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Comments (43)

Boyan Konstantinov Moderator

Good morning, everyone! My name is Boyan, I am co-moderating this discussion. I hope that we will get honest feedback and constructive suggestions and I want to thank in advance to everyone for their contributions. Few technical things:

The draft report is in English. The best way to read it in a language that you speak is to download it, go to https://translate.google.com/, click translate a document and read the whole file. You can also copy and paste the text, whatever works best.

When you comment, please refer to the number of the paragraph. You can find it on the left side of the document.

If you want to make a comment about needs, challenges and priorities in your region, please indicate which region you come from.

Thank you!

Sharaf Boborakhimov Moderator

Thank you for your warm welcoming and comprehensive guidance on technical moments, Boyan. 

Welcome everyone to the SparkBlue - a platform which gives a tremendous opportunity to review AYKP FGD synthesis report and share inputs. My name is Sharaf, co-moderating this discussion together with Boyan. 

I am extending my gratitude for everyone who registered and joined this group. Your valuable inputs will help us to shape this report incorporating vital recommendations on AYKP HIV related priorities globally and in the regions. 

Please join the conversation. 

Ps. We will also share some of the feedbacks on behalf of partners who had difficulties accessing the platform. 

Sharaf Boborakhimov Moderator

Comment on behalf of the UNDP Fiji: 

"HIV testing services (HTS) for AYKP. In the PICs it has shown that community outreach with point of care testing (POC) dramatically help KP getting tested for HIV/ STI."

Wole Ameyan (WHO, HQ)

In general, the report covers quite a lot. However, a few comments that could be added to the document:

  • The element of differentiated services that considers the needs and wants of AYKPs does not come out very well. Important to highlight very clearly the need for services that are provided in ways, at times, locations and by providers that are AYKP friendly
  • Laws and policies are mentioned but not in a way that delves into the main issues. The components of bi directional discrimination that is unique to being an adolescent and young and KP should come out more. 
  • Training at service delivery points on adolescent and young KP friendly services is important and would be great to highlight clearly. The WHO global standards should be a mirror for this
  • The meaningful involvement of AYKP in the service delivery but also throughout the program cascade could also be brought to the fore.
  • Please bring out the element of more operational and implementation research to guide investments and programs. It is great that the need for more data is stressed but the other elements of strategic information and planning is key
  • An package of care that is person centered is very important and should be included for definition, implementation, monitoring and evaluation.  
  • Finally I will advise that more relevant documents be added to the list of resources. These include:
  • Handbook for conducting an adolescent health services barriers assessment (AHSBA) with a focus on disadvantaged adolescents. https://www.who.int/gender-equity-rights/knowledge/adolescent-health-se…

  • The WHO global standards for adolescent https://www.who.int/maternal_child_adolescent/documents/global-standard… 

  • The Global Action for the Health of Adolescent https://apps.who.int/iris/bitstream/handle/10665/255415/9789241512343-e… 
  • The toolkit developed last year with UNICEF and other partners https://www.childrenandaids.org/aykpToolkit/about 
Sharaf Boborakhimov Moderator

Thank you so much for your valuable comments, Wole. 

We will consolidate them into the final report together with other incoming feedback from partners.

Boyan Konstantinov Moderator

Thanks, Wole, your input is indeed most useful. Could you please elaborate a bit more on bi-directional discrimination and how it is connected to laws? We were trying to capture the specific situation in which KPs are because of age and because of norms punishing behavior but I think you mean something more. Many thanks and have a great week!

 

Wole Ameyan (WHO, HQ)

Hi Boyan,

We have similar thoughts. For adolescent and young KP, they face discriminatory laws as an adolescent. Age of consent laws which limits their access to care and delimits their capacity for autonomous decision making. When adolescents get in certain situations compared to other age groups like when pregnant or are mothers, there are in some settings discriminatory laws that discriminate and stigmatize, stopping them from schools and education and affecting their mental health and well being. As a KP, like you rightly said their are laws punishing behavior, some coercive, some punitive and more. For AYKP, the effects of discriminatory norms and laws hit them in both directions, as an adolescent and as KP

 

Petar Mladenov

Hi everyone and thanks for including me in the conversation. I have sent few comments directly to Sharaf, however just to share the highlights here:

- Some of them were linked with CSE in digital spaces and the importance of privacy and safety

- Also when it comes to youth engagement a greater focus should be given to youth organizations, both youth-led and youth-driven, as well cmmunity-led ones

Boyan Konstantinov Moderator

Peter, thanks a lot. Do you have any specific observation when it comes to funding youth-led organizations? During the discussion this surfaced as concern. Smaller, grassroots, and youth organizations often do not have the necessary registration and capacity to compete with bigger organizations and, as a result, are struggling for resources to operate and grow. Any suggestions how this could be addressed? Thanks!

Sharaf Boborakhimov Moderator

Comments on behalf of Youth Voices Count (YVC) Nepal representative: 

1. There are fewer data about trans women as seen here.

2. Trans men are often excluded from HIV conversations assuming their genitila and that they have sex with cis women. This leaves out the HIV vulnerability of trans men. So this should be a new area to explore for the HIV advocacy community.

3. Also we can recommend to have 'MSM' be disaggregated, as gay men, bisexual men, pansexual men - so we could also have more data on which groups are being affected in what way.

Zione Ntaba

Morning Team, I am failing to access the report. Every time I click on it, the site says its unreachable. Please advise

Zione Ntaba

Morning Team, I am failing to access the report. Every time I click on it, the site says its unreachable. Please advise

Sharaf Boborakhimov Moderator

Thank you for raising this issue, Zione. 

I have noticed that Simon kindly posted the attachment in the comment box. I also shared the draft report over the email. Please let me know if you are still facing difficulties accessing the .PDF file. 

Chinmay Modi

Dear Moderators,

Thank you so much for the draft report. I am still going through it but while reading the list of organisations participated, I request you to mention the full name of my organisation as "Global Network of Young People Living with HIV - Y+ Global" instead of Y+ India. 

Also, the key recommendation back to UNAIDS in terms of the strategy specifically is to do ethical engagement of Adolescent and Young People Living with HIV. Currently, Adolescent and Young People are involved at many platforms but tokenistic participation is not an ethical engagement. It is a high time now to involve adolescents and young people living with HIV at each and every level meaningfully and ethically.

Boyan Konstantinov Moderator

Noted and thanks, Chinmay.

Simon Herteleer

Hi all,

Some additional comments:

In the tables on the three subtopics (2.1; 2.2; 2.3) the first section on current situation it might also be good to include good practices such as: provision of PrEP, community approaches, empowering women and girls, etc. not only focusing on the barriers; at the same time it might be useful to reference research reports to back the synthesis? 

Perhaps a meaningful suggestion would also be to revisit successful experiences in programming from the past, i.e. in 2.3.2 there is mention of working together with religious leaders, there are many examples where this has already been succesful

Overall comment, the only mention of the ongoing Covid-19 pandemic is referred to in the 'Pivot' section, however it is having consequences in all the aspects that are mentioned throughout the document; HIV being a pandemic itself could be underlined (including its effects, especially on AyKP) 

 

Sharaf Boborakhimov Moderator

Thanks a lot, Simon.

Your suggestions on including good practices is indeed important. Would you mind sharing any links on good practices based on your own experience working with YSAFE and Women Deliver? 

Virginia Macdonald

Thanks for opportunity to comment.

Wole has already provided brilliant input. 

I would just like to add that calls for disaggregated data should be accompanied by statements about the importance of maintaining confidentiality, data security and reducing heath care worker (or whoever if collecting the data) biases and discriminatory attitudes. Important that the need for better data does not inadvertently lead to more barriers for AYKP 

Virginia

Sharaf Boborakhimov Moderator

Many thanks, Virginia. 

Your comment is well noted. 

Mesfin Getahun

Dear Moderators, 

Thanks for the rich summary of the discussion on adolescents and young key populations. Please find below further reflections based on the experience from the UNDP led Linking Policy to Programming project implemented by UNDP, HEARD and AMSHeR in Southern Africa. 

  1. Issue of disaggregated data need to be considered carefully. Given the limited capacity of countries to collect and analyze disaggregated data for adolescents and key populations across the gender spectrum it will be important to ensure that lack of data is not equated to absence of the problem or the issue. Hence it is important to specifically focus on advocacy efforts that recognize the disproportionate vulnerability of adolescents and young key populations. Lack of data is a manifestation of vulnerability and not the absence of it.
  2. In relation to data disaggregation one notable opportunity is the global monitoring and reporting tools, particularly the Global AIDS Monitoring (GAM) report, compiled by UNAIDS on a biennium basis. It is critical that the GAM report captures national level data by age and gender for adolescents and key populations as this would require countries to collect some data that meets this requirement.
  3. Challenges of engaging adolescents and young key populations in community organizations led by ‘adults’ need to be recognized and supported. Often adolescents and young key populations face challenges in making their voices heard not only ‘externally’ with government, service providers, civil society etc. but within their own communities as well.
  4. Laws and policies around consent not only limit access to services but also active participation in advocacy by young key populations. One of the main lessons drawn from the UNDP led Linking Policy to Programming (LPP) project is that young key populations below the age of 18 often lack the ability to participate in training or policy related discussions as they require consent of parents and/or guardians which might not be forthcoming due to various reasons.
  5. Development partners, civil society and communities may need to adapt more practical/pragmatic approaches on resource mobilization for adolescent and young key population interventions. Experience from the Africa region indicates that governments might be more interested and engaged in identifying results on improving access to HIV prevention and SRH services to adolescents and key populations than attaching specific dedicated funding to the activities.
  6. On the question of who is missing from the stakeholders. It will be important to see this from the perspective of ‘movement building’ across different communities and engaging allies for issues of young key populations. Lessons from the LPP project indicates that advocacy capacity development efforts targeting only young key populations alone will have limited impact. It is therefore necessary to enable young key populations to receive support from other more established movements such as the gender, the young people or the PLHIV movements. In other words, young key population initiatives need to be brought out of isolation without losing their character and objective. This is a delicate balancing act that needs the support of major stakeholders such as the UN system and regional and national civil society organizations.
  7. It is important to consider or reconsider the impact of global definitions in relation to sex work. While the rationale for limiting the definition of sex work above the age of 18 is based on global conventions and standards, its impact on rolling out interventions and programmes on the ground does not seem to be fully recognized. Despite the global definitions, young people under the age of 18 continue to engage in sex work but are left out of interventions targeting the sex worker community. One possible solution might be to include in all programmes that focus on sex work, people under the age of 18 who are sexually exploited.

Resources

https://amsher.org/publications/an-advocacy-guide-on-sexual-reproductive-health-and-rights-for-young-key-populations/

https://amsher.org/publications/amsher-abidjan-declaration/

https://www.africa.undp.org/content/rba/en/home/democratic-governance-a… 

Boyan Konstantinov Moderator

Thank you, Mesfin, for your comprehensive input.

Yana Panfilova

Dear All, 

Thank you very much for this opportunity. It was very useful.

I was carefully looking at this doc, at all I am agree for all, but I would to add a few thinks that it is very important on behalf of youth networks in the EECA countries: 

  • legislative barriers and discriminative laws and as result reduced access for these groups
    to preventive services due to age of consent;
    ● lack of a systematic approach to comprehensive sexuality education in schools and
    prevention services for adolescents and young people;
    ● HIV status related stigma and discrimination towards adolescents and young people from
    soceity, adults, close ones, medical providers and in educational settings;
    ● insufficient data on young people on HIV testing, behaviors, estimates and other aspects;
    ● low meaningful adolescent and youth participation from EECA countries in decision-making
    bodies and spaces in AIDS response.

Thanks again, 

Warm Hugs, 

Yana Panfilova 

Sharaf Boborakhimov Moderator

Thank you so much for your feedback, Yana. 

Always great to have Teenergizers' perspective on EECA HIV programming. 

 

David Imbago Jacome

Dear moderators,

On 2.1.1 and 2.1.2 I think it is worth mentioning the impacts of the Global Gag rule on HIV services. Unfortunately, many organizations who provide abortion-related services have been seriously affected by this issue, most of these organizations also provide SRH and GBV services which leads to an indirect effect of this harmful global policy. 

2.1.3 Since the rise of BLM the discussions about inequalities has increased, including SRH services and the global burden of disease. Keeping an intersectional approach to the HIV response includes talking about inequalities and inequities.

2.1.5 The use of technology and digital tools is a great approach but offline programs and low internet bandwidth/SMS systems should also be considered, otherwise we are increasing the gap for those who cannot access internet.

In general, "who is missing": Huge emphasis on religious and community leaders. 

 

Sharaf Boborakhimov Moderator

Many thanks for your important contribution, David. 

Elena Kudravtseva

Thank you very much for convening this discussion! The report reflects very well the richness of the discussion – here are some additional comments to the draft report for your consideration:

  • Overall – you might consider summarizing the points across the three groups looking for alignment, consistency in issues raised and areas of convergence and divergence of opinions.
  • Also, great to see a strong focus on Human Rights – might as well unpack the ‘how’ to further our approach realize human rights for all and be more specific.
  • Its worth mentioning the disaggregated data for HIV knowledge – data for young women is even more appalling than among young men. And that it remains at the same low level for a decade now.
  • While lack of disaggregation is indeed an issue, it will be good also to mention general lack of gender analysis of disaggregated data, even if it exists and available. Use of such data is an important factor in ensuring the responses are tailored.
  • For the legal/policy constraints, we should attempt to bring in some of the specificities discussed in the group, i.e. what kind of laws and policies and practices? And what will be the distinctions between AY drug user for example? AGYW? Or other groups?
  • 2.1.3 – the first point mentions gender dynamics – it will be good to also add smth along the need to look into varying needs and priorities of women within AYKPs and their partners, which are influenced by power dynamics in relationships. Looking at it from a gender equality and rights perspective is rarely done.
  • Agree also with the comments made by some other colleagues on transgender people – will be good to have a balance and look at both transgender men and women.
  • AGYW are also a key population in sub-Sahara Africa and women are also represented among the key populations and they have varied needs and priorities – so it will be important for the report have it acknowledged. And even more than that – as we mention that there is an interplay of gender power dynamics – we should also emphasize and acknowledge the impact of gender inequality on the ability of young people to prevent HIV and mitigate living with it.
  • Focus on AYKP living with HIV should be made more explicit – it is currently more implicit. Those who are directly affected should also be meaningfully engaged in the HIV response.
  • Finally, weren’t there any discussions happening in terms of the current context and the impact of COVID-19?
Sharaf Boborakhimov Moderator

Thanks so much for raising vital aspects to consider, Elena.

There were discussions on the effect of COVID-19 on HIV service provision for AYKP in all three groups with a focus to particular geographic locations. We tried to have a global perspective, rather bringing local issues. However, in the next round of the report revision, we will highlight the impact of COVID-19 implicitly. 

Sadam Hanjabam

Dear Moderators

Greetings from Manipur, India

We would like to thank you for counting our voices in. I went through the report and it is quite comprehensive and includes almost everything. However to re-emphasize the issues we raised, I am just putting four pointers below,

1. Shifting of focus towards AYKP from conflict zones and margins/ border regions, meaningfully, who have not been included and under represented( eg North East Region in India), otherwise the goals will not be achieved even in next 10 years if we continue working in the trickling down mechanism focused on the accessible regions just because the data is easily available. 

2. Issues of Substance use, Harm reduction and psychosocial support at grassroots level led by peers, because its still criminalised and stigmatised by institutes and establishments. We need to stregthen the peer support systems where its hard to reach.

3. Resource mobilisation for youth led initiatives rather than by big youth-serving organisations who tries to fit young people in their existing recurrent target populations and areas for tokenism.

4. Finding a way to provide support where there is huge political and religious oppression of AYKP and not just ditch them because they do not have an FCRA or any visible data. Example, in our region which has 8 states we do not have much data, so we need to focus more on evidence gathering , advocacy and capacity building. 

Also we do not see our organisation name Ya_All , India http://www.yaall.org/  in the list. It would be helpful if it could be included, if possible.

Thanks and Regards,

Sadam

Sharaf Boborakhimov Moderator

Thanks a lot, Sadam. 

Your suggestions are well noted and we definitely will add your organization's name in the list. Apologies for missing it out. 

Yvonne Marie Rafol

Greetings from the Council for the Welfare of Children (Philippines)!

 

Thank you for sharing this comprehensive draft report. Please allow us to share the recommendations from YKP from the FGD conducted by our organization. 

 

  1. Advocate for harmonized laws and policies (with corresponding resources) that would encourage inter agency collaboration in order to address increasing cases of HIV and scale up programs that have delivered results over the years. Integral to the cause is having a holistic approach for HIV and AIDS in harmony with policies (laws, guidelines, inter agency programs, etc.)

  2. Laws and policies regarding HIV/AIDS should have protection lens to further protect children from any type of violence (which could have ultimately led children/adolescents to contract HIV).

  3. Design interventions that can:

  1. adapt to changes in the global and local context, including public health crisis like COVID 19, ensuring that children and young people are given appropriate attention.

  2. combat false information online and offline including myths and misconceptions and create other platforms for proper education against HIV/AIDS through digital technology and other creative methods to better spread the message across YKP’s and different sectors of the society.

  3. reiterate a comprehensive local-wide re- education and awareness campaign on HIV/AIDS and sex education starting with the families. Equipping parents to join seminars through an evidence-based and positive approach on the reality of the disease on children.

  1. Community lockdowns and quarantine protocols during this COVID19 pandemic severely affected the delivery and access to essential services for those needing treatment, support, and testing on HIV/AIDS. Thus, there is an increasing need for physical and psychosocial support for PLHIV and the vulnerability of children particularly those in impoverished living conditions.

  2. Encourage stakeholders that strongly support the advocacy to continue in the fight against the HIV/AIDS battle with their generosity to the cause so that programs can be sustained and more adaptive programs can be created to reach the goal against HIV eradication. Key also is more accessibility and availability of health care services so more can be tested - for prevention, treatment and other interventions as needed especially for the YKP’s.

  3. Poverty is the driving force in the increased number of youth at risk with sexually transmitted disease in their community thus we need to promote structural interventions such as employment opportunities, education, and access to health services, especially in geographically isolated and disadvantaged areas and marginalized areas.

Thank you. 

 

-Yvonne


 

Sharaf Boborakhimov Moderator

Many thanks for these crucial comments, Yvonne. 

We will accommodate them accordingly in the report. 

Zione Ntaba

Morning, I noted that my representation was noted as Judges Forum , Zimbabwe. It should read Malawi Judiciary and African Judges Forum on AIDS, HIV, TB, Human Rights and the Law

Sharaf Boborakhimov Moderator

Thanks for the heads up, Zione. We will make correction in the report. 

Zione Ntaba

In terms of the report 

2.1.3 Gender inequalities and power dynamics - can we consider expanding that to include a little more detailed analysis on culture, religion and social norms that help increase or perpetuate inequalities thereby contributing negatively to how AYKP enjoy their rights and freedoms including access to resources 

2.4 Can we also have a discussion on how emerging pandemics like COVID 19 are affecting services, funding and as well as access

2.4 We would also need to highlight the issue of environmental shifts and challenges and their effect that is both internal and external displacement due to various issues including floods 

3.1 We talked about community based organizations as being crucial for delivering change, is there anyway we can add a statement that states develop strategic granting opportunities for CBOs to develop and implement programmes for AYKPs

3.5 Can we have some discussion or analysis on contextualized planning and programming with an emphasis on grassroots to be a critical element to be for this new strategy

Sharaf Boborakhimov Moderator

Noted and many thanks, Zione. 

Bekdoktur

Дорогие все, спасибо за полезную возможность.

в целом я согласен со всеми, но хотелось бы добавить несколько предложений, которые могут быть актуальными в регионе ВЕЦА

-Низкое, почти невидимое участие подростков и молодежи в регионе ВЕЦА по программам ВИЧ;

-Недостаточность или вообще отсутствие данных о поведении молодых ключевых групп, касательно новых психоактивных веществ и безопасного сексуального поведения;

-Стигма, которая исходит от окружающих, как основное препятствие для полноценной жизни людей с ВИЧ-статусом;

-Нет определенного метода обучения по СРЗ в школах;

-Остаются не охваченными или менее доступными молодые люди и подростки из сельских или отдаленных регионов;

-Предоставление качественных медицинских услуг молодым людям из ключевых групп населения. Часто молодые люди сталкиваются со стигмой и дискриминацией при получении медицинских услуг.

-Непосредственное включение молодых людей из ключевых групп населения в программы по ВИЧ на национальном, региональном и международном уровнях;

-Постоянный мониторинг по доступу к услугам, которые получают молодые люди и подростки, включая тестирование на ВИЧ и получение достоверной информации о ВИЧ;

-Меры по снижению вреда новых психоактивных веществ среди молодых людей, проведение мини оценки по распространенности и использованию;

-Возрастные ограничения, и не только, при получении услуг, связанных с ВИЧ, как дискриминация по возрасту;

-Отсутствие инструмента, которой мог бы помогать мониторить эффективность программ по ВИЧ, а также вовлекаться в процесс отчетности по программам молодых людей из ключевых групп населения.

-Недостаточная поддержка в продвижении инициатив молодых людей из ЛГБТ сообществ.

 

Спасибо большое, удачного дня!

Sharaf Boborakhimov Moderator

Спасибо большое Бэкдотур за ваши полезьные комментарии.

Мы включим эти предложения на ряду с другими которые мы получили за последние дни в итоговый отчет.

Дополнительно, хотел с вами поделиться ссылкой на Международное Руководство по Сексуальному Образованию, который может потенциально аддресовать вопрос о необходимости определенного метода обучения по СРЗ в школах. 

https://unesdoc.unesco.org/ark:/48223/pf0000260770_rus

Sopo Zalkaliani

Hello Everyone, 

Thank you very much for sharing the draft report. It mainly covers all of the points and key findings that came up during the discussion. 

Maybe, it could emphasize a bit more on the issue of people living in rural areas being the hardest to reach and having limited access to educational trainings. Not all school teachers use manuals, students do not have the opportunity to learn from professionals, thus HIV awareness is much low in rural areas than in the cities. 

Thank you once again and have a nice day!

Sharaf Boborakhimov Moderator

Thanks a lot, Sopo. 

Your comment is well noted :) 

Boyan Konstantinov Moderator

Dear All:

Thank you so much for this incredibly rich discussion – after the somewhat slow start (SparkBlue is new to us as well) we managed to cover a wide variety of topics and details that simply could not be covered in a three-hour online live focus group discussion. Thank you for your valuable inputs and constructive approach. As a co-facilitator I have the uneasy task to try summarizing the discussion. Please bear with me – and please do not hesitate to correct and supplement my summary.  So, to recap:

  • Laws and policies matter even more so for AYKP, also because of bi-directional stigmatization, discrimination and exclusion – e.g. because of age and behavior.
  • Age is an important factor –  e.g. for consent to testing and services, access to information, access to HIV prevention packages, including TAP – PEP, PrEP.
  • Intersectionality matters – the lived experiences of AYKP in the same country can be very different depending on ethnicity, socioeconomic status, geographic location and many other factors.
  • There are AYKP left further behind – e.g. people in rural areas, in conflict zones, AYKP with disabilities, refugees and other migrants, AYKP living with HIV (or partners of people with HIV),  trans men who are also gay, or bi, young trans women, etc. The increased vulnerability of young women and girls and its determinants must always be kept in mind.
  • Services only work if they are designed with and for AYKP and there is a need to engage and invest in making services and packages AYKP-friendly, train providers, adjust packages.
  • Nothing about us without us – AYKP’s meaningful engagement throughout the whole cascade, including service delivery.
  • Lack of data does not mean that we don’t have a problem, quite the opposite. Alas, lack or insufficiency of data often renders AYKP “invisible”. There is a need to ensure disaggregated data collection and use, but also to think how we disaggregate, and that we do not violate privacy and safety of AYKP.
  • New technologies provide unprecedented opportunities, especially for access to prevention, information on HIV and STI transmission. However, the web has a dark side and AYKP are in increased danger of violence, bullying, subjection to quackery, etc. We need to learn how to use technologies responsibly.
  • CSE and SRHR are of critical importance for AYKP and we need to do more to make sure these services are available.
  • Funding for AYKP is not sufficient. It needs to increase it and also to make sure that youth-led and youth focused organization and platform are funded. Funding does not trickle down that much to youth organizations and AYKP have difficulties getting their voices heard in mainstream “adult” organizations.
  • Psychosocial support is very important for AYKP, including peer support.

We will try to reflect your input in the final version of the synthesis report and will make sure that this e-discussion is also available for further reference, of course under the Chatham House rule.

Thank you again!

Eliot Zeballos Cadena

Queridos todos, 

Gracias por compartir con nosotros el documento y la oportunidad para revisarlo. Considero que los demás ya incluyeron aportes bastante valiosos. En todo caso, considero que se tiene que hacer énfasis además en lo siguiente:

2.1.1. Están apareciendo iniciativas políticas que atentan contra los avances logrados en materia de prevención y tratamiento de VIH, la mayoría impulsada por grupos fundamentalistas. Un ejemplo es lo recientemente sucedido con la Cámara Mexicana de Diputados, haciendo recortes en programas de salud vinculados al VIH. Esta situación tiene el peligro de replicarse en otros Estados y debe trabajarse para evitarlo. 

(adjunto link de referencia: https://www.efe.com/efe/usa/mexico/diputados-mexicanos-aprueban-desmant…

2.2.1. Las iniciativas promovidas desde órganos del Sistema de Naciones Unidas debe incidir a nivel nacional en nuestros Estados para recomendar con mayor énfasis la problemática y consecuencias de las restricciones de edad para las pruebas y tratamiento para el VIH. 

2.3.1. Coincido con lo que se manifestó durante los grupos focales, respecto a la importancia de beneficiar con recursos y apoyo técnico a organizaciones locales, pequeñas y rurales para que los fondos destinados a la pandemia del VIH lleguen a todas las personas afectadas o vulnerables y se cambie la tradición de apoyo a grandes organizaciones que muchas veces no se muestran efectivas. 

Es cuanto puedo aportar, por lo demás agradezco considerarme para esta importante iniciativa y quedo atento a cualquier solicitud. 

Saludos desde Bolivia!

Eliot

PD. Solicitaría puedan incluir en el nombre de mi organización "ONG Igual" considerando que trabajamos en alianza entre ambas.