Bearing in mind Dr Carr was once among other things Executive Director for Jamaica AIDS Support for Life, Chairman of JFLAG's Management Committee I would have thought some more thought from Jamaican perspective given our current realities would have been brought to bear.
Many homeless LGBT persons especially MSM locally resort to commercial sex work to survive and in so doing engage in risky and dangerous behaviours mostly in outdoor settings which lead to literal errors in negotiating condom use or closing a deal in order to make a buck literally speaking, what about those realities? Apparently the MSM Global Forum does not see homelessness as a priority now or have it included specifically in the cadre of HIV prevention messages and programming and is missing from this doctrine so named after Dr. Robert Carr as it were.
Many homeless LGBT persons especially MSM locally resort to commercial sex work to survive and in so doing engage in risky and dangerous behaviours mostly in outdoor settings which lead to literal errors in negotiating condom use or closing a deal in order to make a buck literally speaking, what about those realities? Apparently the MSM Global Forum does not see homelessness as a priority now or have it included specifically in the cadre of HIV prevention messages and programming and is missing from this doctrine so named after Dr. Robert Carr as it were.
a section of the document seems to cover it remotely where it says:
"The end of the HIV epidemic lies with our capacity to develop targeted, tactical, and multi-tiered approaches. Interventions and services are needed at the biological, behavioral, interpersonal, familial, community, social, cultural, and legal levels. All
Have a read of the rest of the release and download the PDF for further review:
Global networks of gay men, people who use drugs, sex workers, transgender people and people living with HIV put forth new strategy for more effective global AIDS response
July 17, 2012 (Washington, D.C.) – As HIV rates continue to climb among marginalized groups around the world, the major global networks of gay men, people who use drugs, sex workers, transgender people and people living with HIV have put forth a series of joint recommendations for a more effective global AIDS response. The recommendations were released earlier today in a set of principles entitled “The Robert Carr Doctrine,” named for the well-respected international AIDS activist who passed away one year ago.
“For the past thirty years, the global AIDS response has been characterized by ‘one size fits all’ programs that fail to address the drivers of the epidemic among the world’s most at risk populations,” said Dr. George Ayala, Executive Director of the Global Forum on MSM & HIV (MSMGF). “Stigma, discrimination, violence, and criminalization block access to HIV services for gay men, sex workers, people who use drugs, and transgender people.”
“With HIV rates skyrocketing among these groups around the world, we can no longer ignore science for politically expedient solutions,” said Dr. Kevin Moody, Chief Executive Officer of the Global Network of People Living with HIV (GNP+). “It is time for targeted, tailored, multi-sector community-led responses.”
The Carr Doctrine calls on all stakeholders to re-think the global response to AIDS, urging actors to recognize that HIV is not just a public health issue, but rather a symptom of underlying societal inequities and injustices. Accordingly, the Doctrine calls for a coordinated strategy at behavioral, social, structural, and legal levels.
“In our collective experience across each of these populations, we have found that a coordinated response is key to addressing HIV effectively,” said Ruth Morgan Thomas, Global Coordinator of the Global Network of Sex Work Projects (NSWP). “A country cannot claim to prioritize sex workers in its national AIDS strategy when that country’s police are actively arresting and brutalizing sex workers. What good is it to supply people with condoms when the police use condoms as evidence of sex work, arresting the people who carry them?”
The Carr Doctrine represents the first time that the global networks of key affected populations have come together to forge a shared strategy. Each network is largely made up of community activists and organizations, all working to address the epidemic among their respective constituencies.
“The history of HIV is largely a story of people standing up to protect their communities when no one else will,” said Dr. Eliot Albers, Executive Director of the International Network of People Who Use Drugs (INPUD). “While each key affected population is unique in its own right, we all have this in common. After thirty years of AIDS, HIV services remain out of reach for the vast majority of our constituents. It is time we stood together to demand the response our communities deserve.”
The launch of the Carr Doctrine was timed to coincide with the start of the International AIDS Conference, taking place the week of July 23rd in Washington, D.C. The organizers of the conference have hailed this year as a potential turning point in the epidemic, citing the development of new technologies like pre-exposure prophylaxis and treatment as prevention.
“Scientific advances like pre-exposure prophylaxis are exciting of course,” said Mauro Cabral, Co-Director of Global Action for Trans* Equality (GATE). “But they will fail to make a dent in the epidemic among key affected populations if legal, social, and political barriers continue to impede access to services. In order to create lasting change, science must be balanced with rights-based structural intervention – they are two sides of one coin.”
The HIV Epidemic among Most-At-Risk Populations
A Johns Hopkins-led review of HIV prevalence in 38 low- and middle-income countries found that gay men and other men who have sex with men (MSM) are more than 19 times more likely to be infected with HIV than the general population, yet the Global HIV Prevention Working Group has estimated that only 9 percent of MSM around the world have access to HIV prevention services.
According to the journal Health and Human Rights, only an estimated 22% of female sex workers in Sub-Saharan Africa have access to HIV prevention services, despite infection rates as high as 54%, 68%, and 73% in Burkina Faso, Zambia, and Ethiopia, respectively.
According to a systematic review published in The Lancet, HIV prevalence among people who inject drugs (IDU) was 20-40% in five countries and over 40% in nine. Yet worldwide, only an estimated two clean needles were distributed per IDU per month, eight IDU per 100 received opiate substitution therapy, and four HIV-positive IDU per 100 received antiretroviral therapy.
According to the World Health Organization, transgender populations around the world face HIV prevalence rates of between 8% and 68%. Very little data exists on access to HIV services among transgender populations.The full text of the Robert Carr Doctrine can be found online at http://www.msmgf.org/files/msmgf//documents/RobertCarrDoctrine.pdf.
stakeholders, at multiple levels, must act comprehensively, concurrently, over a sustained period of time, and with respect to the HUMAN RIGHTS and DIGNITY of MSM, people who use drugs, sex workers, and transgender people, including those living with HIV. Although difficult, COALITION work is transformative, and holds the key to unlocking our collective potential to end the epidemic. Ultimately, our success depends on how well we can work together to respond to those most in need."
But shouldn't displacement and homelessess be tied into the loop as well?
But shouldn't displacement and homelessess be tied into the loop as well?
Have a read of the rest of the release and download the PDF for further review:
Marginalized Populations around the World Unite,
Call for Revised Approach to Global HIV Epidemic
Global networks of gay men, people who use drugs, sex workers, transgender people and people living with HIV put forth new strategy for more effective global AIDS response
July 17, 2012 (Washington, D.C.) – As HIV rates continue to climb among marginalized groups around the world, the major global networks of gay men, people who use drugs, sex workers, transgender people and people living with HIV have put forth a series of joint recommendations for a more effective global AIDS response. The recommendations were released earlier today in a set of principles entitled “The Robert Carr Doctrine,” named for the well-respected international AIDS activist who passed away one year ago.
“For the past thirty years, the global AIDS response has been characterized by ‘one size fits all’ programs that fail to address the drivers of the epidemic among the world’s most at risk populations,” said Dr. George Ayala, Executive Director of the Global Forum on MSM & HIV (MSMGF). “Stigma, discrimination, violence, and criminalization block access to HIV services for gay men, sex workers, people who use drugs, and transgender people.”
“With HIV rates skyrocketing among these groups around the world, we can no longer ignore science for politically expedient solutions,” said Dr. Kevin Moody, Chief Executive Officer of the Global Network of People Living with HIV (GNP+). “It is time for targeted, tailored, multi-sector community-led responses.”
The Carr Doctrine calls on all stakeholders to re-think the global response to AIDS, urging actors to recognize that HIV is not just a public health issue, but rather a symptom of underlying societal inequities and injustices. Accordingly, the Doctrine calls for a coordinated strategy at behavioral, social, structural, and legal levels.
“In our collective experience across each of these populations, we have found that a coordinated response is key to addressing HIV effectively,” said Ruth Morgan Thomas, Global Coordinator of the Global Network of Sex Work Projects (NSWP). “A country cannot claim to prioritize sex workers in its national AIDS strategy when that country’s police are actively arresting and brutalizing sex workers. What good is it to supply people with condoms when the police use condoms as evidence of sex work, arresting the people who carry them?”
The Carr Doctrine represents the first time that the global networks of key affected populations have come together to forge a shared strategy. Each network is largely made up of community activists and organizations, all working to address the epidemic among their respective constituencies.
“The history of HIV is largely a story of people standing up to protect their communities when no one else will,” said Dr. Eliot Albers, Executive Director of the International Network of People Who Use Drugs (INPUD). “While each key affected population is unique in its own right, we all have this in common. After thirty years of AIDS, HIV services remain out of reach for the vast majority of our constituents. It is time we stood together to demand the response our communities deserve.”
The launch of the Carr Doctrine was timed to coincide with the start of the International AIDS Conference, taking place the week of July 23rd in Washington, D.C. The organizers of the conference have hailed this year as a potential turning point in the epidemic, citing the development of new technologies like pre-exposure prophylaxis and treatment as prevention.
“Scientific advances like pre-exposure prophylaxis are exciting of course,” said Mauro Cabral, Co-Director of Global Action for Trans* Equality (GATE). “But they will fail to make a dent in the epidemic among key affected populations if legal, social, and political barriers continue to impede access to services. In order to create lasting change, science must be balanced with rights-based structural intervention – they are two sides of one coin.”
The HIV Epidemic among Most-At-Risk Populations
A Johns Hopkins-led review of HIV prevalence in 38 low- and middle-income countries found that gay men and other men who have sex with men (MSM) are more than 19 times more likely to be infected with HIV than the general population, yet the Global HIV Prevention Working Group has estimated that only 9 percent of MSM around the world have access to HIV prevention services.
According to the journal Health and Human Rights, only an estimated 22% of female sex workers in Sub-Saharan Africa have access to HIV prevention services, despite infection rates as high as 54%, 68%, and 73% in Burkina Faso, Zambia, and Ethiopia, respectively.
According to a systematic review published in The Lancet, HIV prevalence among people who inject drugs (IDU) was 20-40% in five countries and over 40% in nine. Yet worldwide, only an estimated two clean needles were distributed per IDU per month, eight IDU per 100 received opiate substitution therapy, and four HIV-positive IDU per 100 received antiretroviral therapy.
According to the World Health Organization, transgender populations around the world face HIV prevalence rates of between 8% and 68%. Very little data exists on access to HIV services among transgender populations.The full text of the Robert Carr Doctrine can be found online at http://www.msmgf.org/files/msmgf//documents/RobertCarrDoctrine.pdf.
here is an excerpt:
RE-STRUCTURE the response
HIV is not just a public health issue. The current response to the epidemic is underpinned by the faulty assumption that HIV is solely a public health issue. Efforts to address the epidemic are therefore centered on a narrow range of actors and strategies. In reality, the epidemic is a symptom of underlying societal inequities and injustices. A National AIDS Council that prioritizes key affected populations is severely compromised when the rest of that country’s government continues to arrest, harass, and violate the rights of MSM, people who use drugs, sex workers, and transgender people, including those living with HIV. Similarly, scientific advances in HIV prevention and treatment, while welcomed and strongly encouraged, are wasted when communities shouldering a disproportionate HIV disease burden are blatantly denied access to services or cannot access them safely. Bilateral and multilateral funding strategies that fail to prioritize investment toward
hardest-hit populations, civil society advocacy, and community development will inevitably fall short of achieving an “AIDS-Free Generation.” Structural factors drive the HIV epidemic, so our solutions must address those factors as well. Small-scale interventions targeted at the individual level are important, but they are not enough.
You decide, interesting that we have to get such a comprehensive timeline from FAREEEEENNNN!!!!! (foreign territory) instead of here towards the LGBT community via some general forumatic activity.
click the "Homeless MSM in Jamaica" tab immediately below for previous entries on the subject
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