compendium_hiv_declarations_0

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Credits photos: Ato Engda (African Union) - UNAIDS - UNICEF

I
A Compendium of African Union
and International Declarations and
Commitments on HIV and AIDS
Declarations and commitments on HIV and AIDS (1987-2007)

II
The Founding Fathers of the Organization of African Unity (OAU)

III
Table of Contents
Glossary ............................................................................................................................................................V
Preface .............................................................................................................................................................VII
Acknowledgements ..........................................................................................................................................IX
I. INTERNATIONAL DECLARATIONS ............................................................................ 1
1 - WHO Global Programme on AIDS (GPA)..............................................................................................2
2 - The Greater Involvement of People Living with HIV/AIDS (GIPA) -1994 ..............................................3
3 - The Joint United Nations Programme on HIV/AIDS (UNAIDS) -1994...................................................4
4 - The Cairo Declaration on Population and Development - 1994...........................................................5
5 - The Copenhagen Declaration on Social Development - 1995..............................................................7
6 - The Beijing Declaration and Platform for Action- 1995 ........................................................................9
7 - The Decision on the adoption of the International Partnership against AIDS in Africa (IPAA) - 1999....11
8 - The AIDS Campaign Team for Africa (ACT/Africa) - 1999...................................................................12
9 - The UN Security Council Debate on the impact of AIDS on Peace and Security in Africa - 2000......14
10 - The United Nations Millennium Declaration - 2000............................................................................15
11 - The Declaration of Commitment on HIV/AIDS (UNGASS) - 2001.......................................................17
12 - The Declaration on the TRIPS agreement and public health - 2001...................................................19
13 - The Monterrey Consensus of the International Conference on Financing for Development - 2002....20
14 - The Rome Declaration on AID Harmonization - 2003.........................................................................21
15 - The « 3 by 5 » Initiative - 2003.............................................................................................................22
16 - EDUCAIDS - 2004................................................................................................................................24
17 - The « Three Ones » - 2004..................................................................................................................25
18 - The Dakar Declaration on Population, Development and HIV/AIDS - 2004.......................................27
19 - The Paris Declaration on Aid Effectiveness - 2005..............................................................................28
20 - The Global Task Team on improving AIDS Coordination among Multilateral Institutions and
International Donors - 2005.................................................................................................................29
21 - Civil Society Declaration to the G8 in support of medical personnel - 2005......................................31
22 - The Gleneagles Communiqué: A renewed commitment of the G8 to Africa - 2005..........................32
23 - 2006 Declared the Year for Acceleration for HIV Prevention in the African Region - 2005 ................33
24 - « Unite for Children. Unite against AIDS » - 2005................................................................................35
25 - Declaration on Acceleration of HIV Prevention Efforts in the African Region - 2005..........................36
26 - The Political Declaration on HIV/ AIDS - 2006.....................................................................................37
27 - ICASO AIDS advocacy alert [on the GFATM] - 2007...........................................................................39
II. CONTINENTAL DECLARATIONS ............................................................................ 41
1 - The Dakar Declaration on the AIDS epidemic in Africa - 1992............................................................42
2 - Declaration on AIDS and the Child in Africa - 1994............................................................................43
3 - The adoption of the International Partnership against AIDS in Africa - 1999......................................44
4 - Declaration on the HIV/AIDS Epidemic at the XI-ICASA
5 - The Algiers Appeal for the Intensification of HIV control in Africa - 2000...........................................45
6 - The Lomé Declaration on HIV/AIDS in Africa - 2000...........................................................................46
7 - AIDS Watch Africa (AWA) - 2001.........................................................................................................47
8 - The Abuja Framework for Action for the Fight Against HIV/AIDS,
Tuberculosis and Other Related Infectious Diseases - 2001................................................................48
9 - The NEPAD Health Strategy - 2003.....................................................................................................50
10 - The Maputo Declaration on HIV/AIDS, Tuberculosis, Malaria
and Other Related Infectious Diseases - 2003.....................................................................................51
11 - Adoption of the Protocol to the African Charter of Human and People’s Rights,
relating to Women’s Rights in Africa - 2003.........................................................................................52
12 - The Solemn Declaration on Equality between Men and Women - 2004............................................53

IV
13 - Declaration on the Review of the Millennium Declaration
and the Millennium Development Goals (MDGs) - 2005.....................................................................54
14 - The Gaborone Declaration on the Roadmap towards universal access to prevention,
treatment, and care - 2005.................................................................................................................55
15 - Decision on the African Youth - 2006..................................................................................................56
16 - The Brazzaville Commitment on scaling up towards universal access to HIV
and AIDS prevention, treatment, care and support in Africa by 2010 (2006)......................................57
17 - The African Civil Society Call for Action - 2006...................................................................................58
18 - The Abuja Call for Accelerated Action towards universal access to HIV and AIDS,
Tuberculosis and Malaria Services in Africa - 2006..............................................................................59
19 - Civil Society Recommendations to the Heads of States in Africa in the margin of
the Abuja Summit - 2006 ....................................................................................................................61
20 - The Yaoundé Call for Action - 2006.....................................................................................................62
21 - Maputo Plan of Action for the Operationalisation of the Sexual and Reproductive Health
and Rights Continental Policy Framework - 2006................................................................................63
22 - Adoption of the Framework for the ten-year capacity-building programme
for the African Union - 2007................................................................................................................64
23 - Resolution of Religious leaders for universal access - 2007.................................................................65
24 - Adoption of Johannesburg Declaration of the 3rd Ordinary Session
of the African Union Conference of Ministers of Health....................................................................###
III. REGIONAL DECLARATIONS................................................................................... 67
1 - The Nairobi Declaration: An African Appeal for an AIDS vaccine - 2000............................................68
2 - ECOWAS - Adopting a control strategy on HIV/AIDS in West Africa - 2000......................................69
3 - The Maseru Declaration on HIV and AIDS - 2003...............................................................................70
4 - ECCAS: The Brazzaville Declaration on HIV - 2004.............................................................................71
5 - The Cairo Declaration of religious leaders in the Arab region in response
to HIV epidemic - 2004........................................................................................................................72
6 - The Algiers Declaration of People Living with HIV - 2005...................................................................73
7 - WAEMU Regional Strategy against Sexually Transmitted Infections and HIV - 2005..........................74
8 - EAC Adoption of the 2006 - 2011 multi-sectoral strategic plan on HIV/AIDS....................................75

V
Glossary
ACT ..............AIDS Campaign Team for Africa
ADB ..............African Development Bank
AFRICASO....African Council of AIDS Service Organizations
AIDS..............Acquired Immunodeficiency Syndrome
AMDS ...........AIDS Medicines and Diagnostics Service
ARV ..............Antiretroviral
ASAP ............AIDS Strategic Action Plan
AU ................African Union
AUC...............African Union Commission
AWA .............AIDS Watch Africa
CBO .............Community Based Organization
CEMAC ........Central African Economic and Monetary Community
CHAT ............Country Harmonization and Alignment Tool
COMESA......Common Market for Eastern and Southern Africa
DAC .............Development Assistance Committee
DFID..............Department For International Development
EAC ..............East African Community
ECCAS .........Economic Community of Central African States
ECA...............Economic Commission for Africa
ECOWAS .....Economic Community of West African States
FHI.................Family Health International
G8 ................Group of the Most Industrialized Countries
GAVI .............Global Alliance for Vaccines and Immunization
GF ................Global Fund
GFATM .........Global Fund to Fight AIDS, Tuberculosis and Malaria
GIST .............Global Implementation Support Team
GNP .............Gross National Product
GTT ..............Global Task Team for the improvement of HIV Coordination between Multilateral Institutions and
international donors
HERA .......... Health, Empowerment, Rights and Accountability
HIPC .............Heavily Indebted Poor Countries
HIV ...............Human Immunodeficiency Virus
ICASA ...........International Conference on AIDS and Sexually Transmitted Diseases in Africa
ICASO ......... International Council of Aids Service Organizations
ICPD .............International Conference on Population and Development
IDU................Injecting Drug Users
IFI...................International Financial Institutions
ILO ...............International Labour Organization
IMF ...............International Monetary Fund
IPAA .............International Partnership against AIDS in Africa
M E ...........Monitoring and Evaluation

VI
MAP .............Multi-Country HIV/AIDS Programme
MDG ............Millennium Development Goals
MSM .............Men who have sex with men
NAC .............National AIDS Councils/Commissions
NEPAD .........New Partnership for Africa’s Development
NGO ............Non Governmental Organization
OAU .............Organization of African Unity
OAFLA..........Organization of African First Ladies Against HIV/AIDS
ODA..............Official Development Assistance
OECD ...........Organization for Economic Cooperation and Development
OHHCR.........Office of High Commissioner for Human Rights
ORID.............Other Related Infectious Diseases
OVC .............Orphans and Vulnerable Children
PCB ..............Program Coordinating Board
PHC...............Primary HealthCare
PLHIV ...........People Living with HIV
PMTCT..........Prevention of Mother to Child Transmission Programme
RARS ............African Research Network on HIV (Réseau Africain de Recherche sur le SIDA)
REC ..............Regional Economic Communities
SAA ..............Society for AIDS in Africa
SADC ...........Southern Africa Development Community
SRHS ............ Sexual and Reproductive Health Services
STD ..............Sexually Transmitted Diseases
STI ................Sexually Transmitted Infections
TRIPS ............Trade Related aspects of Intellectual Property Rights
UN ................United Nations
UNAIDS .......Joint United Nations Programme on HIV and AIDS
UNECA.........United Nations Economic Commission for Africa
UNEP............United Nations Environment Programme
UNDP ...........United Nations Development Programme
UNESCO.......United Nations Educational, Scientific and Cultural Organization
UNFPA .........United Nations Population Fund
UNGASS ......United Nations General Assembly Special Session
UNHCR ........United Nations High Commission for Refugees
UNICEF ........United Nations Children’s Fund
UNIFEM........United Nations Development Funds for Women
UNODC........United Nations Office on Drugs and Crime
OHCHR........ Office of the UN High Commissioner for Human Rights
VCT ..............Voluntary Counseling and Testing
WAEMU .......West African Economic and Monetary Union
WAHO .........West African Health Organization
WB ...............World Bank
WFP ..............World Food Programme
WHO ............World Health Organization
WTO ........... World Trade Organization

VII
Preface
The AIDS epidemic is one of the greatest challenges facing Africa. Not only is AIDS the leading cause of
death among adults in Africa, it is also further entrenching poverty, weakening the productive capacities
of countries, overwhelming already over-extended healthcare systems, and threatening both national and
continental security.
Recognizing that HIV is a state of emergency on the continent, an impressive number of commitments on
HIV/AIDS, Tuberculosis and Malaria have been made at global, continental and regional levels in the past
two decades.
At the global level, the 2001 UNGASS on HIV/AIDS adopted the Declaration of Commitment on HIV and
AIDS. The 2006 UNGASS conducted the mid term review on this Declaration and adopted the Political
Declaration on HIV/AIDS.
At the continental level, African Heads of State and Government adopted the Abuja Declaration and
Framework for Action, which was Africa’s contribution to the 2001 UNGASS on HIV/AIDS. Following the
biennial review of the implementation of the Abuja commitment, the 2003 Maputo Declaration on Malaria,
HIV/AIDS, TB and Other Related Infectious Diseases was further adopted. Other subsequent commitments
include, the 2005 Gaborone Declaration on “A Roadmap Towards Universal Access to Prevention, Treatment,
Care and Support “ and the 2006 Brazzaville Commitment on Scaling Up Towards Universal Access to
HIV and AIDS Prevention, Treatment, Care and Support by 2010. In 2006, African Leaders adopted the Abuja
Call for Accelerated Action Towards Universal Access to HIV/AIDS, Tuberculosis and Malaria (ATM) Services in
Africa after the mid term review of the 2001 Declaration.
One of our greatest challenges is to ensure a wider dissemination and internalization of these commitments
and facilitate their translation into action and monitoring. The message we aim to convey is that there is
enough mandate and leadership for action. What is needed is more concerted effort to contain the epidemic
and mitigate it impact on individuals, families and communities.
It is within this context that the African Union Commission (AUC), in collaboration with UNAIDS, has made
available this first-ever comprehensive compendium of continental and global commitments on HIV and AIDS
by the African leadership, Civil Society and Development Partners.
The commitments are summarized in a reader friendly format and lay-out, by highlighting key points and
follow up actions.
The compilation is divided in three sections of global, continental and regional commitments. Within these
sections, the declarations are ordered chronologically. The reader will find a summary of the Declaration and
information on where, when and by whom the Declaration was made. We added the e-link where you can find
the full text of the Declarations and information on follow up processes and publications.
We believe this compendium is a valuable guide for all of us, for Member States, Civil Society Organizations,
Academics, Development Partners and the general public to better understand the various commitments
made to meet the challenge of reducing the burden of AIDS in Africa. Above all, it urges us to contribute to
the effective implementation of the pledges. We are convinced that our work, supported by this compendium,
will make an invaluable contribution to the AIDS response.
Adv. Bience Gawanas
Commissioner for Social Affairs
African Union Commission

IX
Acknowledgements
The African Union Commission (AUC) gratefully acknowledges the support of the United Nations Joint
Programme on HIV/AIDS (UNAIDS), in making this compendium of African Union and International
Commitments on HIV and AIDS, available.
The African Union commends the efforts of UNAIDS Regional Directors, Dr Meskerem Grunitzky Bekele and
Mr. Mark Stirling, under whose leadership this project was conceived and finalized.
Particular thanks are due to UNAIDS Representative to the AUC, Dr Roger Salla Ntounga, UNAIDS Partnership
Advisors, Abdoul Dieng, Inge Tack and Naume Kupe, who gave their time and creative thinking to this
initiative.
Much gratitude is extended to the coordinators of HV/AIDS in the Department of Social Affairs at the AU
Commission who contributed to this project.

1
International Declarations
« If we have learnt one lesson beyond any other in the past 25 years,
it is surely this: only when we work together with unity of purpose can we
defeat AIDS, unity among Governments, the private sector and civil society »
Ban Ki-moon, UN Secretary General,
speaking during a press conference held in New York,
21 May 2007

2
The World Health Organization
40th General Assembly
4-15 May 1987
Geneva, Switzerland
The WHO Global Program on AIDS (GPA)
The WHO created a special programme with a global strategy for the prevention
and control of HIV.
The WHO urged its Member States to:
• Establish effective programmes to combat AIDS in line with the global strategy.
• Ensure that control measures are integrated into the existing health system and are based on
effective educational and preventive measures to enable each person to protect himself/herself from
the disease.
• Promote political and technical cooperation among countries through the adoption of compatible
programmes and transfer of appropriate technology.
• Share with other Member States all information on AIDS and related opportunistic infections.
• Make voluntary contributions in cash and kind for the implementation of the global strategy.
Hbk Res., Vol. III (1st ed.), 1.16.13 is available on the WHO website at www.who.int.
International Declarations - Establishment of the WHO Global Programme on AIDS – 1987

3
The Paris AIDS Summit
1 December 1994
42 Countries
The Greater Involvement of People Living
with HIV/AIDS (GIPA) Principles
The Greater Involvement of People living with or affected by HIV/AIDS (GIPA)
Principles to promote the full participation of people living with HIV/AIDS
in a common response to the pandemic at all levels: national, regional and
international.
1. The Declaration calls on governments to commit to the principle of greater involvement of people living
with HIV/AIDS, which promotes the realization of the rights and responsibilities of PLHIV, including their
right to self-determination and participation in decision-making processes that affect their lives. The
principles acknowledge the central role of people living with HIV/AIDS as part of the solution rather than
of the problem.
2. The principles seek to:
• Boost the creation of an equitable political, legal and social environment as part of the AIDS
response.
• Rally the society, public and private sectors, and people living with HIV in a spirit of partnership.
• Fully involve people living with HIV in the development and implementation of public policies.
• Ensure HIV positive people enjoy the same level of protection regarding access to care, employment,
education, freedom of movement, housing and social security.
Follow up/Publications:
• UNAIDS has promoted the GIPA concept throughout all its structures, especially with PLHIV participation on
its Programme Coordinating Board.
• In 2001, the UN Declaration of Commitment on HIV adopted the GIPA principle which was confirmed by
the Guiding Principles of the ‘3x5’ Initiative. The Initiative has placed the needs and participation of people
living with HIV at the centre of its programme (WHO, 2003).
Information is available on the UNAIDS website at www.unaids.org.
International Declarations - The Paris AIDS Summit Declaration The Greater Involvement
of People Living with HIV/AIDS (GIPA) Principles - 1994

4
UN Economic and Social Council
44th Plenary Session
26 July, 1994
New York, USA
The Joint United Nations Programme
on HIV/AIDS (UNAIDS)
The UN Economic and Social Council (ECOSOC) validates the creation of a UN
Common programme to respond to HIV.
1. Recognizing that HIV is a global pandemic with greatest impact in developing countries, and the need for
the entire UN system and its development partners to be mobilized in response, six UN agencies (UNDP,
UNICEF, UNFPA, WHO, UNESCO, and the World Bank) came together to create the Joint United Nations
Programme on HIV/AIDS (UNAIDS).
2. UNAIDS seeks to:
• Provide global leadership to the AIDS response.
• Promote global consensus on policy and strategic approaches.
• Build the capacities of the UN system in order to ensure the implementation of suitable country
level policies and strategies.
• Build Governments’ capacity to develop appropriate national strategies, and implement HIV-
related activities at country level.
• Promote political and social mobilization while ensuring that the national response includes a wide
range of sectors and institutions.
• Ensure advocacy for greater involvement in the HIV response at national, continental and
international levels, including the allocation of appropriate resources to HIV-related activities.
Follow-up/Publications:
• February 1995: The UN ECOSOC validated the progress made in implementing the programme, including
the Terms of Reference of the Programme Coordination Board and its members.
• July 1995: The Economic and Social Council reviewed progress made in implementing the joint
programme.
• November 1995: the PCB met to approve the budget and final work plan (1996-1997).
• January 1996: UNAIDS was established.
The 1994/24 Resolution is available on the UNAIDS website at www.unaids.org.
International Declarations - The Joint United Nations Programme
on HIV/AIDS (UNAIDS) – 1994

5
International Conference on Population and Development (ICPD)
5-13 September 1994
Cairo, Egypt
Delegates from 179 governments and NGOs
The Cairo Declaration
on Population and Development
The Programme of Action constitutes a new level of understanding between
international organizations, and establishes the close link between population
and development, while acknowledging women’s advancement as key to
development.
1. Women’s health, reproductive and sexual rights are for the first time integrated as a key component of an
international agreement on population and development. The Declaration stated the need to prevent the
occurrence of Sexually Transmitted Infections (STIs) including HIV and complications such as infertility, and
to ensure treatment.
2. The signatories committed to:
• Develop reproductive health programmes to better prevent, detect and treat sexually transmitted
diseases especially as part of primary health care provision. Special efforts should be made to reach
people with no access to reproductive health programmes.
• All providers of health care and family planning services should receive specialized training on
the prevention and detection of sexually transmitted diseases, in particular diseases affecting women
and youth, HIV infection, and adequate counseling services,
• Information, education and counseling focused on responsible sexual behavior, prevention of
sexually transmitted diseases, especially HIV infection, should be part of all health services related to
reproduction and sexual life.
• The appropriate promotion, supply and distribution of high-quality condoms should be made part of
all reproductive health services. All the international organizations concerned, the WHO in particular,
should considerably increase their supplies. Both governments and the international community
should provide all the means to reduce the spread and transmission rate of HIV.
International Declarations - The Cairo Declaration
on Population and Development – 1994

6
Follow-up/ Publications:
• 1999: ICPD+5 was held to assess the progress made in relation to the implementation of the programme of
Action. Delegations identified the key measures needed to speed up the implementation and new ways to
measure progress. As part of advocacy the international women’s network, HERA, gathered 81 NGOs for the
promotion of women’s health within the Women’s Coalition for the International Conference on Population
and Development. Along with supporting national delegations, the Coalition secured the adoption of
realistic targets and steps towards rapid implementation of the ICPD Programme of Action. These included
the supply of reproductive health services, access to a wider range of contraceptive methods and to vital
obstetric care from competent service providers, with particular focus on young people.
• The UN General Assembly marked the 10th anniversary of the Cairo Declaration on 14 October 2004.
The Declaration is available on the UNFPA website at www.unfpa.org under « ICPD MDG.

7
World Summit for Social Development
6-12 March 1995
Copenhagen, Denmark
186 Heads of State and Government
The Copenhagen Declaration
on Social Development
Declaration on Social Development and Programme of Action of the World
Summit for Social Development, which seeks to promote social development
and secure welfare for all.
1. For the first time ever, Heads of State and Government met at the request of the UN to discuss the
importance of social development, and the urgency to attend to the improvement of the human condition.
Consensus was reached on the need to put people at the heart of development and States committed
to fight against poverty, and to promote full employment and social integration as an important part of
development.
2. Among other things, the Declaration stipulates that prevention, treatment and control of diseases
such as tuberculosis, malaria and HIV should be prioritized.
3. Each country committed to contribute to social development, and help lay the foundation for international
cooperation between governments and people. Such cooperation was to be based on a spirit of partnership
that puts individual needs, rights, and aspirations at the centre of common decisions and actions. The
Declaration includes 10 commitments made at national and international levels:
• To create economic, political, social, cultural, and legal environments for social development.
• The elimination of poverty through national activities and international cooperation.
• The promotion of full employment by making it a top priority in economic and social policies.
• To promote social integration.
• To promote full respect for human dignity, and to establish equity and equality between men and
women.
• To promote and achieve global and equitable access to high-quality education and health care
through the Primary Health System.
• To accelerate economic and social development and the development of human resources in Africa
and less developed countries.
• To ensure that the structural adjustment programmes as might be adopted include objectives for
social development.
• To significantly increase and effectively utilize the resources allocated to social development, in order
to achieve the summit’s objectives.
• To improve and consolidate through the UN and other multilateral institutions, the framework for
international, regional and sub-regional cooperation.
International Declarations - Copenhagen Declaration on Social Development -1995

8
• As recommended by the Summit (Resolution 50/61), an extraordinary session of the General Assembly
entitled « World Summit for Social Development and Beyond: Social Development for all in the Age of
Globalization » was held in 2000 to evaluate the implementation of the World Summit recommendations
and to consider new initiatives. The GA was attended by delegates from 130 nations.
The A/CONF.166/9 report of the World Summit for Social Development (including the Copenhagen Declaration
and the Programme of Action) is available on the UN website at www.un.org/bookshop.

9
Fourth World Conference on Women
4-15 September 1995
Beijing, China
184 UN Member States
The Beijing Declaration
and Platform for Action
Guidelines for equality between men and women.
1. The Declaration adopted major guidelines for national policies towards equality between men and
women.
2. The Declaration includes four major points regarding HIV:
• HIV has devastating effects on the health of women who are not in a position to ask their partners
to take precautions.
• Women have limited access to information, prevention, and treatment concerning HIV.
• Women and men are equally being infected with HIV
• Condoms should be used for protection against HIV.
3. One of the objectives of the plan of action is to launch initiatives which address women’s needs in response
to STDs, HIV and other health issues relating to sexual health and reproduction.
This objective includes 16 steps:
• To make sure that, among others, women infected with HIV and other STIs participate in decisions
relating to the formulation, implementation, follow-up and evaluation of policies and programmes
relating to HIV and other health issues.
• To set up multi-sectoral programmes and strategies that take into account gender issues in order
to bring an end to female social inequality.
• To facilitate the creation of community strategies to protect women of all ages from HIV infection
and other STDs.
• To provide women and health staff with comprehensive information regarding sexually transmitted
diseases, especially HIV.
• To help women and women’s associations, formal and informal to promote education, through
interaction with each other and the creation of decentralized programmes, and involve them in the
design, implementation and follow up of programmes.
• To support preventive programmes which take into account the fact that HIV infection among
women is often linked to high-risk behaviors, including injecting drug use and unprotected sexual
intercourse under the influence of drugs.
• To support and undertake research on women’s needs and living conditions, especially regarding
HIV infection and sexually transmitted diseases, protective methods controlled by women and high
risk behaviors and practices among men and women.
4. The text of the Declaration can be found on the UN website at www.un.org/bookshop.
International Declarations - The Beijing Declaration and Platform for Action - 1995

10
• Report on the Fourth World Conference on Women, UN Publications A/CONF.177/20/Rev.1, New-York,
1996.
• 5-9 June 2000, The UN General Assembly held an extraordinary session entitled: « Women in 2000: Equality
between the sexes, Development and Peace towards the 21st century ». A progress report on the global
status of women from 1995 – 2000 was issued. Additional measures and initiatives for the implementation
of the Beijing Declaration were adopted.

11
Meeting of UNAIDS’s co-Sponsors and Secretariat
19-20 January 1999
Annapolis, USA
Decision on the adoption
of the International Partnership
against AIDS in Africa (IPAA)
To urgently mobilize countries and civil society to amend and expand strategies,
programmatic, and financial resources at national and international levels in
response to HIV and its impact on development in Africa.
1. At the end of 1998, the UNAIDS Secretariat led a wide-ranging process of consultation to establish an
international partnership against HIV in Africa. The partnership was created in January 1999, adopted by
African Heads of State at the OAU Summit in Algiers in July, and launched in December 1999 by the UN
Secretary General. It aimed to:
• End the existing fragmentation where various actors implemented programmes in isolation.
• Scale up the mobilization of financial and technical resources required to halt the spread of the
epidemic.
2. In this context, the Partnership operates at national, regional, and international levels. It includes
national governments, the UN, donors, civil society, and the private sector, coming together with a shared
vision, common objectives, agreed strategies and principles in order to implement efficient and sustainable
activities.
3. Initially, the Partnership worked out a joint action framework which laid out the priorities and a common
methodology. This has changed, with the emphasis now on country level action to support strategic plans
to fight HIV under the ‘Three Ones’ initiative. Due to its scope and international profile, the Partnership
provides timely and focused assistance and resources.
4. Ambitious and bold, the Partnership through strong advocacy, has succeeded in :
• mobilizing additional resources for a multi-sectoral response in Africa;
• strengthening the responses of the UN and its co-sponsors due to the creation of ACT - Africa and its
programmes and projects;
• laying the foundations of principles of coordination that are now universally accepted, and of the
Global Task Team recommendations on improving coordination of the AIDS response.
5. The UNAIDS Resolution /PCB(8)/99.5 can be found on the UNAIDS website at www.unaids.org.
• « Framework for the International Partnership against AIDS in Africa », UNAIDS/PCB (9)/00.4, of 2 May 2000.
Available in French and English on the UNAIDS website.
• International Partnership against AIDS in Africa, IPAA: Programme Report, Volume 2, UNAIDS,
December 2001.
International Declarations - The Decision on the adoption
of the International Partnership against AIDS in Africa (IPAA) – 1999

12
The World Bank
1999
New-York, USA
The AIDS Campaign Team for Africa
(ACT/Africa)
A World Bank initiative to provide emergency aid for African governments,
and to mobilize the Bank, its development partners, the private sector and civil
society to support activities and long-term multi-sectoral HIV programmes.
1. The World Bank created the AIDS Campaign Team for Africa (ACT/Africa) as a multi-sectoral team
coordinating World Bank activities in relation to the response to HIV and AIDS in Africa. It provides expertise
to facilitate HIV sub-components to World Bank programmes and to manage in its own programme, the
HIV multi-country programmes for Africa (MAP).
2. MAP contributes to the implementation of national HIV strategies through technical assistance to scale up
activities. MAP enables channeling of funds to all sectors and partners as part of the national response.
Significant amounts (nearly 50%) of the funds are earmarked for NGOs, and religious organizations. MAP
contributes to the development of institutions, instruments and financial processes, which help build the
capacity of countries to implement their own programmes. The support has resulted in:
• Rationalizing processes: setting up effective ways of channeling funds and assessing results. Countries
can provide more support to a greater number of actors.
• Accelerating assistance to civil society. In addition to funding, civil society organizations receive
technical assistance to build their project management capacity
• Boosting public-sector institutions action. With the Bank’s support, ministries and public institutions
from all sectors can design and implement their own HIV and AIDS programmes.
• Strengthening support for monitoring and evaluation systems. In collaboration with UNAIDS, a
specialized team was set up to strengthen monitoring and evaluation systems throughout Africa. The
aim is to consolidate all national systems, and not just specific parts that track progress on individual
donors’ projects.
• Harmonizing donors’ action: MAP has adopted an approach to support the strategy known as the
« Three Ones » , defined by UNAIDS as One HIV Strategy , One National AIDS Coordinating Authority,
One agreed country level Monitoring and Evaluation system.
• Disseminating knowledge. Implemented in collaboration with UNAIDS in various African countries,
the work focuses on documenting practical lessons learnt in relation to integrating the HIV
programme into education, and in promoting greater involvement of the private sector and religious
organizations.
3. Since ACT/Africa’s inception, the World Bank has changed its strategy in response to changes in the HIV
environment in Africa and internationally.
International Initiative Act/Africa - 1999

13
4. In order to respond to the Global Task Team (GTT) recommendations and to make sure national action
plans take precedence, the « AIDS Strategy and Action Plan (ASAP) was established. Located at the World
Bank on behalf of UNAIDS, the service provides support to meet country demands and services include
studies of draft strategies, technical assistance for cost analysis, priority setting, and the development of
new strategies. It also includes tools to help countries to assess and improve their strategies, in addition to
building the capacities of policy-makers, project technicians and programme personnel.
5. Information on ACT/Africa, MAP and ASAP can be found at the World Bank website at www.worldbank.org
• « Where is the Bank’s Money Going? », (ACT/Africa 2006b)
• Multinational Programme for the control of HIV in Africa 2000-2006: Outcomes of the activities undertaken
by the World Bank in response to a development crisis published by the World Bank in 2007, in English and
in French, on the World Bank’s website. The publication argues that in the final analysis, HIV will be brought
under control only by combining efficient measures for prevention, care and treatment, with programmes to
strengthen African countries’ « social immunity systems » by changing beliefs, perceptions, and individual
and social behaviors.

14
The UN Security Council
10 January 2000
New-York, USA
The UN Security Council Debate
on the impact of AIDS
on Peace and Security in Africa
The first ever discussion of the Security Council on the threat of health issues to
peace and security in Africa.
1.By the year 2000 AIDS was killing ten times as many people as were being killed in all armed conflicts
on the African continent. As a result, HIV was recognized as creating economic and social crises, which
threatened political stability within countries.
2. A recommendation was made to hold an international meeting under the auspices of the UN for
concerned partners to propose concrete measures to scale up the response.
3. The special meeting of the Security Council represented a new approach in the way developed countries
respond to the pandemic. The Council recognized that HIV was closely linked to poverty and could
undermine development efforts, and the response is top priority. HIV should be a key component of
the international community’s interventions for peace and security on the continent.
4. Several proposals were made, including to:
• assist Africa in its response to HIV;
• promote inter-country cooperation and resource mobilization.
Details of the Discussion can be found on the UN website at www.un.org /bookshop.
• 2 November 2000: Discussion on the Draft Resolution (A/55/L.13) which recommends the convening of an
extraordinary session of the General Assembly in June 2001, to analyze HIV and to launch an international
initiative to strengthen coordination and expand national, regional and international efforts for a systematic
response to HIV.
• UNAIDS has developed a set of tools to support national programmes, including a guide and an education
kit for peace-keeping forces, service personnel and UN employees.
• January 2007: DKPO/African Union Peacekeeping Support Team established to support the development
of an African Peace and Security Architecture.
International Initiative
UN Security Council Debate on the impact of AIDS
on Peace and Security in Africa - 2000

15
UN General Assembly
6-8 September 2000
New-York, USA
The United Nations Millennium
Declaration
A declaration which seeks to reduce inequalities around the world by 2015.
1.At the beginning of the new millennium, Heads of State and Government met to re-assert their commitment
to the United Nations, its Charter, and fundamental values (freedom, equality, solidarity, tolerance, respect
for nature and shared responsibilities). The Declaration includes eight goals to be met by 2015, and has a
strong commitment in the following areas: (i) peace (ii), security and disarmament (iii), development and
the elimination of poverty (iv), protection of the environment (v), human rights and good governance (vi),
protection of vulnerable groups (vii), a response to Africa’s specific needs (vii), and reinforcing the United
Nations Organization.
2.The Eight Millennium Development Goals (MDGs) are:
• To eradicate extreme poverty and hunger (Goal 1)
• To achieve universal primary education (Goal 2)
• To promote gender equality and empower women (Goal 3)
• To reduce child mortality (Goal 4)
• To improve maternal health (Goal 5)
• To combat HIV/AIDS, malaria and other diseases (Goal 6)
• To ensure environmental sustainability (Goal 7)
• To develop a global partnership for development (Goal 8)
3. The goals have 18 targets and a timetable for implementation. The target concerning HIV, target 6, is to
have halted and began to reverse the spread of HIV/AIDS by 2015.
4. In order to meet Africa’s specific needs, the Declaration sets out to:
• Undertake special measures to meet the challenges of eliminating poverty and achieving sustainable
development, including debt cancellation, improving access to markets, increasing official
development assistance and foreign direct investment flows, and transfers of technology.
• Assist Africa to acquire appropriate capacities to halt the spread of HIV and other infectious
diseases.
5. The Declaration is on the UN website at www.un.org/bookshop.
International Declarations - The Millennium Declaration
on Development – 2000

16
1. September 2001: The « Agenda for the implementation of the Millennium Declaration » set 48 quantitative
indicators, which provide for an appropriate follow-up of MDGs.
2. « Why Millennium Development Goals? » UNDP and the UN Department of Information, New-York, 2003.
3. Millennium Development Goals: 2007 Report, UN, 36p, June 2007, ISBN: 978-92-1-101153-1, available on
the MDG website at http://mdgs.un.org.

17
The UN General Assembly
26th Special Session on HIV
25-27 June 2001
New-York, USA
Heads of State and Government
Declaration of Commitment on HIV/AIDS
(UNGASS)
« World Crisis, World Action » : World Partnership to halt the spread of HIV, with
a roadmap to achieve the Millennium Goals.
1.As the first promise of a worldwide response to HIV and AIDS, this declaration represents a turning point in the
history of the pandemic. It addresses some significant factors and focuses on the partnership between all the
sectors of society.
2. The Declaration made progress in identifying specific vulnerable groups including men who have sex with
men, sex workers, injecting drug users and other marginalized groups. For the first time ever, treatment and
care, including access to ARV drugs, were specifically identified by all Member States as crucial elements
of the HIV response.
3. In order to halt the spread of HIV and reverse the trend by 2015, as has been stated in the Millennium
Declaration, this declaration sets ambitious targets for governments to pursue: for a preventative
campaign, to fight against stigmatization, for the creation of appropriate infrastructure, provision of vital
resources and guaranteed treatment, care, and support for people living with HIV.
4. The guidelines set two concrete, measurable objectives: youth and funding, which allow the definition
of action priorities. There are deadlines and precise timetables for the years 2003, 2005, 2010, which
contribute to follow-up and evaluation. The aim is to do the following:
• to create a multi-sectoral national strategy involving states, civil society, private sector and people
living with HIV ;
• to run preventive campaigns aimed at both sexes, all age groups and high risk populations (MSN, sex
workers, drug addicts) and in countries in a critical condition;
• to promote access for all to affordable ARV drugs and to provide psychological and social
assistance;
• to develop measures to eliminate stigmatization;
• to promote equality between the sexes;
• to provide special assistance for orphans and HIV positive children;
• to boost investment for HIV vaccine research;
• to increase the annual proportion of national budgets devoted to the AIDS response; and ensure that
the international community increases its development aid;
• to support the creation of a Global Fund to fight HIV and promote health;
• to provide a national follow-up/ evaluation compound regarding programmes at national, regional
and international levels.
5. The Declaration tasked UNAIDS with reporting on the progress achieved by Member States on
implementation. Based on country reports to be submitted every second year, UNAIDS produces a regular
global report that is sent to the General Assembly. UNAIDS also provides support and technical advice to
Member States for purposes of reporting, and for adjusting follow-up/ evaluation indicators as necessary.
6. The Declaration (A/RES/S-2-26/2) is found on the UN website at www.un.org,/bookshop, and on the
UNGASS website at www.ua2010.org.
International Declarations - UNGASS Declaration - 2001

18
• « Keeping the Promise » Summary of the Declaration of Commitment on HIV/AIDS, UN, June 2002. Prepared
by UNAIDS and available in French, English, Spanish, and Russian, this 38 pages document includes the
original and simplified versions of the Declaration, and statements by various participants in the UNGASS
process.
• The Secretary General’s report on progress achieved in enacting the Declaration of Commitment on HIV/
AIDS, UN, 12 August 2002. The UN Secretary General’s first report on progress relating to the implementation
of the Declaration, compiled from national reports supplied by countries. Available in French, English, and
Spanish on the UNAIDS website at www.unaids.org/UNGASS/index.html.
• Implementation of the Declaration of Statement on HIV: Reference indicators. UNAIDS, August 2002. This
booklet provides a list of reference indicators developed by UNAIDS to help monitor the implementation of
the Declaration. It is available in French, English, Spanish and Russian, on www.unaids.org/indexhtml .
• Report on the International Response to HIV, published by UNAIDS/04.03F, May 2004, available on UNAIDS
website.
• A follow up to the Declaration of Commitment on HIV/AIDS: guidelines for the production of reference
indicators published by UNAIDS/05.17F, August 2005; available on the UNAIDS website.
• Declaration of Commitment, five years after: a report of the UN Secretary General, March 2006. Available on
the UNAIDS’s website. The report is an assessment progress achieved since the 2001 UNGASS. It identifies
the main challenges to be met, and recommends actions to strengthen the response at international,
regional, and national levels.
• The guidelines for the production of the reference indicators for the 2001 reports are available in French
and English at www.unaids.org.

19
4th International Conference
WTO Member States
9-14 November 2001
Doha, Qatar
The Declaration on the TRIPS agreement
and public health
First step towards securing the supply of medicines for the response to health
emergencies like HIV for developing countries.
This Declaration acknowledges the serious nature of public health issues, including HIV, affecting many
developing countries. Despite the existence of the TRIPS agreement of 1994, World Trade Organisation
(WTO) Member States agreed, under section 4, that:
« The agreement on the TRIPS does not and should not prevent members from taking measures to protect
public health. Consequently, « while reasserting our commitment to the agreement on the TRIPS, we think
that the agreement can and should be interpreted and implemented in a manner supportive of WTO
members’ right to protect public health and, in particular, to promote access to medicines for all. »
1. The WTO acknowledges, for the first time, that:
• Each member country is entitled to unilaterally grant compulsory licenses which allow local
manufacturers to ignore patents. These are licenses which, until the Declaration, were created only
in emergencies.
• SomeWTOmembers’manufacturingcapacityiseitherlimitedornon-existentinthepharmaceutical
sector, and they could find it hard to secure compulsory licenses as part of the Agreement on the
TRIPS. As a result, the WTO instructed the TRIPS Council to find a quick solution to this problem.
2. The Declaration is available on the WTO website at www.wto.org.
Follow-up to the Declaration:
• On 30 August 2003, a « time-bound exception » was allowed regarding the restriction of the TRIPS agreement
which stipulates that goods manufactured under a compulsory license should « serve the local market
mainly » . Any country can now issue compulsory licenses to authorize the manufacturing of generic drugs
for export in large quantities to countries that need them in order to solve public health problems. While
theoretically introducing more flexibility into the TRIPS Agreement, this « solution » has been criticized
by many people and some developing countries, since it implies a complicated mechanism for granting
compulsory licenses to export generic drugs to countries in need. The system requires procedures which do
not always reflect the reality of the pharmaceutical market.
• In the 2006 Political Declaration on HIV/AIDS at www.unaids.org , UNAIDS asserted that the agreement on
the TRIPS should not go against the right to public health and, more particularly, the promotion of access to
drugs for all, including the production of generic ARV drugs and other vital HIV drugs.
International Declarations - The Declaration on the TRIPS agreement
and public health – 2001

20
21-22 March 2002
Monterrey, Mexico
The Monterrey Consensus of the International
Conference on Financing for Development
First international conference on development funding, providing new guidelines in
relation to international development funding.
1. The conference was attended by more than 50 Heads of State and Government, ministers for Trade and
Development, Finance, and Foreign Affairs, and by businessmen and representatives from civil society and
international institutions. For the first time, the UN conference registered the full participation of the World
Bank, the International Monetary Fund (IMF) and the International Labour Organisation (ILO). NGOs had been
invited to make proposals in the run-up to the Consensus.
2. The Consensus is about a global approach that recognizes the close links between trade, financial means
and development, and gives priority to partnership between developed and developing countries.
Several commitments were made including the following:
• developing countries confirmed their commitment to sound policies, good governance and the rule of law;
• developed countries committed to promote trade, boost financial and technical cooperation and
enhance the cohesion of the international system in commercial, financial and monetary terms;
• developed countries acknowledged that Official Development Assistance (ODA) is vital to achieve
the development objectives set by the Millennium Declaration and must be increased. As a result,
the Consensus calls on all the developed countries to devote 0.7% of their GNP to ODA for
developing countries, and 0.15% to 0.20% to the least developed countries.
• Both beneficiaries and donors should strive to make the ODA more efficient through:
• developing countries confirmed their commitment to sound policies, good governance and the rule
of law;
• developed countries committed to promote trade, boost financial and technical cooperation and
enhance the cohesion of the international system in commercial, financial and monetary terms;
• developed countries acknowledged that Official Development Assistance (ODA) is vital to achieve
the development objectives set by the Millennium Declaration and must be increased. As a result,
the Consensus calls on all the developed countries to devote 0.7% of their GNP to ODA for
developing countries, and 0.15% to 0.20% to the least developed countries.
• implementing development plans that are monitored and managed by developing countries, and
which include poverty reduction strategies ;
• promoting the use of ODA to mobilize resources for development;
• consolidating tripartite cooperation including transition countries and south-south cooperation;
• ensuring that ODA is focused on areas of greatest need.
3. The Consensus urges countries to take measures to reduce the debt burden, and proposes that debt
should be cancelled.
4. The document (Ref: A/Conf. 198/3) is available on the UN website at www.un.org/booksho.
OECD Annual Report, 2003, available on the OECD website at www.oecd.org/bookshop.
International Declarations -The Monterrey Consensus of the International Conference
on Financing for Development – 2002

21
High-level Forum on AID Harmonization
24-25 February 2003
Rome, Italy
28 partner countries and multilateral, bilateral and financial institutions
The Rome Declaration
on Aid Harmonization
Improving donors’ policies, procedures and operational practices to make aid
more effective in the longer term helping to achieve the Millennium goals.
1. The Declaration notes that the terms and procedures set out by donors involve high transaction costs for partner
countries. Following the Monterrey Consensus, it sets out an ambitious programme for aid harmonization. Donors
must, among other things, simplify and harmonize conditionalities, and reduce related costs.
2. Partner countries should insist on the need for national authorities to work from national development
strategies, thereby fostering donors’ reliance on national systems. Therefore, multilateral and bilateral
institutions, IMF and partner countries commit themselves to do the following:
• ensure that development assistance is delivered in accordance with national priorities and adapted to
the partner country context,
• review and identify ways to amend policies, procedures and practices, to facilitate harmonization so
as to reduce donor missions, reviews and reporting,
• progressively implement the good practice standards or principles in development assistance delivery
and management,
• intensify donor efforts to work through delegated cooperation at the country level and increase the
flexibility of country-based staff to manage country programmes and projects more effectively and
efficiently,
• develop, at all levels, incentives that foster management staff recognition of the benefits of
harmonization in the interest of increased aid effectiveness,
• build the capacities of partner countries in order to promote the appropriation of strategies by
governments, while making them more accountable,
• put partners in the driver’s seat in order to streamline technical cooperation focused on demand,
among other things,
• provide budget support where required, according to criteria of good practices,
• promote harmonized approaches to global and regional programmes.
3. In cooperation with donors, partner countries should develop national action plans for harmonization
and provide for a self-assessment procedure in applying good practices.
4. The declaration is available on the World Bank website at www.worldbank.org
• 4-6 February 2004, The Marrakech Joint Memorandum.
• The OECD Review on Development N°6-2005/4
• Harmonising aid for greater efficiency, Document on good practices; a DAC reference, published by OECD, 2003.
International Declarations -The Rome Declaration on Aid Harmonization – 2003

22
WHO
1st December 2003
Geneva, Switzerland
The « 3 by 5 » Initiative
A concrete and detailed plan to provide ARV treatment to 3 million people
living with HIV in developing countries by the end of 2005.
1. On 22 September 2003, the Director General of WHO together with the Executive Director of UNAIDS
declared that « the lack of access to ARV drugs is a global health emergency » . On World AIDS Day 2003,
the WHO launched a strategy aimed at providing ARV treatment to 3 million people by 2005 as a significant
step to universal access to treatment. To scale up, countries must to emphasize the need for:
• political commitment and leadership role of national authorities; commitment and financial
assistance from international and national partners to address the lack of treatment;
• high-level mechanisms to plan, coordinate and conduct the steps undertaken towards scaling up of
treatments;
• the regular supply of affordable, high-quality ARV drugs, and continuous and affordable treatment
for patients and public authorities;
• building the capacities of community health systems in order to scale up treatment;
• establishing evaluation and operational research systems to effectively monitor the scale up.
As part of the strategy, several innovations have been achieved:
Simplified therapeutic recommendations: Global HIV treatment products such as high-quality drugs and
diagnostics are accessible to poor countries at low prices.
Simplified monitoring: the use of rapid tests in situations where more complicated and costly tests
(assessing viral load and CD4 count) are not feasible. Simpler tests linked to clinical evaluation by skilled
personnel will enable monitoring of the development of the disease, the effectiveness of the treatment
and its side effects.
Training community agents: One of the major innovations is the use of a method aimed at providing
emergency training for thousands of unskilled community health workers who will help boost the supply
and monitoring of the treatment.
Data and experience show that quicker and greater access to ARV treatment can boost the number of
people seeking HIV testing, and reduce stigma.
2. Information on the « 3 by 5 » Initiative is available on the WHO website at www.who.int .
International Initiative - The « 3 by 5 » Initiative – 2003

23
• Expanding access to ARV treatment around the world, a Report on the « 3 by 5 Initiative » and beyond,
published by the WHO, in March 2006. This initiative created impetus although specified targets were
not reached. The number of people accessing treatment in less developed countries tripled in two years
to1.3 million at the end of 2005. As the worst hit area, Sub-Saharan Africa has been the first to benefit from
the scaling up of the treatment. People receiving treatment increased from 100,000 at the end of 2003
to 810,000 at the end of 2005, an eightfold increase, meaning one African out of six had access to ARV
treatment at the end of 2005.

24
UNESCO
March 2004
New-York, USA
EDUCAIDS
A worldwide initiative on education and HIV for a significant impact on the
epidemic at national level.
1. Recognizing the vital role of the education sector in the national response to AIDS, the UNAIDS Committee
of Cosponsoring Organizations (CCO) launched EDUCAIDS in March 2004.
2. Led by UNESCO in collaboration with key stakeholders, the Global Initiative on Education and HIV/AIDS,
EDUCAIDS, seeks to support the overall national effort on HIV and AIDS by assisting governments and
other key stakeholders to implement comprehensive, scaled-up education programmes on HIV and AIDS,
ensuring that the education sector is fully engaged and contributing to the national response.
3. EDUCAIDS helps governments and specialists in education to implement education programmes for
youths, based on the « three ones principle » .
4. The EDUCAIDS approach is simple and standardized, yet sensitive to cultural and social specificities.
It aims to:
• sensitize and mobilize opinion leaders and policy-makers in education on HIV;
• support governments and other major stakeholders to formulate HIV prevention and impact mitigation
programmes for the education sector;
• contribute to the design of global policies and programmes aimed at reducing risks and vulnerability
by securing the environment for a global action on, among others, curricula, teacher training, school
health programmes, work place policies and school feeding programmes;
• reach out to school youths, orphans and other vulnerable groups, through non-formal education;
• help improve tools for planning, management and follow-up at country level.
5. Details are available on the UNESCO website at www.unesco.org.
UNESCO’s Response to HIV and AIDS, Paris, UNESCO, 2005.
International Initiative EDUCAIDS – 2004

25
High-level Meeting
25 April 2004
Washington D.C, USA
The « Three Ones »
A set of principles for the coordination of national AIDS responses.
On the sidelines of the 2003 International Conference on AIDS and STIs in Africa (ICASA) in Nairobi, AIDS
officials from African nations, multilateral and bilateral agencies, NGOs and the private sector met. Consensus
emerged around three guiding principles applicable to all stakeholders in the country-level HIV/AIDS
response: one agreed AIDS action framework, one coordinating authority, and one country level monitoring
and evaluation system - The Three Ones.
1. The «Three Ones» is a set of principles for the coordination of national AIDS responses in order to
achieve the most effective and efficient use of resources, and to ensure rapid action and results-based
management.

2. These principles were endorsed at a high-level meeting co-hosted by UNAIDS, the United Kingdom and
the United States, held on 25 April 2004.
3. The « Three Ones » principles are:
• One agreed HIV/AIDS Action Framework that provides the basis for coordinating the work of all partners.
• One National AIDS Coordinating Authority, with a broad-based multisectoral mandate.
• One agreed country-level Monitoring and Evaluation System.
HIV/AIDS Action Framework
An agreed, common HIV/AIDS Action Framework is a basic element for coordination across partnerships
and funding mechanisms, and for the effective functioning of a National AIDS
Coordinating Authority. Such a framework calls for:
• clear priorities for resource allocation and transparency,
• regular joint reviews by all partners,
• greater involvement in the AIDS response by civil society, the private sector, and other non-
governmental partners,
• commitment by external partners to provide external support,
• links with plans to reduce poverty and promote development.
The national AIDS Coordination Authority, widely represented and involving several sectors. This calls for:
• a legal status and an official mission,
• a clearly defined role,
• monitoring by all,
• a commitment for a full national response to HIV,
• acceptance and respect for all partners,
• the creation of a national partnership forum with significant representation from stakeholders.
International Initiatives - The « Three Ones » – 2004

26
A follow-up/evaluation plan at country level, which calls for the following:
• global leveling of needs relating to follow-up and evaluation;
• an agreement among stakeholders on a reference system of follow-up/evaluation at national level;
• national and external investment.
4. UNAIDS is the facilitator of the « Three Ones » and is also responsible for producing annual reports on
progress and challenges. UNAIDS adopted the principles in 2004.
5. The 4th Ordinary Session of the Assembly of the African Union adopted the principles during its January
2005 Summit in Abuja, Nigeria. (http://www.africa-union.org/root/AU/Documents/Decisions/hog/
Decisions_Abuja_Jan_2005.pdf)
The principles are available on the UNAIDS website at www.unaids.org
Publications:
• The Global Task Team, a tool for the application of the « Three Ones Principles », published by UNAIDS,
Sept. 2005 (CP 135a) available on the UNAIDS website.
• The Three Ones Principles in Action: Results and Prospects, published by UNAIDS/05,08F, June 2005,
available in PDF format on UNAIDS’ website.
• To boost the application of the « Three Ones », UNAIDS has carried out the recommendation of the Global
Task Team for better coordination between multilateral organizations and international donors in response
to HIV. In June 2006, UNAIDS’ co-sponsors’ boards approved the Task Team’s recommendations.

27
ECA Ministerial Conference on ICPD 10th
Anniversary
7-11 June 2004
Dakar, Senegal
African ministers responsible for population and development
The Dakar Declaration on Population,
Development and HIV/AIDS
1. The ICPD 10th Anniversary: Africa Regional Review Report was adopted as Africa’s blueprint and
declaration for the further implementation of the Dakar/Ngor Declaration, the Programme of Action
of the International Conference on Population and Development, and the Key Actions for the Further
Implementation of the Programme of Action of the International Conference on Population and
Development.
2. On HIV/AIDS, the Declaration is to intensify efforts to prevent, diagnose and treat HIV/AIDS and other
sexually transmitted infections within the context of sexual and reproductive health; address the gender
dimensions of HIV/AIDS; provide support to families and orphans affected by HIV/AIDS; guarantee access of
young and adult men and women to information, education and services required to prevent HIV infection;
to provide access to diagnostic services and care to persons living with HIV/AIDS, including to pregnant
women and their children to reduce vertical transmission of the virus, and eliminate stigmatization of
persons living with HIV/AIDS while ensuring their privacy, confidentiality and freedom from discrimination.
The Declaration is available on UNFPA’s website at www.unfpa.org.
• 2005 Annual Report, UNFPA, ISBN: 0-89714-779-0, available in English, French and Spanish.
International Declarations - The Dakar/NGOR Parliamentary Declaration – 2004

28
OECD High-Level Forum on Aid Effectiveness
28 February - 2 March 2005
Paris, France
The Paris Declaration on Aid Effectiveness
Enhance the impact of aid; redouble efforts in harmonizing, aligning and
managing aid to improve results.
1. The Declaration spells out a realistic plan to improve the quality of aid and enhance its impact on
development. Based on the 2003 Rome Declaration and the Conference on Results-based Management
for Development held at Marrakech in 2004, the Declaration includes 56 partnership commitments around
five major principles:
• Appropriation: partner countries have complete control over their development policies and strategies,
and are responsible for the coordination of developmental activities,
• Alignment: donors rely on the national development strategies, institutions and procedures of partner
countries to channel assistance,
• Harmonization: donors’ activities are harmonized, transparent, and allow greater effectiveness in
general,
• Results-based Management: to manage resources and improve the decision-making process in order
to secure results,
• Mutual responsibility: donors and partner countries are responsible for the results obtained in relation
to development.
The Declaration is available on the OECD website at www.oecd.org.
• Aid Effectiveness, 2006 Survey on Monitoring the Paris Declaration, Overview of the results, published by
DECD, 2007.
The Paris Declaration on Aid Effectiveness – 2005

29
Meetings held by the Department For International Development (DFID)
London, United Kingdom, March 2005
Geneva, Switzerland, May 2005
New York, USA, June 2005
Global Task Team (GTT) on improving
AIDS Coordination among Multilateral
Institutions and International Donors
Created for better coordination between multilateral organizations and
international donors in the AIDS response.
1. Leadersfrom24governments,civilsociety,UNinstitutionsandothermultinationalandinternationalinstitutions
met on 9 March 2005 to review the international response to the concepts « Making the Money Work » and
the « Three Ones » . They agreed on new measures to implement the « Three Ones » , which consisted of
setting up a Global Task Team to apply the Paris Declaration to HIV.
2. The GTT is made up of representatives from 24 countries and institutions, including governments from
developing and developed countries, civil society, regional organizations, and multilateral institutions.
3. The GTT recommended ways for countries, multilateral institutions and international partners to consolidate,
standardize and better organize their AIDS responses. They fall into four main categories:
a. Leadership and ownership by all stakeholders in each country:
• countries should create their priority annual action plans in response to HIV,
• countries should ensure that national macroeconomic and expenditure frameworks contribute to
the implementation of national AIDS action plans.
b. Alignment and Harmonization:
• multilateral institutions and international partners should commit to cooperate with national
coordination services in response to HIV,
• the IMF, World Bank and other multilateral institutions and international partners should shift from
planning to funding programmes, and renew their commitments to harmonize and better coordinate
their scheduling, funding and reporting.
c. Reforms towards an effective multilateral response:
• the creation of a joint UN team in response to HIV, which will set up a joint UN programme in
support of national responses within the national strategic framework,
• the multilateral system should set up a joint team of the UN system and the World Bank to solve
problems and support the work done to overcome current obstacles at country level,
• UNAIDS co-sponsors and the IMF should produce a clearer and more operational division of labor
based on their respective comparative advantages and complementarity for more effective support
to countries,
• increased funding for technical support.

International Initiative
The Global Task Team on improving AIDS Coordination
among Multilateral Institutions and International Donors – 2005

30
d. Reporting and monitoring:
• UNAIDS should help national HIV coordination authorities conduct participatory assessment
evaluations of the achievements of the multilateral institutions, international partners and national
stakeholders, based on OECD/DAC standards and criteria for alignment and harmonization;
• multilateral institutions and international partners should help national coordination authorities
build their mechanisms and strategies for follow-up/evaluation.
Details on the GTT are available on the UNAIDS website at www.unaids.org.
• July 2006, UNAIDS, WHO, UNFPA, and UNDP set up the Global Implementation Support Team (GIST),
which provides technical assistance for rapid mobilization and harmonization « to make the money work » in
countries.
• Country Harmonization and Alignment Tool, by UNAIDS, June 2007, available on the UNAIDS website at
http://data.unaids/pub/Report/2007/jc 1321_chat_en pdf.
• « Making the Money Work », guidelines to the common technical support developed by UNAIDS and
to capacity-building to expand the HIV responses, published by UNAIDS/06.07F, March 2006, available on
UNAIDS’ website.

31
Associations from various countries
2005
Civil Society Declaration to the G8
in support of medical personnel
The Medical staff needs assistance to achieve MDGs.
1. Medical staff, civil society and government called for cooperation and an increase in expenditure on
human resources by G8 countries, and help in promoting health, education and equal rights and equality.
Consequently, G8 countries are urged to:
• Support health systems
• Build the capacities of medical personnel
• Not drain medical resources of developing countries
• Support international organizations
• Ensure follow-up to donor commitments.
Civil Society Declaration to the G8 in support of medical personnel- 2005

32
G8 Summit
6-8 July 2005
Gleneagles, Scotland
Heads of State
The Gleneagles Communiqué:
A renewed commitment of the G8 to Africa
100% cancellation of multilateral debt and increasing public aid for development
by 2010.
1. In the final communiqué of the Gleneagles Summit, the world’s eight richest nations (Germany, Canada,
USA, France, Italy, Japan, United Kingdom and Russia) supported the agreement ratified on 11 June 2005
by G7 finance ministers. They committed to:
• An immediate 100% cancellation of multilateral debt (IMF, World Bank, African Development Bank)
incurred by 18 Highly Indebted Poor Countries (HIPC) and 9 others, over 18 months, which
meant a debt cancellation amounting to US $ 40 billion over the following 40 years,
• An increase of US $ 25 billion a year in aid to Sub-Saharan Africa, or twice as much aid by 2010,
• The Communiqué points out that « based on donor commitment and other factors, OECD hopes G8
countries and other donors’ ODA to Developing Countries will be increased to US $ 50 billion a
year by 2010, compared to 2004 ».
2. The Communiqué pledges investment in health and education and to adopt measures to combat HIV.
3. The Communiqué is available on the G8 website at www.g8.org.uk/bookshop.
Follow-up:
• The G8 Summit held in Heiligendamm, Germany, from 6 to 8 June 2007 on « Growth Development in Africa ».
G8 leaders also reasserted the global commitment made in 2005 to increase the amount of annual aid for
development by 2010 by US $ 50 billion, including US $ 25 billion for Africa. G8 leaders also promised to
devote US $ 60 billion to the HIV response and other diseases in Africa. They however did not produce a
timeline.
The Gleneagles Communique – 2005

33
55th Session of the WHO Regional Committee for Africa
29 August 2005
Maputo, Mozambique
African Ministers of Health
2006 Declared the Year for Acceleration
of HIV Prevention in the African Region
Resolution to support HIV prevention efforts in the African region.
1. In a resolution adopted at the end of the 55th Session of the WHO’s Regional Committee for Africa (RC55),
the Ministers urged Member States to urgently re-emphasize and re-invigorate HIV prevention efforts,
establish stronger partnerships and coordination mechanisms, and accelerate the implementation of
multisectoral responses while ensuring effective coordination and harmonization of HIV prevention
efforts.
2.The resolution commits Member States to provide an enabling environment to scale up HIV prevention
efforts; to increase access to quality health sector-based prevention intervention by strengthening
health systems; and to scale up prevention programmes which target the youth, women, girls and
other vulnerable groups ,including sex workers.
3. The expansion of treatment and care as part of the « 3 by 5 Initiative » represented an opportunity to
accelerate efforts to prevent HIV transmission, and efforts should be based on:
• the design of appropriate policies and legislation to create conditions favorable for prevention scale
up, especially by addressing issues relating to stigma and discrimination,
• the promotion of local research in order to better understand the dynamics of HIV transmission so as
to plan appropriate responses,
• consolidating the cooperation between research centers and partners to promote effective new
methods of prevention, including male circumcision.
4. As the HIV response involves more than the health sector, the resolution therefore commits partners to
increase their financial and technical assistance for countries to scale up their prevention programmes.
WHO urged to formulate an Africa wide HIV prevention strategy and to mobilize resources for long-term
international support.
The AFR/RC55/56 Resolution is available on the WHO website at www.who.int.
International Declarations – 2006 Declared the Year for Acceleration for HIV Prevention
in the African Region – 2005

34
• On 4 November 2005, seven UN institutions (UNAIDS, WHO, UNDP, UNESCO, UNIFEM , UNFPA, and
UNICEF) signed the Declaration of Support to the Countries of the Africa Region in order to accelerate HIV
prevention. They agreed to implement a common regional plan that includes major strategies for 2006 and
mechanisms for monitoring its implementation.
• On 11 April 2006, in Addis Abeba, Johannesburg, Ouagadougou, and Khartoum, the AU and the UN
launched the « Year for Acceleration of HIV Prevention in the Africa Region » .
• « Preventing HIV in the Africa Region: a Strategy for Expansion and Acceleration: a Report by the Regional
Director » , AFR/RC56/8, June 2006, available on the WHO website at www.who.int.
Continental launch of 2006 as the Year of HIV prevention in Africa • African Union Headquarters 11 April 2006
(From left to right): Adv. Bience Gawanas, Commissioner for Social Affairs, AUC, H.E. Jeannette Kagame, First Lady of the Republic of
Rwanda, former President of OAFLA, (2004-2006), H.E. Meles Zenawi, Prime Minister of Federal Democratic Republic of Ethiopia, H.E.
Prof. Alpha Oumar Konare, former Chairperson of the AUC, 2003-2007

35
UNICEF
25 October 2005
New-York, USA
« Unite for Children - Unite against AIDS »
Mobilizing people to enable HIV-affected children universal access to treatment,
care, support and protection by 2010.
1. « Unite for Children - Unite against AIDS » is a global campaign launched by UNAIDS and UNICEF urging
countries, especially developing countries, to accelerate efforts to reverse and halt the spread of HIV, and
enable children and youth to get access to care. This requires:
• putting children first, as far as HIV-related priorities are concerned,
• making sure people around the world respond to the needs of HIV affected /infected children,
• increasing programmes for prevention, care (treatment) and support,
• improving the quality of programmes in the areas of prevention, support and care,
•raising additional resources by associating UNICEF partners with the objectives of the campaign.
2. Four priorities are identified:
Preventing new infections among youth:
Objective by 2010: to reduce the number of HIV-infected youths by 25%
Preventing Mother to Child Transmission:
Objective by 2010: to offer 80% of HIV-infected women access to PMTC services
Pediatric treatments:
Objective by 2010: to provide ARV drugs and/or cotrimoxazole to 80% of children in need of
treatment.
Protecting Orphans and vulnerable children:
Objective by 2010: to protect 80% of children who need protection most.
Details are available on the UNICEF website at www.unicef.org.
• Children and HIV, a Report on Activities and Achievements during the First Year of the Campaign: « Unite
for Children Unite against AIDS » , 40p, January 2007, UNICEF, ISBN: 978-92-806-4128-8.
• 2006 Annual Report, UNICEF, 46p, June 2007, UNICEF, ISBN: 978-92-806-4164-6, available in French,
English and Spanish and on the UNICEF website at www.unicef.org.
International Initiative – Unite for Children
Unite against AIDS – 2005

36
Consultative Meeting of UN entities on
Accelerating the prevention of HIV infection in Africa
2-4 November 2005
Brazzaville, Congo
Declaration on Acceleration of HIV
Prevention Efforts in the African Region
A ten-point Declaration by seven UN entities to support countries in the African
Region to accelerate HIV prevention.
1. Representatives of UNAIDS, UNDP, UNESCO, UNIFEM, UNFPA, UNICEF, and the WHO agreed to combine
their efforts for joint implementation and follow-up to accelerate HIV prevention in the African region.
2. The joint plan aims to:
• mobilize the UN technical and support programme to accelerate support to country led and owned
HIV prevention programmes;
• promote partnership among regional actors to increase support to accelerate prevention around
the Africa Region;
• promote the collection and use of strategic data and of lessons learnt in the acceleration
process;
• mobilize authorities at all levels, including the community, in order to uphold the acceleration of
efforts to prevent HIV infection;
• set up a mechanism for management and monitoring implementation of the common regional
Plan on the acceleration of HIV prevention;
• support countries to mobilize resources.
3. The seven entities committed to create an inter-agency working group to manage and monitor the
implementation of the joint plan, and to report to the Regional Directors who will meet at least twice a year
to discuss progress.
The Declaration is available on the WHO website at www.afro.who.int .
• The initiative to accelerate HIV prevention in Africa was launched on 11 April 2006.
International Declarations – Declaration on Acceleration
of HIV Prevention Efforts in the Africa Region – 2005

37
The UN General Assembly
87th Plenary Session
31 May - 2 June 2006
New York, USA
Political Declaration on HIV/AIDS
The declaration of a commitment to unite all stakeholders against HIV and
implement the promises made.
1.The Declaration reaffirms the will to fully implement the UNGASS 2001 Declaration of Commitment on HIV
and AIDS, and to achieve the Millennium Development Goals. While acknowledging the progress made, it
also points out that many objectives have not been achieved.
2.The Declaration calls on governments, donors, regional and sub-regional organizations, the UN system, the
Global Fund to Fight AIDS Tuberculosis and Malaria, civil society, people living with HIV/AIDS, the private
sector, the communities most affected by HIV/AIDS and other stakeholders, to work together to achieve the
targets. Specifically the Declaration calls for setting ambitious targets to be achieved by 2006 and:
• more detailed provisions for prevention and among other things, male and female condom use,
sterile injection kits and the control of damage induced by the use of drugs;
• stronger action regarding women and girls; empowerment of women, especially those who
are victims of violence and inequalities, so that women and girls protect themselves against the
epidemic;
• more ambitious youth programmes; stresses the need to inform children, to give them support,
treatment, and care through programmes; “to promote an HIV-free generation” through educational
programmes for youths and provision of medical services;
• need to strengthen the link between HIV and reproductive health in policies and programmes;
• need to integrate food and nutrition into the global response framework;
• increasing human resources and financial capacities for better access to care and greater involvement
by communities;
• eliminating stigma of people living with HIV and high risk groups, and ensuring that they fully enjoy
their rights and fundamental freedoms including access to appropriate HIV programmes;
• reasserts that the TRIPS should not go against the right to public health and, in particular, the
promotion of access to all drugs, including the promotion of generic ARV and others drugs for HIV-
related infections;
• intensifying the response to HIV with a wider definition of “Universal Access”, to include
programmes, care, treatment and assistance;
• HIV focus should be included in humanitarian and emergency response programmes;
• promoting a commitment at the highest level, and making sure national plans are costed, monitored
and implemented in a transparent manner.
3. The Declaration projects that low/medium income countries will need international financial support
amounting to US $ 20-23 billion by 2010 compared to the 8.3 billion available for the response in 2005.
4. There will be full reviews in 2008 and 2011 as part of the General Assembly annual review of the progress
achieved in relation to the implementation of the 2001 Declaration of Commitment on HIV.
International Declarations – Political Declaration on HIV/AIDS - 2006

38
5. This Declaration was the result of a compromise. UNAIDS and some co-sponsors subsequently deplored
the fact that the document was not ambitious regarding some targets, especially at-risk groups, and made
no explicit reference to certain modes of HIV transmission such as the use of injectable drugs, STDs and
sex workers.
6. The A/RES/60/262 Declaration is available on the UNAIDS website at www.unaids.org.
• Guidelines for the design of reference indicators reporting, 2008. It includes guidelines developed to help
Member States prepare and present their National Report as follow-up to the Declaration of Commitment.

39
ICASO
August 2007
ICASO AIDS Advocacy Alert
Inform civil society actors on how to get involved in the high level meeting to
advocate for an increase in Global Fund resources to achieve MDGs.
1. According to civil society actors, the gap is widening between funds available for the response to HIV,
tuberculosis, malaria, and the world’s need for resources which would enable the commitments made
to be fulfilled. UNAIDS estimates placed the resources to fight HIV, tuberculosis, and malaria at US $ 89
billion, for 2008-2010 or $28 to $31 billion a year.
2. International donors are urged to pledge US $18 billion to the Global Fund to Fight AIDS, Tuberculosis
and Malaria (GFATM) to rebuild resources from 2008 to 2010 in order to secure comprehensive funding
of new rounds of grants, an extension of current programmes, and funds to expand efforts for prevention,
care, and treatment, so as to achieve the objectives relating to universal access by 2010 and to the MDGs
by 2015.
3. International partners are also called upon to keep their pledges, while advocacy activities should be
undertaken in countries in the North and South to raise additional funds.
4. Advocacy alerts are available on the ICASO website at www.icaso.org/bookshop.
International Initiative – ICASO AIDS Advocacy Alert – 2007

41
African Declarations
« We are fully convinced that containing and reversing the HIV/AIDS epidemic,
tuberculosis and other infectious diseases should constitute our top priority
for the first quarter of the 21st century. We are equally convinced that tackling
these epidemics should constitute an integral part of our Continental Agenda
for promoting poverty reduction, sustainable development and ensuring
durable peace and political security and stability, consistent
with the Millennium African Recovery Programme. »
Statement by OAU Heads of State and Government at the African
Summit on HIV/AIDS, TB and Other Related Infectious Diseases,
Abuja, Nigeria, 24-25 April 2001
« The challenge is to move from rhetoric to action,
and action at an unprecedented intensity and scale.
We need to focus on what works.
We need to break the silence, banish stigma and discrimination,
and ensure total inclusiveness in the struggle against HIV/AIDS. »
Statement made by Nelson Mandela, former President of South Africa and Nobel Peace Prize winner,
at the 13th International Conference on HIV/AIDS, Durban, South Africa, July 2000.

42
28th OAU Summit
of Heads of State and Government
29 June - 1st
July 1992
Dakar, Senegal
Dakar Declaration
on the HIV epidemic in Africa
Prevention is the only means of slowing down the epidemic.
1. The Declaration includes a six-points action programme with targets and quantifiable outputs:
• Full political commitment and mobilization of society by the end of 1992.
• To set up prevention campaigns so that by mid-1993, 100% of adults know what HIV is, how it is
transmitted and how to protect themselves from it.
• To introduce policies on care for people living with HIV by mid - 1993.
• To support adequate, appropriate research on HIV so that by 1993, countries would have put in
place a National Action Plan for the promotion and coordination of research on HIV.
• Through the leadership of Heads of State and Government, ensure that all sectors of society
work together in response to HIV. By mid - 1993, each sector would have set up a plan and have
allocated resources.
• To make HIV a priority in terms of expenses. By the end of 1994, countries would have set up
consolidated action plans for Africa in order to attract the necessary funds to respond to HIV.
2. The Declaration, however, does not specifically deal with human rights issues.
3. The Dakar AHG/Decl.1 (XXVIII) Declaration and the decision relating to the action plan AHG/Res. 216
(XXVIII) are available on the African Union website at www.africa-union.org.
Follow-up/Publication:
• African leaders directed their efforts towards the development of a global action plan to facilitate and
accelerate the implementation of the Dakar Action programme, which led to the adoption of the Cairo
Guidelines on HIV in 1993.
• Report of AU Secretary General on the Declaration on the HIV epidemic in Africa – Doc CM/2079 ( LXVIII)
Continental Declarations – The Dakar Declaration on the HIV epidemic in Africa - 1994

43
OAU Heads of State and Government
30th Summit
13- 15 June, 1994
Tunis, Tunisia
Declaration on AIDS
and the Child in Africa
Commitment on prevention programmes for children.
1. Recognizing that children are highly affected by HIV/AIDS, Heads of State and Government of the Organization
of African Unity pledged to:
• elaborate a « national policy framework » to guide and support appropriate responses to the
needs of affected children covering social, legal, ethical, medical and human rights issues;
• protect young people from HIV infection;
• promote research efforts based on African experiences and traditions;
• allocate substantial budgets to meet the identified requirements for preventive programmes among
children, and care and support for those infected by HIV/AIDS;
• c ontinuously monitor the epidemiological situation and evaluate the impact of the action
program.
Follow-up/Publication:
AIDS and the Child in Africa [AHG/Decl. 1 (XXX)], Tunis, 1994, is available on the African Union website
at www.africa-union.org.
Continental Declarations – AIDS and the Child in Africa - 1994

44
Continental Initiative– Adoption of the International Partnership (IPAA) - 1999
OAU Labour and Social Affairs Commission
23rd Ordinary session
16 – 21 April 2000
Algiers, Algeria
Adoption of the International Partnership
against AIDS in Africa
An innovative framework for mobilizing the response
1. The International Partnership against AIDS in Africa (IPAA) was adopted at the 1999 OAU Summit
of Heads of State and Government as an innovative framework for mobilizing governments, civil society,
development partners and international aid agencies in order to respond to the pandemic in Africa.
2. During the first two years, IPAA mobilized and led an HIV response at regional and global levels. In
2001, governments, the United Nations, donors, the private sector and communities were encouraged to
work together to create and implement national responses. About 40 countries developed HIV strategic
plans and more than 30 countries set up AIDS councils or commissions. HIV became part of the public
agenda, national strategic plans were developed and local responses were intensified.
3. IPAA has been a key instrument for coordination between partners at country level and laid the
foundation for the Three Ones.
4. The text is available on the African Union web site www.africa-union.org
Follow-up /Publications:
• International Partnership against HIV in Africa, IPAA: Progress Report Volume 2, ed. UNAIDS, December
2001.

45
The 11th International Conference on AIDS and STDs in Africa (ICASA)
Lusaka, Zambia - 12 to 16th September 1999
Declaration on the HIV/AIDS Epidemic
at the XI-ICASA
Heads of State and Government of the OAU attending the XIth International
Conference on AIDS STDs in Africa, declare HIV/AIDS a national disaster
requiring an emergency response and committed themselves:
• To providing political leadership by increasing resources made available to the response and providing an
appropriate policy and a legal environment;
• To making HIV/AIDS a priority in all development programmes at the regional, national and community
levels;
• To supporting the introduction of policies and programmes that will raise awareness of the impact of HIV/
AIDS that will culminate in behaviour change;
• To encourage dialogue, at all levels, on issues related to HIV/AIDS, that will facilitate an open and supportive
environment for people infected or affected by HIV/AIDS.
To this end, and ‘Looking into the Future’, Heads of State and Government undertake:
• To call upon regional and sub-regional structures such as: OAU, ECA, SADC, ADB, ECOWAS, COMESA
and the East Africa Community, to put in place institutional frameworks that will bridge the gap between
declarations and the implementation of declarations;
• To facilitate the development the development of health policies that will build on the vast indigenous
knowledge and practice that will strengthen collaboration between medical practitioners of traditional
medicine;
• To encourage technical experts to undertake relevant research on HIV/AIDS and implement their findings;
• To encourage direct regional and bilateral sharing of experiences on lessons learnt in responding to AIDS;
• To call on bilateral and multi-lateral partners to support the intensified action to curtail the spread of HIV by
augmenting the level of their support commensurate with the scale of the disaster;
• To support the International Partnership Against AIDS in Africa.
The full Declaration is available Africa Action website: http://www.africaaction.org/docs99/hiv9909.htm
Continental Declarations – Declaration on the HIV/AIDS Epidemic at the XI-ICASA

46
OAU Labour and Social Affairs Commission
23rd Ordinary session
16 – 21 April 2000
Algiers, Algeria
The Algiers Appeal for the Intensification
of HIV control in Africa
A common position for more concrete actions at the national level.
1. In addition to the strengthened commitment of political authorities and intensified social mobilization, the
Algiers Appeal points to the need to institute at the national level:
• an adequate legal and regulatory framework,
• a generalized and multifaceted media response,
• an organized, operational, continuous and permanent response,
• an efficient and cheap therapeutic response .
The Algiers Appeal is available on the African Union website at www.africa-union.org.
Continental Declarations – The Algiers Appeal for the Intensification
of HIV control in Africa - 2000

47
Organisation of African Unity
36th Conference of Heads of State and Government
10 – 12 July 2000
Lomé, Togo
Lomé Declaration on HIV/AIDS in Africa
Following the IPAA in 1999, HIV/AIDS was discussed during a meeting of
African Heads of State and Government.
1. Heads of State and Government of the OAU commit to take personal responsibility and provide
leadership for the activities of the National AIDS Commission/Councils where they exist and ensure
that they are established where they do not, to keep the issue of HIV/AIDS high on the national health
agenda, and to strengthen governments’ capacities. The Lomé Declaration endorses:
• The Algiers Common Position and Plan of Action on Strategies to Support HIV/AIDS Orphans,
Vulnerable Children and Children Infected with HIV/AIDS adopted by the OAU Labour and Social
Affairs Commission in 1999,
• The Ouagadougou Commitment for Action for the Implementation of the Declarations, Decisions
and Recommendations of the Heads of State and Government of the OAU aimed at strengthening
HIV/AIDS Control in Africa,
• The Framework of the International Partnership on HIV/AIDS in Africa (IPAA) in order to intensify the
health sector response to the HIV/AIDS epidemic.
2. Furthermore, they pledge to take all necessary measures to facilitate the implementation of the above
instruments and to allocate resources within the framework of their national budgets.
3. The signatories request the IPAA to collaborate with the OAU General Secretariat and individual Member
States in order to mobilize the necessary financial resources for the HIV/ADS response in Africa.
4. Governments are requested to accelerate health sector reform with a focus on all epidemics and HIV/AIDS
in particular.
The AHG/Decl.1-5 (XXXVI) Declaration is available on the African Union website at www.africa-union.org.
• The Lomé decision (2000) to hold an African Summit on HIV, Tuberculosis and other related infectious
diseases in Abuja, Nigeria.
Continental Declarations – Lomé Declaration on HIV/AIDS in Africa - 2000

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