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Governments should do more to include the uprooted in their HIV/AIDS strategies

News Stories, 24 June 2009

© UNHCR / J Redden
A camp clinic in Nangweshi, Zambia. UNHCR has an active HIV and AIDS programme there.

GENEVA, June 24 (UNHCR) UN High Commissioner for Refugees António Guterres has said more must be done to ensure governments include refugees and internally displaced people (IDP) in their national strategies for dealing with HIV/AIDS. In a wide-ranging address Monday afternoon to the UNAIDS governing body, the Programme Coordinating Board (PCB), Guterres said people on the move whether refugees, IDPs or migrants can be more vulnerable to HIV.

"It is the duty of all of us to ensure that the human rights of people on the move are respected," he said. "Meeting the needs of people on the move for HIV prevention, treatment, care and support is essential for achieving universal access."

Guterres spoke on the opening day of the annual meeting of the PCB, ending today, which was focused on the HIV-related needs of "people on the move."

Global movements are complex, involving forced displacement as well as migration. UNHCR estimates there were 42 million refugees and IDPs last year, not counting those displaced by natural disasters, while the International Organization for Migration estimates there were more than 200 million international migrants in 2008.

"Programmes aiming to reduce the stigma and discrimination faced by refugees, IDPs, and migrants need to be implemented at all levels," the High Commissioner said. "At the national level, they need to be included in HIV/AIDS National Strategic Plans, policies and funding proposals.

"Results presently are discouraging," he said. "Inclusion of refugees in HIV National Strategic Plans has actually decreased since 2006." Only 32 out of 46 countries with more than 5,000 refugees had National Strategic Plans available for review in 2008. Of these, 14 nearly 44 percent made no reference to refugees.

"A recent examination of Global Fund HIV-approved proposals for countries with more than 5,000 refugees or internally displaced people was equally discouraging," Guterres said. "Approximately 68 percent of the approved HIV proposals made no mention of refugees. Nearly 73 percent of the approved HIV proposals did not mention internally displaced people.

"Clearly, we must do better to ensure that forcibly displaced persons and migrants are included in National HIV Strategic Plans and proposals," he said.

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Advocacy

Advocacy is a key element in UNHCR activities to protect people of concern.

HIV/AIDS

Read about UNHCR's provision of HIV/AIDS protection, prevention, treatment and more.

Public Health

The health of refugees and other displaced people is a priority for UNHCR.

Colombia: Life in the Barrios

After more than forty years of internal armed conflict, Colombia has one of the largest populations of internally displaced persons (IDPs) in the world. Well over two million people have been forced to flee their homes; many of them have left remote rural areas to take refuge in the relative safety of the cities.

Displaced families often end up living in slum areas on the outskirts of the big cities, where they lack even the most basic services. Just outside Bogota, tens of thousands of displaced people live in the shantytowns of Altos de Cazuca and Altos de Florida, with little access to health, education or decent housing. Security is a problem too, with irregular armed groups and gangs controlling the shantytowns, often targeting young people.

UNHCR is working with the authorities in ten locations across Colombia to ensure that the rights of internally displaced people are fully respected – including the rights to basic services, health and education, as well as security.

Colombia: Life in the Barrios

Galkayo: Vulnerable in a volatile land

Galkayo, located in Somalia's Puntland region, is home to more than 60,000 displaced people who fled war-torn south-central Somalia and harsh drought conditions in many parts of the country.

The displaced people are scattered around 21 makeshift settlements in Galkayo. Multiple families often share small, rudimentary shelters made of cardboard and plastic sheets. Despite overcrowding and extreme poverty, it is not uncommon for families to take in abandoned children and elderly people who are on their own.

Squalid conditions and lack of proper health care mean that simple ailments can easily develop into complications. There is little employment in Galkayo and most displaced people find informal day labour, such as collecting garbage or washing clothes for the locals.

UNHCR provides basic assistance to Galkayo's displaced people through vocational training and income generation programs meant to improve their livelihoods. The refugee agency also provides temporary shelter and emergency relief items for vulnerable families.

Galkayo: Vulnerable in a volatile land

Crisis in the Central African Republic

Little has been reported about the humanitarian crisis in the northern part of the Central African Republic (CAR), where at least 295,000 people have been forced out of their homes since mid-2005. An estimated 197,000 are internally displaced, while 98,000 have fled to Chad, Cameroon or Sudan. They are the victims of fighting between rebel groups and government forces.

Many of the internally displaced live in the bush close to their villages. They build shelters from hay, grow vegetables and even start bush schools for their children. But access to clean water and health care remains a huge problem. Many children suffer from diarrhoea and malaria but their parents are too scared to take them to hospitals or clinics for treatment.

Cattle herders in northern CAR are menaced by the zaraguina, bandits who kidnap children for ransom. The villagers must sell off their livestock to pay.

Posted on 21 February 2008

Crisis in the Central African Republic

A Floating Clinic for RefugeesPlay video

A Floating Clinic for Refugees

Medical care is often a luxury that few refugees can afford or access. A new floating clinic launched by local authorities and UNHCR will now bring health care to refugees and locals in a remote corner of Ecuador.