human Rights International Guidelines. Guideline 6: “Access to Prevention, Treatment, Care and Support”
12.3.2005
This guideline aims to help States to design policy and practice to ensure respect for human rights. It is a revised version of Guideline 6 on “Access to prevention, treatment, care and support” adopted in 1998 by the Office of the High Commissioner for Human Rights (OHCHR).
Promoting Rights-Based Approaches: Experiences and Ideas from Asia and the Pacific
12.3.2005
Save the Children has promoted rights-based approaches through training workshops, programme reviews, discussions, documents and practical programme experimentation. All of this work is based on a firm commitment to human rights and the fundamental principles of universality, indivisibility, accountability and participation.
Human Rights and HIV/AIDS in the Context of 3 by 5: Time for New Directions?
12.3.2005
The author describes the challenges that remain in implementing a human rights approach to HIV/ AIDS.
More than words? Action for Orphans and Vulnerable Children in Africa
25.5.2005
Intended to inform and challenge, More than words? is a qualitative investigation of how far the rights and needs of orphans and vulnerable children are being met in four of the worst-affected countries in sub-Saharan Africa.
Reader on Children and HIV/AIDS No. 4
21.7.2005
This reader contains selected resources relating to children and HIV/AIDS. This includes basic texts that provide an overview on how HIV/AIDS affects children; key legal instruments for HIV/AIDS; best practice documents by thematic areas; and key resources for child rights and HIV/AIDS.
Children's Rights and Children Affected by Aids, Orphans, and Programming In China
16.8.2005
This paper discusses the initiation of a project in central China through the use of children’s research as a foundation for understanding children’s perspectives, problems and issues.
GHANA: Sponsored children advocate for care, as Vice President launches World AIDS Day programme (11 November 2005)
28.11.2005
An Eleven-year-old World Vision sponsored child, Mercy, drew the attention of the large congregation of dignitaries, students, non governmental organisation staff, UN staff, and the media, of the need to keep their promise to care for children affected or living with HIV/AIDS.
World Vision Zambia joins children's campaign against HIV/AIDS (11 November 2005)
28.11.2005
World Vision Zambia National Director Martin Silutongwe expressed the urgent need for efforts to improve the standard of children’s lives in Zambia during the launch of the 2005 Global Movement for Children (GMC) ‘Lesson for Life’ in Lusaka recently.
Apology over missed Aids target (28 November 2005)
4.1.2006
The head of the World Health Organisation's HIV/Aids programme has apologised for its failure to meet a global target for the treatment of HIV.

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