Lessons from HIV for TB: Thursday, 18:30

Don’t miss the networking and drinks reception tonight, July 24, in room 101-102, with World Bank Group, USAID, Results International, MSH, and more.

Learning the Lessons from HIV for Improved TB Control and Beyond.

Learning the Lessons from HIV for Improved TB Control and Beyond.

THSA10 Learning the Lessons from HIV for Improved TB Control and Beyond: a Panel Discussion and Reception
Non-Commercial Satellite
Venue: Room 101-102
Time: 24.07.2014, 18:30 – 20:30

“Tap the potential” of the private sector tonight

Join us tonight in room 111-112 for “Tap the potential: The role of the private sector in stepping up the pace of supply of HIV/AIDS commodities.”

The Partnership for Supply Chain Management, Inc., to host satellite session Wednesday, July 23, 18:30-20:30.

The Partnership for Supply Chain Management, Inc., to host satellite session Wednesday, July 23, 18:30-20:30.

Calling for a You-Turn for Public Health: Don’t Criminalize Gays, People Living with HIV

Since HIV was first identified in sub-Saharan Africa, Uganda has distinguished itself as a leader in developing and implementing an effective HIV response. In recent years, however, HIV incidence has been increasing in the country, and a series of restrictive, punitive measures have replaced the common sense, public-health approach that had set this beautiful country apart.

This year, Uganda joined Nigeria and a handful of other sub-Saharan African countries that have passed, or are considering, repressive, egregious laws criminalizing HIV transmission and homosexuality–laws that are regressive and disastrous from a public health point of view.

Among other things, the anti-homosexuality law in Uganda requires Ugandans to report anyone who may be homosexual to the authorities. Anyone. This means mothers turning in sons, fathers turning in daughters. Anyone.

Meanwhile, the Ugandan “HIV Prevention and Control Act” criminalizes “attempted” or “intentional” transmission of HIV, with fines of up to ten years in prison, and mandates testing for HIV of pregnant women, their partners, and for all accused of rape, not convicted, accused. It further allows for court ordered disclosure of HIV status—in some circumstances without the individual’s consent. While Ugandan President Yoweri Museveni has not yet made it official, it is likely he will sign the HIV bill any day.

MSH has worked in Uganda for over 15 years, measurably improving the health of Ugandan women, men and children, and helping to save the lives of people needing HIV & AIDS prevention and treatment. The new law’s restrictions on “abetting” homosexual relations will impair efforts by healthcare providers and development organizations like MSH to provide comprehensive prevention, counseling, testing, and clinical care and treatment services for vulnerable people living with HIV or those at risk of HIV infection.

Some say that far-right US interests have fueled the fear and fomented discrimination of gay people in Uganda and elsewhere. Regardless of the source, sadly some anecdotal reports suggest that many Ugandans do not see a problem with the new laws.

The LGBT communities in Africa, Asia and elsewhere are unfortunately no strangers to these insults; and I have been trying to formulate a response to these unfortunate turn of events. My conclusion, in light of such intolerance against a select group of people for petty political gains, is simply to stand up and be counted. So in solidarity with those who suffer from these crude attempts at discrimination, I state proudly what my family, friends and colleagues have long known and supported: I’m a gay man. And, as a gay man, I will only be able to participate in the rebuilding of Uganda’s HIV response from afar. So, while MSH has multiple projects working in Uganda, serving hundreds of thousands of Ugandans, if I were to go and help my MSH colleagues on the ground, they would be compelled to turn me into the authorities or face prosecution themselves. I cannot put my colleagues at risk.

How many others face this quandary?  And what of our gay and lesbian friends and colleagues working and living in Uganda, shrouded in secrecy? What will become of them?

What about the Ugandans who must hide who they are—even if it means not getting tested for HIV, or not adhering to antiretroviral treatment for fear of this specific sort of stigma and discrimination that the Ugandan laws have created?

More people will go underground. More will hide their HIV status. Fewer people will get tested. More HIV transmission will occur.

I stand with those whose courage is head and shoulders above mine: Uganda’s own Frank Mugisha, executive director for Sexual Minorities of Uganda (SMUG), Uganda’s umbrella LGBT rights organization, who was out of the country when President Museveni signed the anti-homosexuality law but then chose to return knowing full well that he might be targeted for persecution, prosecution or worse.

I stand with Dr. Paul Semugoma, winner of this year’s International AIDS Conference Elizabeth Taylor Human Rights Award. Dr. Semugoma remains in exile from Uganda, his home country, because him being gay and having the temerity to state it, unashamed, publicly, put him in grave danger in his country of birth.

I stand with Binyavanga Wainaina, the wonderful Kenyan author who decided to tell the world he was gay in response to Uganda’s and Nigeria’s laws. His book , “Someday I will write about this place,” is as universal a coming of age memoir as any I’ve ever read.  Following their example, willing to proclaim simply who they are, raising my hand and adding to their voice seems a paltry response.  But it’s the most potent tool I can think of.

I stand with the anonymous men and women—gay and presumed gay—who are languishing in fear or in prison and those who are ill who don’t feel they have the option of seeking care for fear of the response from those in their communities, the clinics, or the authorities.

I stand with the many others who have the courage to stand up and say, this is who I am. Do not criminalize me.

In speaking up, gay and straight, we say: all people deserve the opportunity for a healthy life – living with HIV, at high risk of infection, in any country or region—no matter how far from a health center you may have been born: you are worth seeing, testing, and treating. You have as much right to life and health as President Museveni of Uganda, President Jonathan of Nigeria, those who make the laws, and every one.

We will continue to work with global and local partners to support Uganda’s and Nigeria’s efforts to strengthen their health systems. But, these laws will make reducing HIV transmission, and preventing maternal and child deaths much harder.

Health includes dignity. We hope that as more people—gay and straight, living with HIV, and allies–stand and work together, more people in Uganda and around the world will believe: All people deserve the opportunity for a healthy life.  One thing is clear:  we do not improve health and humanity by stigmatizing and criminalizing sexuality or living with HIV.

Scott Kellerman, MD, MPH, is the Global Technical Lead for HIV & AIDS in the Center for Health Services at MSH.

{Photo credit: Rui Pires/MSH.}

{Photo credit: Rui Pires/MSH.}

Related

Anti-Homosexuality Act is a Step Backward for Uganda

New law in Uganda likely to set back gains made in HIV & AIDS

HIV Lessons for Universal Health Coverage (#Lessons4UHC)

Post updated, July 22, 18:30.

Tweet your questions and lessons for building universal health coverage on the AIDS response to @MSHHealthImpact with hashtag #Lessons4UHC.

Meet MSH Poster Presenters

The International AIDS Society accepted 17 posters by MSH staff.

(Meet more MSH staff on Wednesday and Thursday 12:30-14:30.)

Tuesday, July 21

Sam Wanamama, Uganda

Sam Wanamama presented on “Follow up of circumcised clients at 48-hours post-surgery in Uganda: reducing adverse events and reinforcing prevention messages.” {Photo credits: Christine Rogers/MSH.}

// Learn more about Strengthening TB and AIDS Response – Eastern Region >>

Monday, July 20

Megh Jagriti, Southern Africa

 Megh Jagriti, senior technical advisor, Building Local Capacity (BLC) for Delivery of HIV Services in Southern Africa. His poster is called: “Evidence based OVC programming – optimizing resources and ensuring impact in Lesotho.” {Photo credit: Barbara Ayotte/MSH.}

Megh Jagriti, senior technical advisor, Building Local Capacity (BLC) for Delivery of HIV Services in Southern Africa, presented on: “Evidence based OVC programming – optimizing resources and ensuring impact in Lesotho.” {Photo credit: Barbara Ayotte/MSH.}

// Learn more about Building Local Capacity for Delivery of HIV Services in Southern Africa >>

Oby Onoh, Nigeria [Candide Tran Ngoc presenting]

(July 20) Poster from Nigeria on “Using organizational capacity building to ensure the sustainability of community-based interventions for orphans and vulnerable children: lessons from the CUBS project in Nigeria" by Obialunamma (“Oby”) Onoh, presented by Candide Tran Ngoc.  {Photo credit: Barbara Ayotte/MSH.}

“Using organizational capacity building to ensure the sustainability of community-based interventions for orphans and vulnerable children: lessons from the CUBS project in Nigeria,” by Obialunamma (“Oby”) Onoh was presented by Candide Tran Ngoc. {Photo credit: Barbara Ayotte/MSH.}

// Learn more about Community-Based Support for OVC Project >>

 

Call to Action on Women, HIV & AIDS, and NCDs: Multimedia

Panelists at the July 21 satellite session on women, HIV & AIDS, and NCDs. {Photo credit: Rachel Hassinger/MSH.}

Panelists at the July 21 satellite session on women, HIV & AIDS, and NCDs. {Photo credits: Rachel Hassinger/MSH.}

MSH co-organized a satellite session on July 21, 2014, on women, HIV & AIDS, and non-communicable diseases (NCDs) with the American Cancer Society (ACS), Medtronic, and the Task Force on Non-communicable Diseases and Women’s Health. MSH President & CEO Jonathan D. Quick, MD, MPH, opened the session. Bob Chapman (American Cancer Society) introduced a new video series on people living with chronic diseases.

Sandy Thurman (US President’s Emergency Plan for AIDS Relief [PEPFAR]) provided context on the current state of women, HIV & AIDS, and non-communicable diseases (NCDs). Thurman shared examples from Pink Ribbon/Red Ribbon, a partnership between the George W. Bush Institute (GWBI), PEPFAR, Susan G. Komen, the Joint United Nations Programme on HIV/AIDS (UNAIDS), as well as corporate and foundation members.

Living with HIV, Young Professionals, Implementers

Dr. Quick and panelists L’Orangelis Thomas Negron, HIV & AIDS activist; Kim Green, FHI360; Jordan Jarvis, Young Professionals Chronic Disease Network; and Katie Reichert, Building Local Capacity for Delivery of HIV Services in Southern Africa (MSH), discussed barriers to health for women in low-and middle-income countries living with HIV & AIDS and chronic non-communicable diseases.

A lively Q&A session included questions and ideas from colleagues working in Malawi, Kenya, and more.

A doctor from Malawi discusses challenges and hopes for integrating HIV and NCD services. {Photo credit: Rachel Hassinger/MSH.}

A doctor from Malawi discusses challenges and hopes for integrating HIV and NCD services.

Stay tuned for more from MSH and partners on stepping up the pace for women, HIV, and NCDs.

IMG_0738

“Health for all requires access for all–and acceptance for all”: Dr. Quick Introduces Mann Lecturer Hon. Michael Kirby at Opening Plenary

Dr. Jonathan D. Quick introducing the Hon. Michael Kirby at AIDS 2014 opening plenary session (July 20, 2014). {Photo credit: Barbara Ayotte/MSH.}

Dr. Jonathan D. Quick introducing the Hon. Michael Kirby at AIDS 2014 opening plenary session (July 20, 2014). {Photo credit: Barbara Ayotte/MSH.}

MSH President & CEO Dr. Jonathan D. Quick introduced the Hon. Michael Kirby during the AIDS 2014 opening session on Sunday, July 20.

Watch Dr. Jonathan D. Quick and Hon. Michael Kirby

Watch video

Transcript of Quick’s remarks (as delivered)

Jonathan D. Quick, MD, MPH:

Distinguished dignitaries, colleagues, friends, ladies and gentlemen: Good evening.

This seems to be the “evening of the youth.” Let’s give another very warm thanks to Yhana Haule from Tanzania and to Ayu Oktariani from Indonesia.

(APPLAUSE)

It’s a pleasure being here on behalf of the Global Health Council to introduce the Honorable Michael Kirby, who will give tonight’s Jonathan Mann Memorial Lecture.

A few weeks ago, I had a wonderful conversation with Jonathan Mann’s daughter, Lydia. She described the joy and satisfaction he felt working with groups like TASO, Act-Up and other activist groups.

I asked Lydia what her father would say if he were here tonight:

“He would be so happy and proud of what, in the 15 years since his death, this community has achieved by working together.

“He would also share his disappointment at how much more is left to be done.”

The Jonathan Mann Memorial Lecture was established in 2000 to honor this outspoken & tireless advocate who put human rights at the forefront in fight against AIDS. Dr. Mann and his wife died tragically in a 1998 plane crash in route to an AIDS conference.

It’s devastating that the AIDS community has lost yet another outspoken pioneer in Joep Lange — and with him five others from our community. We honor them tonight as we honor Jonathan Mann, who we also lost prematurely.

Jonathan Mann fought vigorously for the voiceless, the vulnerable, the stigmatized. By making AIDS — and with it health — a human rights issue, Jonathan Mann inspired a generation of activists.

But his mission is not finished.

The proven power of human rights in the fight against HIV/AIDS has become a catalyst for defending human rights across the entire health agenda.

Human rights are at the very core of universal health coverage.

That’s why we at Management Sciences for Health, along with scores of NGOs and other organizations around the globe support countries that are pursuing the UHC vision of health for all.

Health for all requires access for all – and acceptance for all.

We cannot stand by and watch discriminatory laws against the LGBT community so audaciously violate human rights, as we have recently seen in several countries.

Dr. Mann believed that once you take away the rights of some, you’re on the path to erode the rights of all. This is why a courageous and passionate human rights champion like the Honorable Michael Kirby was chosen to give this year’s Jonathan Mann Memorial Lecture.

Michael Kirby is well known to many, perhaps most – in this audience. Michael Kirby was born and educated in Sydney, Australia. He discovered he was gay as an adolescent. With that discovery came the recognition that the law was not always kind — or correct.

Michael Kirby came to believe that the rule of law,if it means merely enforcing the law, is not enough. The practice of law must always respect human well-being and human dignity.

He practiced law before his appointment as a judge in 1975. He rose through several courts to the High Court of Australia, from which he retired in 2009 as Australia’s longest serving judge.

Throughout his career, Justice Kirby has defended victims of unjust regimes, and promoted the cause of international law and human rights, a practice that won him the title of the “Great Dissenter” for not hesitating to differ with his legal colleagues.

He has been a strong opponent of the oppression and imprisonment of men and women due to sexual orientation or gender identity. He has played keys roles on UNAIDS, Lancet, UNDP, and other international commissions on HIV/AIDS, the law, and human rights, including the Commission on HIV and the Law, which Michel Sidibe mentioned.

His work has impacted human rights law and practice in countries around the globe.

In short, Michael Kirby has lived the principles that Jonathan Mann stood for: human rights, dignity for all, and the courage to speak out and take action to defend these principles.

On behalf of the Global Health Council and everyone in this hall whose lives are longer or freer because of his work, I am proud to introduce the Honorable Michael Kirby.

 

Related

AIDS Community Mourns Loss of Colleagues Aboard MH17

On behalf of Management Sciences for Health (MSH), we send condolences to all the families, colleagues, and friends of the passengers killed on Malaysian Airlines Flight 17.

Many of us are still in shock at the senseless loss of life—all too common among those fighting HIV & AIDS.

(Read International AIDS Society statement.)

From my time at the World Health Organization (WHO), I remember vividly Joep Lange’s passion and determination for ending HIV & AIDS. In 1999 and 2000, when the scale-up of AIDS treatment was still considered unaffordable, unfunded, and—in many people’s minds—undoable, he pioneered AIDS treatment and brought people together in united action. We also lost Glenn Thomas, the WHO spokesperson, and others committed to ending HIV & AIDS.

We are missing our friends and colleagues this week in Melbourne, Australia, at the 20th International AIDS Conference. On Friday evening, Michel Sidibé of UNAIDS shared a conversation he had with Joep a week ago about the conference. He said that Joep told him:

We must never miss the opportunity to transform Melbourne as the beginning of the journey ending AIDS.

Indeed, we must remain determined to continue the fight to end HIV & AIDS and work together toward a more just world.

Jonathan D. Quick, MD, MPH, is President & CEO of Management Sciences for Health (MSH).

Related

AIDS2014.org: Opening session includes tributes to lost colleagues aboard MH17  (PDF)

Tuesday: Gather for Global Health Transformation Breakfast: HIV & AIDS #Lessons4UHC

Join the conversation online with hashtag #Lessons4UHC.

Join us Tuesday, July 22, from 7:00 to 8:30 am, in room 104, for a roundtable and open dialogue/interactive session on building universal health coverage (UHC) on the lessons of HIV & AIDS response. Breakfast provided.

Global Health Transformation: Tuesday, July 22, 7:00 AM, Room 104

Global Health Transformation Satellite Session: July 22, 7:00-8:30 am, Room 104.

Organized by MSH, the International HIV/AIDS Alliance, and the Global Youth Coalition on HIV/AIDS (GYCA), session speakers include: Hon. Michael Kirby, High Court of Australia (ret) (@HonMichaelKirby); Dr. Jonathan D. Quick, President and CEO of Management Sciences for Health (@JonoQuick, @MSHHealthImpact); Mike Podmore, International HIV/AIDS Alliance (@theaidsalliance); David Wilson, World Bank Group (@WorldBank); Patrick Bonales, GYCA (@patrickbonales, @_GYCA_); Morolake Odetoyinbo, Positive Action for Treatment Access; Jonathan Jay, MSH (@JonJayTweets, @UHCPost2015); and more.

The session will provide multiple opportunities for participants to discuss how the UHC movement can most meaningfully and effectively build upon the progress of the AIDS response.

Join the conversation online with hashtag #Lessons4UHC.

// Join the call for UHC post-2015 >>

Women, HIV, and NCDs: Tonight 18:30 in Plenary Room 3

Join the conversation on Twitter with #womenHIVNCDs.

[ MONDAY, JULY 21 | 18:30-20:30 in Plenary Room 3.]

Women, HIV/AIDS, and Non-Communicable Diseases: A Call to Action in Low- and Middle-Income Countries

MONDAY, JULY 21 | 18:30-20:30 in Plenary Room 3

Co-sponsored by MSH, The American Cancer Society, and Medtronic.
Join us to examine and discuss addressing HIV co-morbidities in AIDS and non-AIDS related events; the role of health systems in integrating non-communicable disease (NCD) care into HIV care models; lessons that can be leveraged and applied beyond 2015; and how primary health care models can be adapted in this context of an emerging global burden of chronic NCDs while ensuring sustainability, cost-effectiveness, and efficiency in lower and middle-income countries.
Refreshments will be served.

Moderator:

  • Dr. Jonathan Quick, President and CEO of Management Sciences for Health (@MSHHealthImpact)

Panelists:

  • Bob Chapman, Director of US Government and Multilateral Global Health Advocacy, American Cancer Society (@AmericanCancer)
  • Representative from FHI360 (@fhi360)
  • Sandy Thurman, Principal Deputy Coordinator for PEPFAR (@PEPFAR)
  • L’Orangelis Thomas Negron, HIV/AIDS Activist, Latin America Keynote Speaker
  • Jordan Jarvis, Executive Director, Young Professionals Chronic Disease Network (@NCDAction)
  • Katie Reichert, Associate Project Director of Country Programs, Building Local Capacity Project, MSH South Africa

Watch videos: Stepping up the pace for women, HIV & AIDS, and NCDs

Jordan Jarvis, Executive Director, Young Professionals Chronic Disease Network (@NCDAction)

Bob Chapman, Director of US Government and Multilateral Global Health Advocacy, American Cancer Society (@AmericanCancer)

Social media

Join the conversation on Twitter with hashtag #womenHIVNCDs.

Follow @MSHHealthImpact, @AmericanCancer, @PEPFAR, @NCDAction, @HIVShareSpace, @FHI360, @Medtronic.