The 2022 UNAids theme for World Aids Day is ‘Equalise’. The rationale for the theme is that there is evidence that inequality in society has and continues to fuel the HIV epidemic.
The same is true of the TB epidemic — long considered a disease of poverty. The theme is particularly pertinent to South Africa with its legacy of apartheid and its continuing high levels of inequality — by race, class, gender and geography.
To achieve these targets, we must also mitigate mental health issues that negatively impact on people living with HIV and TB. Depression is the most common MH disorder amongst PLHIV and TB, often resulting in non-adherence to treatment. As people living with HIV live longer as a result of initiation and adherence to ARV treatment, there is also an increase in noncommunicable diseases like diabetes and hypertension which require management by individuals and the health sector.
A greater focus on prevention in the health sector is also critical for a reinvigorated response to the epidemic. This will also require a reorientation of both the health service delivery platform, retraining of health professions and additional budgets for prevention. It is also critically important that new products for prevention such as long-acting injectables like CAB-LA are made affordable and available as rapidly as possible to prevent HIV acquisition.
Technical implementing partners that form the Health Implementing Partners Group have been central to supporting the government’s response to HIV and TB with financial support from a range of bilateral, multilateral and philanthropic organisations. Many innovations have been developed and lessons learned. However, much more is needed to end Aids by 2030 as is the global call.
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