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The 11th International Congress on AIDS in Asia and the Pacific | 18–23 November 2013 | Bangkok, Thailand Queen Sirikit National Convention Center (QSNCC)

Welcome message
from the Local Organizing Committee

©Mark Fischer

We thank each of you for taking the journey to
getting to zero with us. This is the second time
that ICAAP is being held in Thailand and it is our
intention to make this event a game changer in the
HIV response.
Since the first HIV case was reported in the region
30 years ago, there has been a continuous effort
to address the epidemic from different angles.
Significant progress has been made in many
countries and the AIDS landscape has changed.
However, challenges still remain.
Rapid HIV transmission among key affected
populations is compounded by social stigma

New infections
outstrip the
region’s HIV
responses

and discrimination. The prevailing situation has
highlighted the need for strategic intervention and
innovative HIV responses.
The theme for this year’s congress “Asia/Pacific
Reaching Triple Zero: Investing in Innovation”
reflects our goal and commitments to seek
innovative responses to HIV. The 11th ICAAP
programme echoes a call to zero new infections,
zero new AIDS-related deaths and zero
discrimination in the Asia and the Pacific region.
Our Scientific, Community and Leadership
programmes showcase latest scientific research
findings, advocacy strategies and policy debate to
Despite a 26% overall reduction in new HIV
infections in Asia and the Pacific since 2001,
the epidemic still outpaces regional responses.
According to a new UNAIDS report on HIV in
Asia and the Pacific, the rate of new infections
remains the issue of most concern.
The fastest-growing epidemics in the region are
among men who have sex with men (MSM).
HIV levels are particularly high in this key

Issue 1/19 November 2013

Discrimination and criminalization impede
access to HIV services

p.3

Complex barriers to tackling HIV
transmission among MSM

p.4

Effective responses built on data and
humanity

p.5

Dealing with MDR-TB/HIV co-infection in
Thailand

p.6

Yearning youths of ICAAP

p.7

Tweet of the day

p.8

bring about actions and commitments. The Youth
Programme presents a cross-cutting perspective
in the way forward for future HIV responses.
Over the next few days, we urge you to
take advantage of learning and networking
opportunities and to share your experience and
ideas with your colleagues, and embrace the
value of the congress in building partnership and
strengthening collaboration and commitment.
The active involvement of community members,
scientists, academics, governments, international
agencies and the private sector has been a hallmark
of ICAAP, we are certain that this year it will
once again help us to advance both knowledge
and practice in the HIV/AIDS response.
We appreciate your participation and hope that
you will find the Congress a rewarding experience.
Welcome to Bangkok.
Wilas Lohitkul Chair
Chantawipa Apisuk Co-Chair
Dr. Werasit Sittitrai Co-Chair
Dr. Somsak Akksilp Co-Chair

population, with between 15% and 25% MSM
living with HIV, largely in major cities.
In 2008, the Commission on AIDS in Asia
warned that if MSM were not made a greater
focus of HIV prevention efforts, this population
would bear nearly half of all new infections by
2020. Just five years on, the overall trends in
new HIV infection suggest that prediction is
already becoming a reality.
Continued on p.2

Host

Co-Host

Convener

Co-Convener

Organizing Partners

02 | 19 November 2013
Continued from p.1

in Jakarta, 23.7% in Port Moresby and 18.8%
in Maharashtra, India.
The report also demonstrates mixed progress
on eliminating new HIV infections among
children. Cambodia, Malaysia, Myanmar and
Thailand have over 50% coverage of services
to prevent mother-to-child transmission of
HIV, while Pakistan, Nepal and Sri Lanka
lag behind with less than 30%. India has the
largest unmet need for effective regimens.

The report is based on mid-term reviews
by 21 countries against the ten targets
endorsed as part of the 2011 UN Political
Declaration. It assesses whether states are
on track towards the goal of universal access
to HIV prevention, treatment, care and
support by 2015, as well as the 2011 ASEAN
Declaration of Commitment goal of zero new
HIV infections, zero discrimination and zero
AIDS-related deaths.
Knowledge of HIV status appears to be
lagging behind what may be needed to make
those shared goals a reality. Less than one third
of MSM and people who inject drugs, and
under half of female sex workers, are aware
of their HIV status. Delay in diagnosis due to
lack of access to HIV testing and counselling
can be potentially fatal: Globally, one in four
people starting antiretroviral therapy (ART)
in low-income countries already have CD4
counts under 100 when they seek health
care, putting them at high risk of HIV-related
illness and death.
Sexual behaviour may also not be changing
fast enough. The report shows that 0.5% to
15% of all men in the region bought sex in the
past year, making them the largest population
at risk of HIV infection. Surveys also show
that less than half of all respondents used
a condom during their most recent sexual
encounter.
Among MSM in high prevalence countries,
between 6% and 20% buy sex from male
sex workers, who may be more likely to be
infected than their female counterparts in
the same cities, with an HIV prevalence as
high as 18%. In China, Indonesia, Malaysia,
Myanmar, Thailand and Viet Nam, the
estimated national HIV prevalence for MSM
is over 5%. And it continues to rise in several
cities and regions within these countries, as
well as in India, Mongolia and the Philippines,
underlining the need for a greater attention
for HIV prevention.
Despite limited research on specific
risk factors and HIV prevalence among
transgender people, the little data that is
available shows a high HIV prevalence
among transgender women in cities: 30.8%

Almost all countries report a lack of robust
routine monitoring systems despite having
tuberculosis and HIV committees and may
find it difficult to reduce TB deaths in people
living with HIV by 50% by 2015.
Only ten countries expect to reach the target
levels for essential HIV-related funding. The

majority of countries reported that persistent
negative attitudes towards HIV and sexual
minorities mean that HIV is not high on the
national funding agenda.
With less than 800 days remaining to
reach the targets and commitments of the
Millennium Development Goals and the
2011 UN Political Declaration on HIV and
AIDS, there is no time to lose, says Mr
Michel Sidibé, UNAIDS Executive Director.
“The strength, experience, resources and
political will of Asia and the Pacific must
combine to make every single day count, not
only for the region, but for the entire global
response.”
The new UNAIDS report is released today
in Bangkok as the ICAAP conference
commences.
by Swapna Majumdar

HIV in Asia and the Pacific, 1990–2012

7 million

6 million

5 million

4 million

3 million

Adults and children living with HIV
Low & high estimates
2 million

Women (15+) living with HIV
1 million

New HIV infections

HIV related deaths
Children living with HIV

1990

1992

1994

Source: UNAIDS HIV estimates 2012

1990

1998

2000

2002

2004

2006

2008

2010

2012

Reproduced from UNAIDS report on HIV in Asia and the Pacific, November 2013

19 November 2013 | 03

Discrimination and criminalization impede
access to HIV services
Voices of affected community representatives
by Shobha Shukla

Institutionalized discrimination
lurks in some schools

Criminalization of drug use fails
harm reduction approaches

“In many Asian countries,
there is institutionalized
stigma and discrimination,
particularly in schools.
Some schools require HIV
tests before the students
are accepted, and for those
students with HIV that is a
big problem. In Thailand, if you want to go to
medical school you need to get an HIV test. We
met some young people living with HIV in Thailand who had to ditch their dreams of going to
medical school just because they will not be
accepted as they won’t pass that test.”

“All across Asia, criminalization towards people
who use drugs is high.
Even in countries that are
implementing harm reduction approaches led
by health ministries, law
enforcement agencies are
not on the same page. When drug users try to
access these services – even for drug substitution treatment or accessing clean syringes and
needles – they are harassed and even arrested
by the police. Many people from our network are
getting arrested while trying to access the
services. So approaches for harm reduction are
not going to work, as long as we are treated as
criminals.”

Rico Gustav
Asia Pacific Network of People Living with
HIV/AIDS (APN+)

Repeal punitive laws
“Almost 90% of countries
in the Asia Pacific region
have retained laws that
come from colonial times
and are not progressive.
They are making it difficult for the communities
to access services or even address stigma and
discrimination. Repeal of punitive laws in this
region is very important.”

Moi Lee Liow
Asia Pacific Council of Aids Service
Organizations (APCASO)

Listen to what young people
are saying
“For the past five or ten
years young people have
been coming together a
lot, we have developed a
lot of documents, declarations, call to actions,
recommendations – like
all kinds of advocacy
paper. But then to what level have all these
papers been translated into action? Such as
action at the country and community levels. It’s
still a very big question now.”
Tung Bui
Youth Voices Count

Said Sam Nugraha
Asian Network of People Who Use Drugs
(ANPUD)

Punitive drug policies do not help
“This region stands out as
having particularly harsh
drug policies. Virtually
every country in the
region, with the exception
of the Philippines and
Brunei, has a death penalty for drug offences, and sometimes even for
possessing minor quantities of drugs. It is an
incredibly moralized and heavily politicized
issue, so it is difficult to encourage debate on
alternative approaches to drug policy. We call
for drug policies that support people who use
drugs in their community and not punish them
by imposing criminal penalties for drug use.
Instead of imposing these punitive measures and
compulsory registration for people who use
drugs and compulsory detention as a form of
treatment, let’s support them with essential lifesaving services they need.”
Gloria Lai
International Drug Policy Consortium (IDPC)

Tackle common human rights issues
“I think for Asian countries the legal and human
rights issues we face are
the same because in most
of the countries in the
region sex work is illegal.
Also in the sex industry we
face lots of stigma and discrimination. Many
countries here are fighting discrimination
through sex worker organizations, and among
the sex workers themselves.”
Surang Janyam
Sex Workers in Action (SWING) Foundation

Criminalizing same-sex behaviour
drives MSM and TGs underground
“There is still a lot of
stigma and discrimination, and a lack of political
will to tackle the needs of
the vulnerable populations of men who have sex
with men (MSMs) and
transgenders (TGs), because of which they are
less likely to access services such as HIV testing.
In our region of 38 countries, 18 countries criminalize same-sex behaviour, which drives people
underground. Only about one-third of MSMs
and TGs know their HIV status, while two-thirds
have not been tested.”
Midnight Poonkasetwattana
Asia Pacific Coalition on Male Sexual Health
(APCOM)

(Based on pre-ICAAP interviews conducted by
Jeanne Hallacy/Craig Knowles.
Photos: Jeanne Hallacy)

04 | 19 November 2013

In-depth
Complex barriers to tackling HIV transmission among MSM
By Craig Knowles and Ani Lamont

Asia and the Pacific faces enormous challenges if it is to arrest rapidly
rising rates of HIV infection among men who have sex with men,
APCOM’s ‘Foreplay – the final push towards the Three Zeros’ event heard
on Sunday.
The numbers of new infections among MSM continue to rise, despite
treatments having been available for almost two decades.

National HIV prevalence among MSM is estimated to be more than 5% in
at least six countries in Asia and the Pacfic: China, Indonesia, Malaysia,
Myanmar, Thailand and Viet Nam. Prevalence is particularly high – 15%
to nearly 31% – in large urban areas including Bangkok, Hanoi and Jakarta.
“This is an extraordinary rate of acquisition [of HIV] and the highest rates
are in young men aged between 18 and 21 years of age,” said Prof. Beyrer,
who is from Johns Hopkins Bloomberg School of Public Health in the
United States.
Speakers at the packed pre-conference event called for “urgent scaling up
of funding” for at-risk communities, including men who have sex with men,
many of whom face stigma and discrimination and are still criminalized in
some countries.

© Jeanne Hallacy/ICAAP11

“This is an incredible challenge, we have to ask ourselves how can this be
happening in this era?” said Professor Chris Beyrer, President-elect of the
International AIDS Society. “As an epidemiologist, I know an epidemic
when I see one, and we have one here in this region right now.”

A recent APCOM study presented at the meeting shows a complete lack
of epidemiological research in countries with significant MSM epidemics,
such as Cambodia and the Philippines. It also highlighted an almost
complete lack of studies involving the region’s transgender community.
APCOM is the Asia Pacific Coalition on Male Sexual Health. Founded in
2007, it is a coalition of members – governments, UN partners, non-profits
and community based organizations from Asia and the Pacific.
http://www.apcom.org

‘Foreplay’ delegates speak
Swastika Lama

Jeffry Acaba
Peer Leader, Sexual
and Gender Minorities
Student Forum, a part
of The Blue Diamond
Society
Nepal

The Blue Diamond Society is the only
organisation working in Nepal on MSM
and transgender human rights. The Sexual
and Gender Minorities Student Forum
within that works with students if they
have some sort of problem – teasing,
or if they have issues they want to raise
about their education or barriers they are
facing. In short, we help them to get their
education.
There is just one thing that I would like
to stress at this ICAAP: whatever the
programme, whatever the objectives or
strategy you design for youth – please
be inclusive. Include young MSM and
transgender people, because these are their
issues. If you include them then you can
design programmes that use their solutions.

Jonathan Wala
Project Officer
Action for Health
Initiatives Inc.
(ACHIEVE, Inc.)
Philippines

We conduct capacity training workshops
for young affected populations, including
young MSM and young transgender
people. We focus on leadership and
advocacy skills and communication skills,
so they will be able to formulate their own
advocacy messages and participate in
legislative processes.
At this time of the epidemic, we need
to document good practices from
other countries to see if it can be
replicated successfully. Communitybased organizations provide a bridge
between governments and communities
themselves. CBOs have the eye to see
what the real concerns or issues are.

Area Coordinator
working with MSM
and transgender in Port
Moresby Poro Sapot
Project
Papua New Guinea
We do peer-to-peer outreach, working
with around 25 volunteers in MSM and
transgender communities. Stigma and
discrimination is always the main issue
that we face. In Port Moresby alone, there
are places that we’d like to go, where we
cannot go because of stigma; we might be
harassed, physically or verbally in those
places.
We need law reform, because MSM,
transgender and sex work are not
legalized. If we are found in the act of
male-to-male sex we will be arrested on
the spot. It makes it difficult for us to do
anything like a big advocacy campaign,
because it is illegal, so we mainly focus
on peer-to-peer education.

19 November 2013 | 05

Inspire
Effective responses are built on data and humanity
By Sumita Thapar

“As religious leaders we tend to believe we have
a direct line to God, we tend to think we know it
all. We don’t. We need to learn. Religious leaders
don’t even know their own sexuality, never mind
homosexuality,” said Rev Mabizela Phumzile,
Executive Director, INERALA+ (International
Network of Religious Leaders Living with or
Affected by AIDS).
INERELA+, which started in Africa 10 years
ago, aims to provide a safe space for religious
leaders directly affected by the epidemic and to
empower them to be agents of hope and change.
“We as religious leaders share our stories and use
our skills. We ask faith-based leaders to use our
social capital to put out the message that HIV is a
chronic condition, it is not a medical issue. There
is a need to demystify it, to break the myth that
HIV affects ‘bad’ people,” Rev Phumzile said.
Rev Phumzile was speaking at an Interfaith
Preconference organized by AINA – Asian
Interfaith Network on AIDS – and INERELA+
in partnership with the Joint UN Programme on
HIV/AIDS (UNAIDS). Religious leaders across

faiths – Hindu, Buddhist, Christian, Muslim –
came together to deliberate their response to the
AIDS epidemic.

response over many years, said partnerships take
time, and that results shows that “anything is
possible”.

AINA was started in 2004 to mobilize faith
leaders in the response to HIV. Dr Asavari
Herwadkar, a Hindu member of the AINA
Committee, commented that the faith-based
response has been more organized in the Church,
where HIV has been made part of the training
curriculum for religious leaders.

Rev Mabizela, who has been living with HIV
since 1999, spoke of the need to bring together
data and awareness about humanity in order to
develop an effective response. “At one time in
2010, HIV prevalence where I was living was
45%. I had to tell myself that means one out of
every two people I meet is HIV positive, what
am I doing about it?” she said.

Steve Kraus, UNAIDS Regional Director for
Asia Pacific, spoke of the need for early HIV
testing and access to care, especially among key
populations. He said 61% say they don’t access
health services as they feel self stigma and
shame. As faith leaders you have responsibility
to give voice to the voiceless, Kraus said. He
spoke of the need to take away the shame and the
guilt and the need to treat everyone with dignity
and respect.

Rev Mabizela, an Ordained Minister in the
Presbyterian Church of Africa, currently lives
in Pretoria. We should be empowering people
to respond to issues that affect them, she said,
adding that INERALA+ was set up to address
stigma, shame, discrimination and denial.
The organization currently has 23 networks
comprising over 10,000 members across
continents and faiths.

Dawn Foderingham, UNAIDS, who has
facilitated dialogue with faith leaders in the AIDS

VCT@WORK
5 million women and men workers reached with
Voluntary and confidential HIV Counselling and Testing by 2015

© ILO

© UNAIDS

To reach this goal we need to
work together to ensure that all
workplaces are free from stigma and
discrimination.

If workplaces embrace this new initiative,
it could signify one of the most
important advances we’ve seen in
expanding access to HIV testing within
a healthy, enabling environment and
linking to on-going support, including
treatment.

Michel Sidibé

Guy Ryder

Executive Director, Joint United Nations
Programme on HIV/AIDS (UNAIDS)

Director-General,
International Labour Office (ILO)

06 | 19 November 2013

Dealing with MDR-TB/HIV co-infection in Thailand
By Shobha Shukla

Every morning Aral’s1 father drives him to the
government TB hospital in Bangkok, for his oral
medication. Then each evening Aral receives an
injection nearer home, at a private clinic that is
covered through the Thai government universal
health scheme. The scheme provides health
insurance coverage for all citizens.

I met Aran and his mother (both wearing masks) at
the Tuberculosis Cluster, Bureau of AIDS – TB –
STIs, Bangkok, where he comes daily for his dose
of TB medicines. He receives his antiretroviral
therapy (ART) from another hospital.
1 Not his real name

©Geahard Joren

17 year-old Aral has multidrug-resistant
pulmonary TB (MDR-TB) and is also living with
HIV. He became very sick in 2011. Although
schools in Thailand normally do not screen for
TB, because Aral was showing many TB-related
symptoms they referred him to a private clinic.
There he was diagnosed with drug susceptible TB
and was put on TB treatment, but his condition
did not improve. When the hospital tested him
again after six months, he was diagnosed with
MDR-TB. The private clinic then referred him to
the government TB hospital, where Aral was put
on MDR-TB treatment in January 2012.

Aral has been through inconsolable times, having
had to drop out of from school in July 2011 when
he began his TB treatment. Why did this have to
happen to me – he wondered in despair? But his
parents’ support and love helped him through the
worst of times. I found him to be quite cheerful
with his eyes brimming with renewed hope, as
he looked forward to resuming his studies at the
university after finishing his treatment.
Yet the profound stigma associated with the
disease remains. Dr Sirinapha Jittimanee, Public
Health Officer at the Tuberculosis Bureau at

the Ministry of Public Health commented that
although Aral is covered by health insurance
and can receive free MDR-TB care from another
hospital nearer to his house, his parents prefer
to bring him daily to the TB Bureau hospital – a
one hour drive each way – due to the high stigma
attached to MDR-TB.
Although Aral and his mother refused to be
photographed, they wanted to share his experience
in the hope that it might help other TB-HIV
co-infected patients.

Communities are combating another triple-zero
Zero funding; Zero political will; and Zero legal reform
By Ishdeep Kohli

The ICAAP11 Community Forum taking place from 18 to 19
November welcomed an estimated one thousand civil society
representatives from Asia and the Pacific, along with invited experts
and other stakeholders. The forum is a gathering of community groups
and networks of key affected populations, and fosters solidarity and
convergence amid diverse backgrounds, experiences and contexts.
For this event, the structure and content of the forum programme
has been changed to allow for more interaction and inter-community
dialogue. The forum provides a platform for diverse groups and
communities to strategize and develop joint actions, common
advocacy messages and a joint Community Statement.
A joint session prompted presentations on each of the ‘alternative’
three zeros. Overnight, thematic groups are working on three
corresponding core messages, and on Tuesday the summary outcomes
will be reported and a draft joint statement presented.
Tracey Tully of the Asia-Pacific Network of Sex Workers, commenting
on ‘zero political will, stressed: “UNAIDS must be committed to stand
by the recommendations made [previously] by UNDP, UNFPA, and
UNAIDS where they have stated support for full decriminalization of
sex-work”.

Daisy David from World Vision stressed the need to: “...prioritize
women in all post-2015 development agenda discussions and
integration of sexual and reproductive health rights with HIV
services”. “It is all zero without women.”
Abhinav Singh of the Dove Foundation, emphasized that “Youth do
want meaningful engagement, not tokenistic. Young people must be
given space, resources, and skills and be part of the change, to lead
the change.”
“We must re-boot our efforts for MSM testing, diagnosis, prevention
and treatment across the region”, said Rob Lake from the Australian
Federation of AIDS Organizations (AFAO), speaking at the MSM
breakout session.
David Traynor, also from AFAO, said on ‘zero funding’ that in the
constrained global economic environment “...External investment in
HIV/AIDS is flatlining, thus internal funding must go up, governments
need to increase their resources towards community led programmes.”
“We can stop AIDS, there is enough scientific evidence, why don’t
we”? asked Jonas Bagas, a member of the Philippines National AIDS
Council.

19 November 2013 | 07

Women in all their diversity for the Global
Fund Gender Equality Strategy
By Nenet Ortega

The specific needs of women, girls and
transgender people in the Asia-Pacific
region in relation to HIV, TB and
malaria remain largely unacknowledged
and unmet. The launch in 2014 of the
Global Fund’s new funding model
(NFM) offers an opportunity for real
change to better the lives of women in
all their diversity.
A two-day workshop was organized
just ahead of ICAAP by AIDS Strategy,
Advocacy and Policy (ASAP), with
support from the Global Fund. Launched
in July 2013, Women4GF coordinates
and strengthens the ability of women’s
rights advocates – in particular women
living with HIV and affected by TB and
malaria, and key affected women – to
engage at country, regional and global
levels with the Global Fund. Workshop
participants included people with little or
no previous Global Fund experience as
they seek to help their communities access
more and better services in the future.
Utilizing the GF’s Gender Equality Strategy, the Women4GF advocates demand

the following priority actions to be taken
by governments, partners and key stakeholders to ensure that gender equality is
integral into country plans and budgets:
• The Global Fund should invest more
in communities at the grassroots level.
• All Global Fund stakeholders should
recognize and support the need
for women to be central to and be
involved in all Global Fund processes.
• More Global Fund money should
reach communities, especially those
working with women at the grassroots level.
• Technical partners should provide
more targeted support to communities, in particular to secure quality
data and information on vulnerable
populations.
• Targeted support and greater
action are required for community
mobilization at a country level,
and to sustain the development and
effectiveness of regional and national
networks of key populations.

Platinum Sponsors

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Yearning youths of ICAAP
By Le Nguyen
Supporters

A female Interpol officer–wannabe and a former male sex worker. They hug and admire
each other for their sharing and their strength. Just one of many inspiring moments from the
youth preconference that took two days before the opening of ICAAP.
‘Youth Leader’s Solidarity for Tangible HIV Responses’ provided an open and strategic
platform for young people from around the region to join forces for actions “beyond
recommendations”, that address their most pressing HIV and human rights issues. What
they achieved in this one-day meeting surpassed the organizers’ expectations, thanks to a
remarkable demonstration of solidarity, ownership and leadership.

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ministry of industry

The meeting opened with rousing art. As live music played throughout, participants
introduced their own personal stories through drawings. Showing a picture and telling her
story, Alischa Ross from Australia received love and sympathy from others for her family
loss. And from two corners of the room, an Interpol–wannabe and a former sex worker
exchange drawings as gifts of admiration.
Penny Kaweewongprasert, one of moderators from Thailand, warned about the dangerous
misconception that young people are not that relevant to HIV, rendering their voices silent
in the fight. A sharing from India about the lack of sex education surprised everyone: Not
only do parents rarely talk to their children about sex, but schools are not educating on
comprehensive sex education.
But of course data shows that young people are at the centre of the HIV epidemic,
accounting for 40% of new infections globally. And regionally, up to 1.3 million youths in
Asia-Pacific are living with the virus.
“The meaningful participation of young people must mean practical engagement in all
steps,” added Tung Bui, a moderator from Viet Nam. “We need senior leaders to appreciate
us more in the way of nurturing our leadership. We are young but we have enthusiasm and
capacity. Together we can end AIDS in Asia-Pacific.”

Senior Writers: Bobbie Ramakant
Shobha Shukla

Citizen News Service
www.citizen-news.org
@bobbyramakant

Editor:
Tim France
Coordinator: Baralee Meesukh
Designer: Benya Rattanawichai
www.iniscommunication.com
@InisCom

08 | 19 November 2013

Leadership forum at ICAAP
By Le Nguyen

Around one hundred senior government officials, policy-makers and civil
society leaders attended a pre-ICAAP leadership forum focusing on the
roles Asia and the Pacific is playing in ending HIV.
Dr Gottfried Hirnschall, Director of the HIV Department at the World
Health Organization (WHO), commented that although the number of
people receiving ARV treatment had more than doubled in India, Myanmar
and Vietnam between 2009 and 2012, many other countries are falling
behind. He said that the forum highlighted community-based action points
that could address the key affected populations of this region: MSMs, TGs,
sex workers and people who inject drugs.
Speaking at the forum, His Excellency Ratu Epeli Nailatikau, President
of Fiji, said that by strengthening health promotion strategies, addressing
stigma and selecting appropriate interventions, he believed that we can
succeed in getting to zero.

#ICAAP11 on Twitter
maamej @maamej1 18Nov
ICAAPsters did you find the HIV Australia special in your
conference packs? Not at #icaap11 ? Check it out: afaotalks.
blogspot.com.au/2013/11/new-pu...#HIV
Reply

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D9 @Le_Don9 18Nov
Discussing #youth advocacy priorities #ICAAP11#HIV # instagram.
com/p/g2Dc-Oq_sI/
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ProjectX_Sg @ProjectX_SG 18Nov
It will take one day of military funding to fund the gap in HIV
resources. It’s abt priorities, not “lack of resources”. #ICAAP11
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GNP+ @gnpplus
18Nov
Read impressions from @ICAAP’s pre-conference yesterday from
our correspondent Arthur Lim: bit.ly/17Fc2pw
Reply

Steve Kraus, Regional Director of the Joint UN Programme on HIV/
AIDS (UNAIDS), said that despite scientific advances and innovations in
programmatic responses to HIV, the number of new HIV infections in Asia
and the Pacific has remained constant at around 350,000 new infections
every year since 2008.

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IPPF South Asia @ippfsar
18Nov
See Midnight of @APCOM talks about #HIV/#AIDS infection
rates among #MSM, and stigma and discrimination. youtu.be/
CWImOLjE8-o #ICAAP11”
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The forum was jointly hosted by WHO and UNAIDS.
@ICAAP11
หัวข้อการประชุม ICAAP11 ในปีนี้ คือ Asia/Pacific Reaching
Triple Zero: Investing in Innovation สะท้อนถึงเป้าหมายและ
ความมุ่งมั่นในการค้นหาวิธีการใหม่ๆในการแก้ไขปัญหาเอชไอวีเอดส์
หัวข้อในการประชุมเน้นยำ�เรื่องการลดผู้ติดเชื้อรายใหม่ให้เป็นศูนย์
ลดการเสียชีวิตอันเนื่องมาจากเอดส์ให้เป็นศูนย์ และลดการตีตราและ
เลือกปฏิบัติให้เป็นศูนย์ สำ�หรับภูมิภาคเอเชียแปซิฟิก

คำ�กล่าวต้อนรับจากคณะกรรมการดำ�เนินการจัดประชุม
สมัชชานานาชาติเรื่องเอดส์ ครั้งที่11

โปรแกรมด้านวิชาการ ด้านชุมชน และ ด้านภาวะผู้นำ� จะนำ�เสนอ
ผลการวิจัยทางวิทยาศาสตร์ชิ้นล่าสุด ยุทธศาสตร์ด้านการรณรงค์เชิง
นโยบาย และการถกเถียงประเด็นด้านนโยบาย เพื่อนำ�ไปสู่การปฏิบัติ
และพันธะสัญญาร่วมกัน โปรแกรมด้านเยาวชนนำ�เสนอมุมมองใน
หลากหลายประเด็นเพื่อให้เกิดแนวทางการแก้ไขปัญหารูปแบบใหม่
สำ�หรับวันข้างหน้า
สำ�หรับการประชุมที่จะเกิดขึ้น เราขอเชิญชวนให้ท่านใช้โอกาสนี้ใน
การเรียนรู้และสร้างเครือข่ายในการทำ�งาน แบ่งปันประสบการณ์ และ
แลกเปลี่ยนความเห็นกับผู้เข้าร่วมประชุมท่านอื่น ใช้ประโยชน์จากการ
ประชุมเพื่อสร้างแนวร่วม รวมทั้งเสริมสร้างความร่วมมือและความ
มุ่งมั่นในการทำ�งานร่วมกัน

©Mark Fischer

ในนามของคณะกรรมการดำ�เนินการจัดประชุมสมัชชานานาชาติ
เรื่องเอดส์ ครั้งที่ 11 เราขอขอบคุณที่ท่านร่วมเดินทางสู่เป้าหมาย
เพื่ออนาคตปลอดเอดส์ร่วมกัน ครั้งนี้เป็นครั้งที่สองที่การประชุม
ICAAP จัดขึ้นที่ประเทศไทย และเรามีความตั้งใจเป็นอย่างยิ่งที่จะ
ทำ�ให้การประชุมในครั้งนี้ส่งผลให้เกิดการเปลี่ยนแปลงในการตอบ
สนองต่อสถานการณ์เอชไอวีเอดส์
นับตั้งแต่มีรายงานการติดเชื้อเอชไอวีรายแรกในภูมิภาคเมื่อ 30 ปีที่
แล้ว ได้มีการทำ�งานอย่างต่อเนื่องเพื่อแก้ไขปัญหาในมิติต่างๆ

การทำ�งานมีความคืบหน้าอย่างเห็นได้ชัดในหลายประเทศ และ ทำ�ให้
สถานการณ์เอชไอวีเอดส์มีการเปลี่ยนแปลง อย่างไรก็ตาม ความ
ท้าทายต่างๆยังคงมีอยู่
สถานการณ์การติดเชื้อเอชไอวีที่เพิ่มขึ้นอย่างมากในกลุ่มประชากรที่
ได้รับผลกระทบ ยังคงเต็มไปด้วยการตีตราและเลือกปฏิบัติ แสดงให้
เห็นว่าการวางยุทธศาสตร์ในการแก้ไขปัญหาและการรับมือกับปัญหา
ในรูปแบบใหม่มีความสำ�คัญมากสำ�หรับประเด็นเอชไอวีเอดส์

ความกระตือรือร้นในการมีส่วนร่วมของกลุ่มชุมชน นักวิทยาศาสตร์
นักวิชาการ ภาครัฐ องค์กรระหว่างประเทศ และ ภาคธุรกิจ เป็นหัวใจ
สำ�คัญของการจัดการประชุม ICAAP เรามีความมั่นใจอย่างยิ่งว่า
ปีนี้จะเป็นอีกปีหนึ่ง ที่เราจะได้เพิ่มพูนความรู้และทักษะในการแก้ไข
ปัญหาเอชไอวีเอดส์
เรามีความยินดีเป็นอย่างยิ่งที่ท่านเข้าร่วมการประชุมครั้งนี้ และหวัง
เป็นอย่างยิ่งว่าท่านจะได้รับประสบการณ์อันมีค่ากลับไป
ยินดีต้อนรับสู่กรุงเทพมหานคร
นายวิลาศ โลหิตกุล ประธาน
นางจันทวิภา อภิสุข ประธานร่วม
ดร.วีรสิทธิ์ สิทธิไตรย์ ประธานร่วม
นายแพทย์สมศักดิ์ อัครศิลป์ ประธานร่วม
บราลี มีศุข แปล