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I begin by paying tribute to your liberation movement, which started in townships across South Africa. Your struggle inspired and moved the whole world to action to end the evil system of apartheid. After starting late, today you are making remarkable progress against AIDS! But even here in South Africa, with all this progress, we cannot rest, and we are still on a journey.
Almost 2. We have a job to do. There are more than new HIV infections among adolescent girls and young women every week. This is intolerable. Governments have committed to ending AIDS by We must keep this promise.
But business as usual will not get us there. I am going to talk about five things we need to do, faster and in a more focused way, to beat AIDS. It is unacceptable that, worldwide, HIV remains the leading cause of death for women aged 15—49 years. Millions of poor women and girls are denied the right to make decisions about their health and their bodies. All women and girls must have the right to choose if they have sex, and with whom, and how to protect themselves. When we know that keeping girls in school reduces their risk of acquiring HIV, we must empower all girls to stay in school.
Second, we must protect the human rights of all people, end marginalization and the terrible injustice of AIDS-related mortality.
While we should be proud that It is not a question of science. It is a question of inequality, powerlessness and exclusion. That, we can change. The system is finally working for millions of people living with HIV, but it is still failing for those who are marginalized: gay men and other men who have sex with men, transgender people, sex workers, people who use drugs, prisoners, foreign workers, migrants, refugees and people with disabilities.
Social injustices and human rights violations are drivers of HIV. They must be tackled, or we will lose the battle on HIV prevention.
On World AIDS Day, I call upon all countries to repeal laws that discriminate and criminalize groups of people and drive them away from life-saving services. Third, we need to put the science and technology to work to save lives. The world has spent billions of dollars developing the fastest tests, the best treatment and new prevention technologies, such as pre-exposure prophylaxis PrEP and other women-controlled methods. What would your second 90 look like if you were still waiting months or years for someone to go on treatment?
How many people would have reached viral suppression if you were still using a treatment regimen of three, or six or 12 pills per day instead of a one-pill fixed dose combination? In clinics and countries around the world, these outdated tools are what is keeping us from reaching 90—90— We cannot end the AIDS epidemic in the twenty-first century using twentieth century tools and approaches.
We have only 13 months remaining to reach 90—90—90, and there is so much work to do, so many lives to save.
Today, I am calling on every ministry of health, every national AIDS programme, every community, to be bold and quick to get on the Fast-Track. Let us put science, innovation and technology to work for the people. I saw how the Ritshizde project, with five leading organizations for people living with HIV, under the leadership of the Treatment Action Campaign, is unleashing the power of community accountability—empowering people living with HIV to monitor the services they access, advocate for changes in how services are delivered and hold officials and service providers accountable.
We can spend billions of dollars or rand, building beautiful clinics to distribute millions of pills. But only if we empower communities at the grass roots to hold service providers accountable and call out injustices will we make a real difference for people. Here in South Africa, I have learned about Operation Sukhuma Sakhe—this is a model of community development in KwaZulu-Natal that put communities at the centre of development.
It is an integrated approach for empowering communities, addressing social drivers and fighting poverty and inequality. I urge all governments to follow its lead.
Yet, Africa, the region with the highest burden, is facing serious financing challenges that undermine its ability to invest in health care for all its people. The first is international tax avoidance. Billions of dollars of profits are channelled from Africa to tax havens offshore, shrinking the capacity of African governments to invest in health and other vital development priorities. No one country can solve the problem of corporate tax dodging alone.
African countries, which are the biggest losers, must call for urgent, concerted international action. The BEPS 2. The second issue is the frustrating stagnation and even decline in domestic revenue mobilization across Africa.
Despite a decade of economic expansion, progressive tax reforms that could allow for bigger budget allocations for social investments have not happened. African countries lack the systems to capture tax from private investments, especially from international companies. For more information: www. Oxford Pride is a celebration of lesbian, gay, bi, trans and queer life in Oxfordshire.
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