HIV/AIDS – Giving priority to prevention

Although the HIV/AIDS epidemic has stabilised overall, in certain countries the rate of infection continues to grow. Homophobia, discriminatory laws and gender-based violence undermine efforts to improve access for people affected by HIV/AIDS to the services they need. The SDC works on prevention and reducing social stigma in the global fight against HIV/AIDS.

The SDC's focus

Switzerland makes an active contribution to global efforts against HIV/AIDS by supporting international specialised agencies such as the WHO, UNAIDS, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and other international and regional organisations, associations and networks.

In its country-specific programmes, Switzerland focuses on prevention – particularly in connection with sexual and reproductive health programmes – and improving access to non-discriminatory treatment, care and support.

Non-health-related programmes also take this aspect into account in regions particularly affected by HIV/AIDS, such as the role of HIV-positive people and the impact the programme has on them and vice versa.

The SDC also supports different activities implemented by Swiss NGOs that are aimed at controlling HIV/AIDS at the international level, and assists them with networking and coordination in Switzerland.

In addition, the SDC works with the private sector and universities in this field.

Context

Significant progress has been made in the fight against HIV/AIDS but considerable challenges remain. An estimated 37 million people in the world are living with HIV. In 2017, a tipping point was reached. For the first time, more than half of all people living with HIV received treatment, which has helped to lower the number of HIV-related deaths – by 35% between 2005 and 2014 alone. However, around 25% of all HIV-positive people are not even aware of their infection, which is why they do not seek treatment. Nonetheless, the number of new cases between 1996 and 2017 went down by 47% – although this figure has stagnated since then and another 1.7 million people became infected in 2017. The stigma and discrimination faced by HIV-positive people and population groups particularly affected by HIV/AIDS remains a huge challenge. It hinders effective prevention and access to treatment and HIV-related healthcare.

Switzerland made a significant contribution to the development of psychosocial support services for children and young people affected by HIV/AIDS in a number of southern African countries, which is helping to reduce discrimination and improve their prospects for the future.

Documents

Mainstreaming HIV in practice
A toolkit with a collection of resources, checklists and examples on CD Rom for SDC and its partners
[en] (PDF, 93 Pages, 9.9 MB, English)

United Nation's Declaration of Commitment on HIV/AIDS
United Nations General Assembly Special Session on HIV/AIDS, 25-27 June 2001
[en] (PDF, 52 Pages, 684.8 kB)

[fr] (PDF, 684.8 kB)
[es] (PDF, 53 Pages, 683.4 kB)

SDC HIV and AIDS Community of Practice
[en] (PDF, 3 Pages, 801.0 kB, English)

Mainstreaming: A Response to HIV and AIDS in Humanitarian Assistance
[en] (PDF, 3 Pages, 151.7 kB, English)

The Media in Education Trust Africa
[en] (PDF, 3 Pages, 138.4 kB, English)

Parliamentarians for Global Action
[en] (PDF, 3 Pages, 129.3 kB, English)

The Regional Psychosocial Support Initiative
[en] (PDF, 4 Pages, 331.5 kB, English)

Technical Assistance for the World Food Programme's HIV and AIDS Response
[en] (PDF, 315.5 kB, English)

SDC Support for SolidarMed's Antiretroviral Treatment Project (Smart)
[en] (PDF, 3 Pages, 169.4 kB, English)

A focus on psychosocial support
Africa Brief - November 2010
[en] (PDF, 8 Pages, 1.2 MB, English)

Current projects

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BACKUP Health: Technical support for Global Fund country partners

01.12.2023 - 31.08.2027

The Global Fund aims at ending AIDS, Tuberculosis, and Malaria as epidemics. It works with country-based partners. The coordination mechanism through which these partners operate often requires technical assistance. SDC’s support to BACKUP Health is meant to improve the effectiveness of the coordinating mechanisms in order to ensure that the activities supported by the Global Fund  benefit the poor and vulnerable populations. Experiences gathered by the BACKUP Health in countries will be used to influence strategic decisions at Board level.


Switzerland aims to improve health and psychosocial outcomes for adolescents and young people infected with HIV through support to the Zvandiri peer-to-peer programme. Peer interventions positively influence HIV testing rates, treatment uptake, retention in care and viral suppression. This programme is integrated within and seeks to strengthen the public health system. SDC will partner with Africaid, the primary government partner for this approach, and support Africaid’s ambitions to expand the model to Zambia.

01.11.2021 - 31.10.2025


SYP Safeguard Young People in Eastern African countries

01.03.2021 - 28.02.2024

The SYP program contributes to improve sexual and reproductive health and rights (SRHR) of young people, thus  reducing gender based health inequities. It supports the adoption, domestication and implementation of policies, and strengthens young people’s competencies on and access to SRHR services. The expansion to Tanzania and Rwanda leverages on the  experience in Southern Africa financed by SDC, the United Nations Population Fund (UNFPA)’s thematic expertise and convening power.


International Planned Parenthood Federation (IPPF)

01.01.2020 - 30.06.2023

Sexual and reproductive health and rights are essential for social and economic development. Only 76% of women of reproductive age have their need for modern contraception satisfied. The International Planned Parenthood Federation a leading global advocacy organization whose member organizations in over 165 countries provide sexual and reproductive health services at local level and context-specific policy solutions that mainly benefit the poor and vulnerable.


Contribution de programme au ré-seau Medicus Mundi Suisse (MMS)

01.01.2020 - 31.12.2023

Medicus Mundi Schweiz ist ein Schweizer Netzwerk von 47 Organisationen, die in der internationalen Gesundheitszusammenarbeit tätig sind. Das Netzwerk schliesst wissenschaftliche Einrichtungen ein und hat zum Ziel, das Wissen der Mitglieder so zusammenzuführen, dass die Qualität, Wirksamkeit und Sichtbarkeit der internationalen Zusammenarbeit der Schweiz im Gesundheitsbereich kontinuierlich verbessert wird. Zentrale Gefässe sind u.a. entwicklungspolitische Dialoge mit Parlament, Zivilgesellschaft und Privatsektor.


Strengthening institutional capacity for treatment and care for HIV/AIDS patients

01.01.2020 - 31.12.2023

Ruedi Luethy Foundation (RLF) uses a nurse-led and doctor-supervised approach to provide comprehensive care and treatment to HIV patients. Through its Newlands Clinic Training Centre (NCTC), human capital in Southern Africa for Opportunistic Infections/Anti-Retroviral Therapy (OI/ART) management is strengthened and mortality due to AIDS related illnesses is reduced. RLF is a pillar of best practice in HIV management and care and the single biggest contributor to Swiss visibility within the local context. 


Safeguard Young People – Sexual and Reproductive Health and Rights

01.01.2020 - 30.06.2023

The UNFPA Safeguard Young People programme contributes to the reduction of HIV infections and improved sexual and reproductive health and rights of young people (aged 10-24) in eight Southern African countries. It supports the adoption, domestication and implementation of regional policies and helps increase young people’s knowledge, skills, agency, and equitable access to integrated HIV/SRHR services. The SYP leverages one of Switzerland’s 15 priority multilateral organizations to achieve the Swiss goal of wide regional impact.


BACKUP Health Technical support for Global Fund country partners

01.12.2019 - 30.11.2023

Switzerland supports The Global Fund to fight AIDS, Tuberculosis and Malaria with 64 million CHF for three years (2020-2022). As the Fund is a global financing mechanism without country presence that provides grants to recipient countries. The BACKUP Health initiative strives to strengthen governments and other national stakeholders in such way that they embed Global Fund grant proposals in broader health sector priorities.


Menstrual Health Management (MHM)

15.09.2019 - 31.12.2021

Despite being the majority, young people have the worst HIV outcomes. Evidence-based, demographic and context-adapted responses are essential if ending AIDS by 2030 is to be attained. Proposed is a population level study to determine the impact of a comprehensive community based package of HIV services with a nested sub-study on Menstrual Health Management (MHM). Even though it is often neglected, MHM is crucial for women’s social inclusion, health and gender equality


Contribution to the International AIDS Society Educational Fund Programme

01.11.2018 - 30.06.2021

Significant yet insufficient progress has been made in the HIV/AIDS response. The body of evidence is large and tools are available but they are not fast enough disseminated, contextualized and included into national policies and programmes. The Educational Fund addresses this by offering countries different tailor-made modules. Through Swiss support, the programme will increasingly embed HIV/AIDS into a broader health response.


BACKUP Health Technical support for Global Fund country partners

01.07.2017 - 31.03.2020

Based in Geneva, the Global Fund to fight AIDS, Tuberculosis, and Malaria does not have representations in the countries receiving its grants. To foster effective the implementation of its support, the Global Fund relies on coordination mechanisms that gather the main country-based partners, including people affected by the diseases. SDC co-financing of the BACKUP Health initiative aims at strengthening this multi-stakeholder management of Global Fund grants, reinforce accountability and increase the impact of the Global Fund.

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