New Era

Harambee, we can beat Covid, beat HIV, and beat inequality

- Winnie Byanyima * Winnie Byanyima is the UNAIDS executive director

It is so inspiring to be back in Namibia, to witness the progress made on HIV, and – even more importantl­y – to discuss with government, UN, developmen­t partners, civil society organisati­ons and communitie­s how we can address together the challenges still to overcome the global epidemic.

I am so thankful to President Hage Geingob, to the First Lady Monica Geingos, and to all the agencies and communitie­s who have hosted us.

Namibia is key to winning the global struggle to end AIDS as a public health threat by 2030 – in two vital ways.

Firstly, Namibia has shown what is possible, including by meeting key

2020 global HIV treatment targets ahead of schedule. Now, we are discussing together how we can build on that, including speeding up progress on prevention of new infections and reaching all communitie­s. Success in Namibia will inspire and inform success across Africa and beyond.

Secondly, Namibia’s global leadership is encouragin­g bold internatio­nal action, both as cochair of the UNAIDS board and as co-facilitato­r, with Australia, of the High Level Meeting on HIV and AIDS coming in June. The world’s promise for 2030 is to end new HIV infections, discrimina­tion, and AIDS-related deaths. We are hopeful that member states will embrace ambitious targets for the next five years, and are calling on them to fully resource and efficientl­y implement them. We know how to end the AIDS epidemic. With Namibia’s leadership, we are working to galvanize the global will and action.

It is such wonderful news that now 95% of people living with HIV in Namibia know their status, and that 90% of people diagnosed are on treatment, and that Namibia is on track to end new infections in infants. But leaders from government, UN agencies, developmen­t partners, civil society organisati­ons and communitie­s all reiterated to me some of the key challenges which remain.

As the new global AIDS strategy highlights, inequaliti­es continue to fan the spread of HIV in many parts of the world. Covid-19 has brought these inequaliti­es to the forefront and exposed the fragility of the gains we have made. Ending AIDS requires ending inequaliti­es.

The face of HIV in Namibia, and across sub-Saharan Africa, is the face of an adolescent girl. The Covid crisis has exacerbate­d this, pushing millions more African girls out of school and increasing incidence of early pregnancy. That is why we are coming together in Education Plus, a high-level policy initiative, underpinne­d by a powerful rightsbase­d campaign, for the policies and upscaled investment­s that will ensure school completion, through free quality secondary education for all girls and boys, and reinforce this with: violencefr­ee environmen­ts, access to comprehens­ive sexuality education, the fulfilment of sexual and reproducti­ve health and rights and access to services, and young women’s economic empowermen­t through school to work transition­s. Together these will dramatical­ly bring down new infections, empower girls, and strengthen economic developmen­t.

Crucially, as the world discusses the challenges of the difficult fiscal situation exacerbate­d by Covid-19, will be the recognitio­n that investment­s in health, education and empowermen­t are not unaffordab­le expenditur­es, but vital investment­s for recovery and national developmen­t. The Covid crisis is not a reason to step back but a reason to step up. Together, we must find the money to leave no one behind. Aid, debt cancellati­on, new progressiv­e domestic revenue sources, and tackling illicit financial flows and tax avoidance, will all be key. None of this can be done by one UN agency, or one ministry, or one sector, working in a silo. As the President notes, it will only be possible through Harambee.

It has been 40 years since the first AIDS cases were reported, and 20 years since the historic United Nations General Assembly Special Session on AIDS. World leaders have promised to end AIDS in the next 10 years. If we are bold and work as one, we can.

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