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Danish Organisation Strategy for UNAIDS 2024-2029
Introduction:
Established in 1996, the Joint United Nations Programme
on HIV/AIDS (UNAIDS) brings together 11 United
Nations organisation and is the main advocate for
accelerated, comprehensive and coordinated global action
on the HIV/AIDS epidemic. UNAIDS’ inclusive and
human rights-based advocacy is a catalyst for combating
discrimination. UNAIDS conducts high-level advocacy
with world leaders around social inclusion, shared
responsibility, equal access to health services, sexual and
reproductive health and rights, including for those most
at risk, key populations and LGBTI+ persons.
Key results:
•
Ensure that UNAIDS’s clear focus on human rights,
including equity and gender equality, is maintained.
(UNAIDS Strategy Results Area 5: Human Rights
and 6: Gender Equality. Output 5.1, 6.1, and 6.2 of
the 2022-2026 UBRAF).
•
Ensure that young people, especially young women
and adolescent girls, have access to prevention
(UNAIDS Strategy Results area 7: Young people,
especially young women and adolescent girls have
access to combination prevention services and are
empowered to protect themselves from HIV. Output
7.1 and 7.2 of the 2022-2026 UBRAF).
•
Ensure a resilient and fit-for-purpose UNAIDS.
Justification for support:
•
UNAIDS’ comparative advantage lies in this unique
partnership model.
•
UNAIDS is essential for the effective inclusion of
community voices and NGO in global policy.
•
UNAIDS is distinctive in translating the “nothing
about us without us” principle into its country-level
work through the integral involvement of civil
society and people living with HIV/AIDS at all
levels.
How will we ensure results and monitor progress:
•
Denmark will work closely with like-minded
countries, including the Nordics, on key shared
priorities and follow-up on MOPAN
recommendations.
•
Progress on Danish priority areas will be monitored
using UNAIDS Unified Budget, Results and
Accountability Framework (UBRAF), building on
the SDG targets, and through bilateral dialogue and
consultations.
Danish involvement in governance structure:
•
Denmark actively participates, including through its
constituency, in the UNAIDS Programme
Committee Board.
•
The Permanent Mission to Geneva is an active
participant in ongoing member states consultations
and briefings.
File No.
Responsible Unit
Mill. DKK
Commitment
Projected ann.
Disb.
Duration of
strategy
Finance Act code.
Desk officer
Financial officer
24/39014
FN-Genève
202
4
2025
2026
2027
2028
Udenrigsudvalget 2024-25
URU Alm.del - Bilag 182
Offentligt
20
29
total
40
40
40
40
40
40
40
40
40
40
4
0
4
0
240
240
2024-2029
06.36.03.14
Olivia Bebe
Alberte Sofie Linde Forsell
SDGs relevant for Programme
No Poverty
No
Hunger
Good Health,
Wellbeing
Quality
Education
Gender
Equality
Clean Water, Sanitation
Affordable
Clean
Energy
Decent Jobs,
Econ. Growth
Industry,
Innovation,
Infrastructure
Reduced
Inequaliti
es
Sustainable
Cities,
Communities
Responsible
Consumption
& Production
Climate
Action
Life below
Water
Life on Land
Peace &
Justice,
strong
Inst.
Partnerships
for Goals
Budget
Core voluntary funding
Total*
240 million DKK
240 million DKK
*Subject to annual parliamentary approval
Risk and challenges:
•
UNAIDS is a financially struggling programme that needs to define
a vision beyond 2030.
•
The fight against AIDS is far from over, as there where 1.3 million
new HIV infections in 2022.
•
The inequalities that drive the HIV pandemic are not being
addressed sufficiently. Ostracised and criminalised populations are
disproportionally affected by the HIV epidemic.
•
Increasing opposition from conservative states and
fundamentalist organisations to the human rights-based approach,
including against key populations and other at-risk groups, which
threatens the
effectiveness of the global response to HIV/AIDS in the
UN and several countries.
Strat. objectives
Contribute to the
achievement of the
health-related United
Nations (UN)
Sustainable
Development Goals
(SDG), in particular
SDG 3 (good health
and well-being), 5
(gender equality), 10
(reduced inequalities),
and 17 (partnerships).
Ensure
that UNAIDS’s clear
focus on advancing human
rights, including women’s and
girls’ rights, including SRHR
and gender equality, is
maintained
Ensure that young people,
especially young women and
adolescent girls, have access to
prevention
Ensure a resilient and fit-for-
purpose UNAIDS
Priority results
Core information
Established
Launched
HQ
Regional offices
1944
1996
Geneva, Switzerland
6 regional offices: Asia and Pacific, Europe and
Central Asia, Middle East and North Africa,
West and Central Africa, East and Southern
Africa, Latin America and the Caribbean
70 countries and territories
Approx. US$ 160 million annually
Approx. 650 (71% in the field) (2023)
Winnie Byanyima (Uganda)
Programme Coordinating Board (PCB)
Country presence
Financial and
human resources
Executive
Director
Governed by
 URU, Alm.del - 2024-25 - Bilag 182: Orientering om nye danske organisationsstrategier for ICRC, WHO, UNAIDS og OHCHR, fra udenrigsministeren
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Danish Organisation Strategy for
Joint United Nations Programme on HIV/AIDS (UNAIDS)
2024-2029
i
 URU, Alm.del - 2024-25 - Bilag 182: Orientering om nye danske organisationsstrategier for ICRC, WHO, UNAIDS og OHCHR, fra udenrigsministeren
Table of Contents
1
2
3
4
OBJECTIVE .................................................................................................................................................... 1
THE ORGANISATION ..................................................................................................................................... 3
PARTNER ASESSMENT, LESSONS LEARNT, KEY STRATEGIC CHALLENGES AND OPPORTUNITIES.................. 7
PRIORITY AREAS AND RESULTS TO BE ACHIEVED....................................................................................... 12
P
RIORITY
1: E
NSURE THAT
UNAIDS’
S CLEAR FOCUS ON HUMAN RIGHTS
,
INCLUDING EQUITY AND GENDER EQUALITY
,
IS
MAINTAINED
........................................................................................................................................................ 13
P
RIORITY
2: E
NSURE THAT YOUNG PEOPLE
,
ESPECIALLY YOUNG WOMEN AND ADOLESCENT GIRLS
,
HAVE ACCESS TO PREVENTION
13
P
RIORITY
3: E
NSURE A RESILIENT AND FIT
-
FOR
-
PURPOSE
UNAIDS ................................................................................. 14
5
6
7
DANISH APPROACH TO ENGAGEMENT WITH THE ORGANISATION ........................................................... 14
BUDGET ...................................................................................................................................................... 15
RISKS AND ASSUMPTIONS .......................................................................................................................... 15
ANNEX 1: SUMMARY RESULTS MATRIX
ANNEX 2: UNAIDS ANNUAL ENGAGEMENT AND REPORTING WHEEL
ANNEX 3: UNAIDS BACKGROUND MATERIAL
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
1 Objective
This organisation Strategy (hereafter ‘The Strategy’) for the cooperation between Denmark
and the Joint United Nations Programme on HIV/AIDS (UNAIDS) outlines the basis and
priorities for Danish engagement with UNAIDS for 2024-2029,
1
a Joint Programme of the
UNAIDS Secretariat and eleven United Nations organisations referred to as Cosponsors.
2
The Strategy forms the basis for Denmark’s financial
contribution to UNAIDS and is the central platform for
Denmark’s dialogue and partnership with the UNAIDS. It
sets the Danish priorities for UNAIDS performance within
the framework established in its Global AIDS Strategy
2021-2026 and Joint Programme’s 2022-2026 Unified
Budget, Results and Accountability Framework (UBRAF).
3
The timeframe of the Strategy is set to end after the current
Global AIDS Strategy, in order to ensure alignment ahead
of the anticipated post-2030 Global AIDS Strategy. The
Strategy and related results matrix would be updated, as
appropriate, in case of significant programmatic or strategic
shifts within the abovementioned period.
Box 1: Priority areas
Priority 1: Ensuring that
UNAIDS’ clear focus on
advancing
human
rights,
including women’s and girls’
rights, including SRHR and
gender equality, is maintained.
Priority 2: Ensuring that young
persons, especially young women
and adolescent girls, have access
to prevention.
Priority 3: Ensuring a resilient
and fit-for-purpose UNAIDS.
The Strategy outlines specific goals and results
vis-à-vis
UNAIDS that Denmark will pursue
in its joint cooperation. Three priority areas have been selected that provide continuity on
the results achieved in previous Danish organisation strategies with UNAIDS (see box 1).
Denmark will work closely with like-minded countries, especially through its UNAIDS
Programme Coordinating Board (PCB) constituency, to achieve these priorities.
The Strategy aims to continue Denmark’s focus
on the fight against HIV/AIDS, including
through international efforts to advance sexual
and reproductive health and rights (SRHR).
Support for UNAIDS is in line with
The World We
Share – Denmark’s strategy for Development Policy and
Humanitarian Action,
which underlines that
Denmark’s overriding aim in international
development cooperation is
to fight poverty, enhance
sustainable growth and development, economic freedom,
peace, stability, equality and rules-based international
order.
Box 2: 10–10–10 targets for societal enablers:
Reduce to less than 10% the number of women,
girls and people living with, at risk of and affected
by HIV who experience gender-based inequalities
and sexual and gender-based violence.
Ensure that less than 10% of countries have
restrictive legal and policy environments that lead
to the denial or limitation of access to HIV services.
Ensure that less than 10% of people living with, at
risk of and affected by HIV experience stigma and
discrimination.
Source:
UNAIDS 2025 Road MAP
Denmark is firmly committed to the achievement of the UN Sustainable Development
Goals (SDGs). The strategic objective of this Strategy is to contribute to the achievement
of the SDGs, particularly SDGs 3 (health), 5 (gender equality), 10 (reduced inequalities),
and 17 (partnerships).
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
Under SDG 3, UNAIDS focuses explicitly on Target 3.3, which aims to end epidemics,
including HIV and AIDS.
4
This target reflects global commitments towards reducing new
HIV infections and HIV and AIDS-related deaths, thereby ending the HIV and AIDS
epidemic as a public health threat by 2030.
The UNAIDS 2025 targets that guided Denmark’s
previous Strategy (2017-2023) remain key relevant
targets, which UNAIDS has continuously worked
towards achieving, and will continue to guide Danish
engagement in this Strategy (see Box 2). As will be
elaborated in section 3 below, UNAIDS is taking
action to redouble efforts towards ending
HIV/AIDS beyond 2030, which remains a long-
term priority of Denmark.
Box 3: UNAIDS 2025 Goals
95-95-95 Targets:
95% of people living with HIV know their
status.
95% of those who know their status are on
antiretroviral therapy (ART).
95% of those on ART achieve viral
suppression
Prevention Targets:
Reduce the number of new HIV infections
to fewer than 370,000 globally by 2025.
Specifically, reduce new infections among
adolescent girls and young women to
below 50,000.
This strategy will be implemented in line with the
Danish How-To notes. In line with the How-To note on ‘Human Rights and Democracy’,
through the engagement with UNAIDS, Denmark will ensure that development
interventions continue to help fight discrimination, stigma, persecution and human rights
violations, including against LGBTI+ persons, persons affected by HIV/AIDS, key
populations and at-risk persons. This will be done by ensuring that UNAIDS’ global and
country activities effectively and transparently achieve concrete results, including for key
populations (Box 4).
As pointed out in the How-To Note on ‘Social
Box 4: UNAIDS’ definition of ‘key
Sectors and Social Safety Nets’, despite substantial
populations’
progress through UNAIDS, developing countries
Key populations are defined as gay men and
other men who have sex with men, sex
particularly continue to be significantly affected by
workers, transgender people, people who
HIV/AIDS. Therefore, Denmark will continue to
inject drugs and prisoners and other
prioritise HIV/AIDS interventions, including
incarcerated people as the five main key
population groups that are particularly
through UNAIDS, building on the lessons learned
vulnerable to HIV and frequently lack
from our long-term partnership with the
adequate access to services.
organisation. The goal is to reach those in the most
Source:
UNAIDS.
vulnerable situations and those most at-risk, in keeping with the leave-no-one-behind
principle. Denmark will prioritise combination prevention and ensuring access for those
living with HIV and AIDS, including to SRHR interventions.
As emphasised in the How-To Note on ‘Fighting Poverty and Inequality’, operationalising
a multidimensional poverty concept and applying a human-rights-based approach (HRBA)
entails explicit attention, consideration, and action towards addressing the lack of access
for LGBTI+ persons to HIV/AIDS prevention. UNAIDS has a unique governance
structure and level of inclusiveness. Its Programme Coordination Board (PCB) includes
non-governmental organisations (NGOs) and people living with and affected by HIV, as
well as Cosponsor UN Organisations (Cosponsors), and UN Member States. Reflecting
the principle of dynamic partnerships (SDG 17) that underpins
The World We Share,
the
Strategy for UNAIDS complements other Danish strategies, including those for the Global
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
Fund to Fight HIV/AIDS, Tuberculosis and Malaria (GFATM), the United Nations Fund
for Population Activities (UNFPA), the World Health Organisation (WHO), and the
Global Vaccine Alliance (GAVI).
2 The organisation
Mission and mandate.
The Joint United Nations Programme on HIV/AIDS (UNAIDS)
is the main global advocate for accelerated, comprehensive, and coordinated global action
against the HIV/AIDS epidemic. Its mission is to lead and inspire the world to achieve
universal access to HIV prevention, treatment, care, and support. UNAIDS was
established through the Economic and Social Council (ECOSOC) Resolution 1994/24,
with a mandate to coordinate the global response to HIV/AIDS, combining efforts from
several key UN agencies. UNAIDS played a proactive role in shaping and developing the
2030 Sustainable Development Agenda and related SDGs. After the adoption of the
SDGs, two key decisions refreshed the mandate of UNAIDS in June 2021, namely the
2021 ECOSOC resolution and the UNGA Political Declaration on HIV and AIDS:
Ending Inequalities and Getting on Track to End AIDS by 2030. Both requested the Joint
Programme to continue to support Member States, within its mandate, in addressing the
social, economic, political and structural drivers of the AIDS epidemic, including through
the advancement of gender equality and human rights, by strengthening the capacities of
governments to develop comprehensive strategies to end AIDS, and through advocating
for greater global political commitment in responding to the epidemic.
UNAIDS is essential for the effective inclusion of community voices in global policy and
is distinctive in its efforts towards translating the principle of “nothing about us without
us” into its local- and country-level work through the integral, meaningful engagement of
civil society and people living with HIV/AIDS.
Box 5 – Africa Highlights
Most people living with HIV live in sub-Saharan Africa and face challenges intensified by poverty, fragile
states, and gender inequalities. In the African region, an estimated 26.1 million people (out of 39.9 million
globally) were living with HIV in 2023, of which 90 per cent knew their status, 82 per cent were receiving
treatment, and 76 per cent had suppressed viral loads. An estimated 21.3 million people were receiving
antiretroviral therapy in 2023. An estimated 660,000 people were infected with HIV in 2023 in the African
region. Despite progress since 2010, including a decrease in the relative share of people infected and the
share of deaths attributed to HIV related cause, many challenges remain, especially for young women and
adolescent girls, who account for 27 per cent of new infections in Eastern and Southern Africa. Fragile
states, particularly those in conflict, face additional difficulties due to weakened health systems and
disrupted services, with women at increased risk of HIV due to sexual and gender-based violence. UNAIDS
works to address these dual crises through integrated HIV and SGBV services and engagement in
coordinated humanitarian efforts. UNAIDS plays a crucial role in Africa, including e.g. through its country
offices in South Africa, Kenya, Uganda, Nigeria, and Côte d'Ivoire. In Eastern and Southern Africa,
UNAIDS supports 18 countries through its Regional Support Team in Johannesburg, providing technical
and financial assistance towards improving HIV services for those at risk, including key populations. The
countries benefitting from this support include Botswana, Malawi, and Zambia. In Western and Central
Africa, UNAIDS supports 21 countries through its Regional Support Team in Dakar, and, in addition to
those already mentioned, through offices in Ghana and Cameroon. Source: WHO 2024 and
UNAIDS
Regional Profiles
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
Relevance.
UNAIDS maintains its relevance as it continues to address HIV/AIDS
through its normative and data-driven work, including in its regional and country-level
operational work. Support for UNAIDS is directly in line with the priorities of the Danish
development cooperation in the global fight against HIV/AIDS, including the aim of
promoting SRHR. UNAIDS’ inclusive and human rights-based advocacy is a catalyst for
combating stigma and discrimination globally. UNAIDS conducts advocacy with world
leaders around social inclusion, shared responsibility, and protecting the rights and equal
access to services for women and girls, key populations and LGBTI+ persons. Politically
sensitive issues, such as SRHR and ensuring access to it for those most at risk (see Box 4)
is a key focus of UNAIDS’ efforts, and plays a particularly critical role in its presence in
sub-Saharan Africa (see Box 5).
Governance, management and coordination.
UNAIDS is not a UN-specialised agency,
but rather the only co-sponsored Joint Programme within the United Nations
Development System (UNDS). By coordinating efforts across multiple sectors, UNAIDS
ensures that HIV/AIDS is addressed not just as a health issue, but also as a development
challenge that impacts human rights, gender equality, and economic progress. The Joint
Programme amplifies the experience and expertise of its 11 UN system Cosponsors, (see
Figure 1). UNAIDS’ comparative advantage lies in this unique partnership, and its role as
the central coordinator and amplifier of HIV/AIDS and SRHR-focused work of the
specialised UN agencies, such as UN WOMEN, UNPFA, UNICEF and WHO, who are
UNAIDS Cosponsors focused on their respective areas and mandates. All four agencies
receive Danish support as part of Denmark’s portfolio of organisation strategies with
specialised UN agencies.
The Joint Programme’s contribution to the SDGs extends beyond global health, with the
work of UNAIDS buttressing the underlying principles of the SDGs, including embodying
the principles of global partnership that are at the centre of the SDG agenda and expressly
addressed in SDG 17. Not only is the Joint Programme a unique and pioneering
partnership model within the UN System, its work rests on strong, multisectoral
partnerships at global, regional and country levels.
5
At the country-level, coordination is based on the “Three Ones” key principles
“Coordination of National Responses to HIV/AIDS”, which are the global guiding
principles for national authorities and their partners. These principles were agreed at the
International Conference on AIDS and STIs in Africa (ICASA) held in Nairobi, Kenya, in
September 2003. Officials from national coordinating bodies and relevant ministries of
African nations, major funding mechanisms, multilateral and bilateral agencies, NGOs and
the private sector gathered for a consultation to review principles for national-level
coordination of the HIV/AIDS response. The principles were identified through a
preparatory process at global and country levels, initiated by UNAIDS in cooperation with
the World Bank and the Global Fund to Fight AIDS, Tuberculosis and Malaria and have
been further refined in ongoing dialogue with other key donor partners globally.
6
In line
with the Global AIDS Strategy and UN guidance, such as through the UN General
Assembly’s Quadrennial Comprehensive Policy Review (QCPR), UNAIDS promotes and
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
supports national ownership and capacity building for effective, well-coordinated, and
inclusive national AIDS response, including with local communities in order to deliver the
most impact while optimising available resources and advancing the sustainability of
national AIDS responses.
Figure 1: Cosponsors of the UNAIDS Joint Programme
The UNAIDS Secretariat (see below) reports to ECOSOC via the UN Secretary-General
on behalf of the Joint Programme. The Joint Programme is governed by its Programme
Coordinating Board (PCB), which deals with all issues concerning policy, strategy, finance,
monitoring and evaluation of UNAIDS. The PCB is comprised of: 22 UN Member States,
elected following a regional distribution and rotating on a three-year basis; five NGO
representatives, with regional distribution, representing the perspectives of civil society,
including people living with HIV; and the UNAIDS Cosponsors. Civil society
representatives can serve for up to three years and have non-voting status. The five civil
society organisations have one board member each and are supported by five other NGOs,
which stand as alternate members.
7
Meaningful NGO participation in the PCB is critical
for effectively including community voices in the key global policy forum for ending AIDS
and reflects a crucial application of the “nothing about us without us”-principle that
characterises UNAIDS’ comparative advantage.
Denmark has been a member of the PCB in 1998, 2003-2004, 2008-2009, 2014-2015, and
2020-2021. Denmark is part of the “Nordic+” constituency which also comprises Finland,
Norway and the Netherlands, and works in close collaboration with its “sister”
constituency of Austria, Iceland, Sweden and Switzerland. The constituencies are the
central channel for Denmark’s influence on decisions within the PCB, when not serving as
a member in a national capacity. The constituency members develop joint positions and
individual members take the lead on different priority issues to ensure an efficient division
of labour and to deliver on shared priorities. The PCB is tasked with (i) establishing policies
and priorities for the Joint Programme; (ii) reviewing planning and execution of the Joint
Programme; (iii) approving the Unified Budget, Results and Accountability Framework
(UBRAF) for each financial period, plans of action and their financial implications, and
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
audited financial statements; (iv) making recommendations to Cosponsors regarding their
activities, including those of mainstreaming; and (v) reviewing progress reports towards the
Joint Programme’s goals. PCB Members and their constituencies approve strategic plans
for programs, budget allocations, and future work plans. The PCB reviews and adopts
reports, such as the financial report and performance reports (see Annex 2).
A Committee of Cosponsoring Organisations serves as the forum for Cosponsors and the
Secretariat. The CCO meets regularly as a standing committee of the PCB, to consider
matters of major importance to UNAIDS, and provide input on policies, strategies, and
programmatic activities of UNAIDS.
The UNAIDS Secretariat operates with its Headquarters in Geneva, leads and coordinates
the Joint Programme’s work on behalf of the eleven Cosponsors at global, regional and
country level. The Secretary-General of the United Nations formally appoints the
Executive Director. The current Executive Director of UNAIDS is Winnie Byanyima, who
has held this position since 2019 and is supported by two Deputy Executive Directors. At
the regional level, UNAIDS activities are delivered through its five regional offices in Asia
and Pacific, Europe and Central Asia, West and Central Africa, East and Southern Africa,
and Latin America and the Caribbean. UNAIDS has offices in 70 countries (including some
multi-country offices) where 70 per cent of its staff are based.
8
UNAIDS’ country offices
advance the global HIV response by adapting UNAIDS’ Global AIDS Strategy to local
contexts. They provide technical assistance, build capacity, collect and analyse data, and
advocate for inclusive evidence-informed policies and services for all, focusing on those
most at-risk and reducing HIV-related inequalities. They further support and coordinate
with other partners for effective national responses, engage with communities, and assist
in mobilising and guiding evidence-informed allocation of domestic and international
resources to ensure effective implementation of HIV prevention, treatment, and care
programs to reach the global AIDS targets.
UNAIDS’ mandate and policy positions are aligned with Denmark’s priorities (see Section
1 on application of the
How-To Notes).
This includes a human rights-based approach, gender
equality, non-discrimination, application and advocacy. UNAIDS has been at the forefront
of a strong global emphasis on social progress, human rights and gender equality. UNAIDS
has put substantial efforts into addressing sexual- and gender-based violence as a global
health and human rights issue, and advocacy to strengthen the coordination of multi-
sectoral responses has been made continuously by the Joint Programme globally.
PSEAH.
The 2024 Multilateral Organisation Performance Assessment Network’s
Assessment Report on UNAIDS found that under its current leadership, the UNAIDS
Secretariat has strengthened its procedures for the prevention of sexual exploitation, abuse
and harassment (PSEAH). This positive assessment came in the wake of a high-profile
sexual harassment case in 2018, under the previous UNAIDS management, which
negatively affected staff confidence. UNAIDS’ managerial response to this case, and to
prevention more broadly, includes the endorsement in 2019 by the PCB of a new
Management Action Plan for a healthy, equitable and enabling workplace for all UNAIDS
staff.
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
Finances and operations.
The UBRAF process involves strategic planning and
stakeholder consultations to align priorities and resources. While the UBRAF 2022-2026
defines the Joint Programme’s overall budget components and types of funding, biennial
work plans and budgets sets the detailed budgets levels and resources allocation for the
specific periods. Like most other UN entities, UNAIDS is facing an increasingly
challenging funding situation. Over the last few years, this has led to significant decreases
in several key donors’ core support, including amongst several Nordic and likeminded
donor countries, for instance, due to reducing overall development assistance spending or
reneging on previous funding commitments due to reprioritisation of development
assistance. The 2024 projected core contributions amounts to USD 140 million, a shortfall
of USD 20 million against the reduced agreed core operating budget of USD 160 million
for 2024. Furthermore, it is projected that the 2025 core contributions would be lower than
projected for 2024, amounting to approximately USD 135 million.
9
The detailed budget is
formulated based on expected outcomes and available funds and subsequently reviewed
and approved by the PCB. The UBRAF budget includes two main categories of funding.
Unearmarked core funds are allocated to the Secretariat to implement its core functions
and to Cosponsors as predictable, catalytic funding for their HIV-related work at the global
and country level. Non-core funds are earmarked funds mobilised by Cosponsors and the
Secretariat for complementary HIV-related activities at country, regional and global levels.
The UBRAF accountability framework and reporting indicators covers all of the Secretariat
and Cosponsor activities and outputs from core and non-core funding. The Secretariat,
jointly with Cosponsors, mobilises resources for the UBRAF. In addition, the Secretariat
and Cosponsors undertake individual fundraising for non-core HIV-related activities.
The Nordic+ constituency and other likeminded engages on the ongoing challenges of
shortfalls in contributions within PCB meetings, and adjusts and adopts the budget on the
basis of available funds. Implementation is monitored, and regular reporting ensures
transparency and accountability, guiding future planning and resource allocation.
Danish financing.
Under the 2017-2023 Strategy, Denmark has supported UNAIDS with
an annual core funding contribution of DKK 40 million, except in 2017, when the
contribution amounted to DKK 30 million.
3 Lessons learnt, key strategic challenges and opportunities
3.1 Partner Assessment
In 2023, the Multilateral Organisation Performance Assessment Network (MOPAN)
published an Assessment Report of the global function of the UNAIDS Secretariat.
10
Denmark and the United States (UNAIDS’ biggest donor) co-led the assessment, which
looked back on progress made by the Secretariat between 2017 and early 2021, in the areas
of improvement identified by the last MOPAN assessment from 2015-2016. The
assessment concluded that the UNAIDS Joint Programme has been a trailblazer in both
UN joint programming and inclusive governance at global, national and local levels. Its
role in advancing global guidance and norms through technical assistance and policy
dialogue with Member States is a comparative advantage
vis-à-vis
other global health
partners.
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However, the MOPAN assessment also found that despite noteworthy strengths and
achievements in areas under the Secretariat’s direct control, the Joint Programme and its
Secretariat are in part in a worse situation than in 2016 (at the time of the previous MOPAN
assessment). Specifically, since 2014 the Secretariat has consistently struggled to raise
adequate resources to fully fund the UBRAF. The assessment concluded that UNAIDS is
facing a vicious cycle in this regard. Firstly, the Secretariat's continued effectiveness as a
coordinator of the Joint Programme is undermined by the challenges faced in fully funding
its UBRAF. Secondly, the assessment observed that the relationship between the UNAIDS
Secretariat and its Cosponsors is impacted by perceived Secretariat intentions regarding its
mandate and competition related to the ever-scarcer available resources. Subsequently, two
deputies have been appointed by the Executive Director, in part as an effort to strengthen
the relationship and cooperation between the Secretariat and its co-sponsors.
The assessment’s forward-looking remit further examined how “fit-for-purpose” the
Secretariat was to continue delivering on its core functions from 2021 to 2026, the end of
the current five-year work plan and beyond. The assessment noted that the future scope
and size of the UN response, and thus Secretariat functions, will need to be adjusted to the
changed reality of an HIV epidemic that may no longer be the public health threat it once
was. In this regard, the assessment found that the, at times, strained relationship between
the Secretariat and Cosponsors, especially at the global level, needed continued leadership
attention and identified the need for leadership from the UNAIDS Secretariat in creating
a long-term vision for the post-2030 UN response. This includes considering the evolved
capacities and needs of Cosponsors and the need to recognise the roles of other players in
the global response, not least countries themselves. MOPAN also concluded that there is
a need for the UNAIDS Secretariat to provide a vision towards 2030 – the target date to
end AIDS – and beyond, effectively coordinated with Cosponsors.
UNAIDS has in its management to the MOPAN assessment indicated concurrence and
outlined a process for preparing for post-2030. UNAIDS has also welcomed the proposal
to conduct a mid-term review of the Global Aids Strategy 2021-2026. Moreover, the PCB
has requested the Executive Director and the Committee of the Cosponsoring
Organisations to continue to ensure that the Joint Programme remains sustainable, resilient
and fit-for-purpose, by revisiting the operating model, supported by external expert
facilitation and through appropriate consultations, including with the PCB members and
participants, reporting back at the June 2025 PCB meeting with recommendations .A High-
Level Panel of experts has subsequently been established and started consultations. 2025.
Denmark and likeminded countries are engaging actively in these processes to, including
through the PCB, to address and mitigate the abovementioned risks.
Denmark has overall been satisfied with UNAIDS's achievements and continues to
appreciate its added value in the HIV/AIDS response by providing coordination across
eleven UN Cosponsors at the global normative and country operational levels, as well as
through its empowerment model of engaging communities, key populations and civil
society in its operations and governance structure. Denmark, with likeminded countries,
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continue to underscore the lessons learnt and need for follow up in regards to the long-
running financial and organisational sustainability risks.
3.2 Challenges
The continued challenge of the HIV/AIDS pandemic.
The fight against AIDS is far
from over, despite significant progress, with 30.7 million people currently receiving life-
saving HIV treatment (see Box 5). Nevertheless, fewer people were infected with HIV in
2023 than at any point since the late 1980s. The estimated 1.3 million new HIV infections
globally in 2023 were over a third (39 per cent) fewer than in 2010. The most significant
declines in annual new HIV infections were in eastern and southern Africa (59 per cent
reduction) and western and central Africa (46 per cent reduction). However, UNAIDS also
stresses that the world is still not on track to succeed in ending AIDS by 2030.
The inequalities that drive the HIV pandemic are not being addressed sufficiently across
all states and regions. Ostracised and criminalised persons are disproportionally affected
by the HIV epidemic. Due to the lack of progress on combination HIV prevention, global
numbers of new HIV infections are not declining fast enough. HIV infection rates are
increasing in three regions: Eastern Europe and Central Asia, Latin America, and the
Middle East and North Africa. Specifically, Eastern Europe and Central Asia saw a 20 per
cent increase in new HIV infections between 2010 and 2023. Latin America experienced a
9 per cent increase in new HIV infections over the same period, while the Middle East and
North Africa reported a significant 116 per cent rise in new infections. Almost a quarter of
people living with HIV are not receiving lifesaving treatment.
1
In 2023, in sub-Saharan
Africa, women and girls (of all ages) accounted for 62 per cent of all new HIV infections.
HIV continues to impact key populations more than the general population. In 2022,
compared with adults in the general population (aged 15-49 years), HIV prevalence was 11
times higher among gay men and other men who have sex with men, four times higher
among sex workers, seven times higher among people who inject drugs, and 14 times
higher among transgender people.
2
Climate change and HIV/AIDS transmission.
The intersection of climate change and
the HIV/AIDS pandemic, as recognised by UNAIDS and WHO, highlights how climate-
induced challenges such as displacement, food insecurity, and weakened healthcare systems
exacerbate the vulnerability of people living with HIV. Extreme weather events disrupt
access to antiretroviral treatment, healthcare infrastructure, and essential services,
increasing the risk of HIV transmission, particularly among displaced populations, while
climate-related health crises strain healthcare systems already burdened by HIV. Both
UNAIDS and WHO advocate for building resilient health systems, integrating HIV
services with climate adaptation efforts, and ensuring inclusive climate policies that address
these vulnerabilities to mitigate the dual impacts of climate change and HIV/AIDS.
1
2
https://www.unaids.org/en/resources/documents/2024/global-aids-update-2024
https://thepath.unaids.org/
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Normative
political
challenges.
Politically,
increasing opposition to
meeting the rights and needs
of key populations, namely,
men who have sex with men,
sex workers, and drug users,
from conservative states and
fundamentalist organisations
threatens the effectiveness of
Box 6 – Global HIV statistics 2024
Draft 29 August 2024
Source:
UNAIDS 2024
Box 7 – Criminalisation of people from key populations (UNAIDS 2023)
Laws that criminalize people from key populations or their behaviours remain on statute books across much
of the world. The vast majority of countries in 2023 still criminalized the use or possession of small amounts
of drugs, 168 countries criminalised some aspect of sex work, 67 countries criminalised consensual same-sex
sexual intercourse, 20 countries criminalised transgender people, and 143 countries criminalised or otherwise
prosecuted HIV exposure, non-disclosure or transmission. (source: UNAIDS 2023
The Path That Ends Aids
the global response to HIV/AIDS in several countries. Not all countries provide equal
services to those whose sexual practices and substance use may be forbidden by some
national laws. In some countries, this opposition is vocal, widespread and at times violent.
During recent years, negotiations in the PCB on these crucial issues have been increasingly
politicised, as in other UN fora, with strong opposition towards the inclusion of SRHR
terminology. Illustrative of this trend, Comprehensive Sexuality Education, while it was
ultimately approved, was seriously challenged during the development of the latest Global
UNAIDS Strategy. For Denmark and its like-minded, this political pushback underscores
the continued need for UNAIDS and the use of its Cosponsors for a concerted effort to
promote international covenants and inclusive legislation (see Box 7).
Organisational and operational challenges.
The AIDS epidemic is no longer
considered
the
global health emergency that it once was, as the 2023 MOPAN assessment
observes. UNAIDS Joint Programme started in 1996 amid an HIV/AIDS health and
development emergency requiring a multisectoral response. In contrast, UNAIDS
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currently faces a new reality of reduced official development aid for HIV/AIDS and
political pushback against gender equality, human rights and diverse gender identities at the
international level. In many countries and regions, UNAIDS must compete for attention
and funding as the number of global health partnerships and other international health
actors keeps growing, increasing the demand for funding. The UNAIDS approved core
budget shrunk from USD 242 million annually in 2020-2021 to USD 210 million for 2022-
2023, with available core resources decreasing to USD 187 million in 2024. Reduced core
funding is a shared reality across the UN system, including for its Cosponsors that strive
towards the funding mark of at least 30 per cent core as set in the UNDS Funding
Compact. Considering inflation, the core UBRAF funding for 2024 as such represents less
than 50 per cent of the core UBRAF resources available to the Joint Programme in 2015.
3.3 Lessons
The current approach by UNAIDS to HIV/AIDS has achieved significant results.
During the past twenty years, the efforts of different partners have ensured a sense of
urgency around ending AIDS. This has succeeded in placing the HIV epidemic high on
the global health agenda and generated political commitment from governments, the
private sector, philanthropic trusts, civil society and community-led responses. UNAIDS
has been at the frontline of these efforts. The target of global investments in the AIDS
response (22-24 billion USD annually) has almost been met although a growing shortfall
holds back quicker progress. The HIV/AIDS pandemic is in retreat, albeit with progress
highly uneven across regions, as well as human rights and gender equality pushback
presented in previous sections.
Gains in the global AIDS response, which UNAIDS has driven are estimated to have saved
nearly 21 million lives to date, but there are major opportunities to do even better. More
than nine million people living with HIV worldwide are not yet receiving antiretroviral
therapy, new HIV infections are increasing in several regions, and services are still missing
many key populations. Harmful gender norms and practices continue to fuel the epidemic
among women and girls, who face particularly high rates of infections in sub-Saharan
Africa. HIV treatment uptake and outcomes tend to be lower among men. Key populations
living with HIV are also less likely to obtain HIV treatment than other people living with
HIV. Treatment access among children living with HIV is still worryingly low; children
comprised 3 per cent of all people living with HIV in 2023, but accounted for 12 per cent
of AIDS-related deaths. In recent years, UNAIDS has made substantial efforts to address
sexual- and gender-based violence as a health and human rights issue, and the Joint
Programme has led advocacy efforts globally to strengthen the coordination of multi-
sectoral responses.
UNAIDS has completed UN mandatory reports on the UN Quadrennial Comprehensive
Policy Review (QCPR), UN Funding Compact and UN Checklist on oversight of the
implementation of the repositioning of the UN Development System, and the UN System-
wide action plan on gender equality and women's empowerment and operates a
Results
and Transparency Portal.
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3.4 Opportunities
COVID-19, HIV investments and continued sustainability of community-led HIV
responses.
During the UN's global COVID-19 response, UNAIDS and WHO closely
collaborated to address challenges and protect key and vulnerable populations. WHO led
the global health response by developing testing, treatment, and prevention guidelines for
COVID-19, while UNAIDS ensured continued access to essential services for people
living with, and at increased risk of HIV. HIV services were among the first to respond in
many countries, and community-led responses maintained HIV testing, treatment and
prevention services during lockdowns. A 2023 evaluation identified opportunities for
UNAIDS to further integrate HIV within primary health care (PHC) by improving
coordination, providing clear guidance, and aligning with PHC strategies. The report
recommends leveraging HIV investments for broader health outcomes, enhancing equity
and human rights, and ensuring sustainable community-led HIV responses within PHC
frameworks.
Ending AIDS.
UNAIDS has a strong commitment to promoting non-discrimination,
ensuring equitable access to HIV services for all, including key populations and LGBTI+
persons who often face stigma, discrimination and exclusion. By focusing on human rights-
based approaches, UNAIDS integrates combination HIV services with access to SRHR,
advocating for policies and legislation that protect and empower those most at-risks.
UNAIDS’ focus on eliminating legal and social barriers aligns with Denmark’s
commitment to upholding human rights, ensuring equitable access to health services, and
combating stigma and discrimination.
Supporting a post-2030 UNAIDS.
As expressed in its formal management response,
UNAIDS is committed to continuing to evolve to respond effectively and efficiently to the
global AIDS pandemic. Specifically, the UNAIDS Secretariat has committed to conducting
a mid-term review of the current Global AIDS Strategy (2021-2026), which is a priority for
Denmark and likeminded countries. UNAIDS has also initiated the process of developing
a post-2030 vision and plan, as recommended by the MOPAN assessment. These
developments provide an opportunity to influence the next Global AIDS Strategy with
like-minded countries, including through the Nordic constituency, and lay the foundation
for a post-2030 global effort towards preventing and combatting HIV/AIDS.
4. Priority areas and results to be achieved
The following priority areas have been chosen based on the linkages between Danish and
UNAIDS strategic priorities, which continues on the basis of the priorities set out in
Denmark’s latest organisation strategy for UNAIDS 2017-2023. Annex 1 shows Danish
development cooperation priorities for UNAIDS and their relation to UNAIDS outcome
and output indicators to be used to monitor implementation and progress on this
organisation strategy for 2024-2029, based on the UNAIDS 2022-2026 Unified Budget,
Results and Accountability Framework.
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Priority 1: Ensure that UNAIDS’s clear focus on human rights, including equity
and gender equality, is maintained
Stigma, discrimination and human rights violations are impeding the results of the
HIV/AIDS response in all regions. Denmark is committed to safeguarding human rights,
particularly for women and girls, LGBTI+ persons and key populations. As an example,
punitive laws, policies and practices leave some populations without access to vital HIV
services, and restricting access to SRH services for women and girls globally, leave them at
heightened risk of HIV infection. Often, HIV-related stigma and discrimination is
intertwined with multiple and intersecting forms of discrimination, including on the basis
of gender, sexual orientation, gender identity, race, disability, drug use, immigration status
or being a sex worker, or imprisoned or formerly imprisoned. UNAIDS will address issues
of stigma and discrimination with efforts to empower people living at risk of, or affected
by, HIV to know their rights and access services. Furthermore, UNAIDS encourages and
supports states to remove punitive laws, policies and practices, including travel restrictions
and mandatory testing, that impede access to critical services and the overall effectiveness
of the AIDS response and disproportionally affect some groups.
Denmark will engage UNAIDS and cosponsors to ensure continued focus and
delivery is maintained on UNAIDS’s clear focus on human rights and gender
equality, including the rights of women and girls, LGBTI+ persons and key
populations.
UNAIDS UBRAF Result Area 5 Human Rights and Result Area 6: Gender Equality.
Priority 2: Ensure that young persons, especially young women and adolescent
girls, have access to prevention
To end AIDS as a public health threat by 2030 and contribute to the reduction of inequality
as set out in SDG 10, it is essential to ensure access to vital services, including combination
prevention, for all and to close the gaps in services, especially for young persons and
adolescents. The gains in expanded access to HIV services have been unequally distributed
and the burden of HIV among young persons is increasing. Adolescents, young women
and girls are disproportionately affected by the HIV epidemic, making them a critical
priority for HIV prevention efforts. Globally, adolescent girls and young women aged 15–
24 years account for a significant portion of new HIV infections, with the rate of infection
among young women being almost twice that of young men in the same age group.
Targeted interventions, such as comprehensive sexuality education, SRH services and
gender-transformative programming, are essential to mitigate these risks and ensure that
young women and girls have the necessary resources and support to mitigate risks.
Strengthening these services can further empower young women and girls. Education
provides them with the tools and knowledge necessary to make informed decisions about
their health and future.
Denmark will engage UNAIDS and cosponsors to ensure continued focus on, and
delivery of, access to combination prevention for young persons, especially young
women and adolescent girls.
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UBRAF Results Area 1: Prevention and Result Area 7: Young people.
Priority 3: Ensure a resilient and fit-for-purpose UNAIDS
Denmark will encourage and work towards implementation of UNAIDS management
response to the latest MOPAN assessment. In line with the SDGs, it expects UNAIDS to
initiate accelerated planning, as early as possible, with a view to ending AIDS as a public
health emergency by 2030. Relatedly, Denmark expects the UNAIDS Secretariat to
consistently engage the PCB in assessing what a continued UN effort against HIV – and
UNAIDS itself - might look like after 2030. Furthermore, Denmark concurs with the
MOPAN assessment that the UNAIDS Secretariat should consider strategies to increase
the cost-effectiveness of functions and efforts.
Denmark will support a two-track approach to the sustainability of UNAIDS and
global efforts to end HIV/AIDS as a global health emergency that could consist of
supporting the acceleration of efforts to achieve SDG target 3.3 on ending the AIDS
epidemic, as well as ensuring timely preparations for a fit-for-purpose United
Nations response architecture beyond 2030.
Contributes to SDG target 3.3 (pandemics including HIV/AIDS).
UBRAF UNAIDS Secretariat Function 1 - Leadership, advocacy and communication.
UBRAF UNAIDS Secretariat Function 5 – Governance and mutual accountability.
5. Danish approach to engagement with the organisation
Based on the priority areas specified above, Denmark will continue to pursue an open and
constructive dialogue with UNAIDS across the organisation to influence and follow up on
the organisation’s work towards realising these priorities. Thus, Denmark will actively
participate in UNAIDS’ formal governance structures, namely the Programme
Coordinating Board, (PCB) to influence UNAIDS’ strategies and operating model.
Denmark is represented through its Nordic+ constituency at official PCB meetings. To
inform its collaboration with UNAIDS further, Denmark will also engage with other
relevant stakeholders, particularly civil society. Moreover, Denmark will use formal and
informal channels to hold UNAIDS accountable on its commitments set out in the Global
AIDS Strategy, the 2022-2026 UBRAF, and to influence the direction of new and existing
initiatives. Denmark will, to the extent possible, engage in preparatory meetings relating to
financial management, budgeting, accounting, auditing, anti-corruption, as well as
UNAIDS’ work in preventing and responding to sexual exploitation, abuse, and
harassment.
Denmark will emphasise effective monitoring and reporting on Danish priorities through
selected UNAIDS indicators (Annex 1) and follow its annual cycle of programme planning,
substantive and financial reporting, through the biannual PCB meetings, where it reviews
and approves key financial, budgetary, and operational matters. Moreover, Denmark will
encourage follow-up actions on MOPAN recommendations.
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6. Budget
Denmark’s total annual contribution to UNAIDS is projected to be DKK 40 million in
unearmarked core funds per year starting in the 4th quarter of 2024. This represents the
same level of contribution Denmark has contributed since 2018.
Table 2 – Indicative budget for Denmark’s engagement with UNAIDS (DKK million)/1
Finance act
06.36.03.14
2024
40
2025 2026 2027 2028
40
40
40
40
2029
40
Total
240
Core funds
1/pending parliamentary approvals
7. Risks and assumptions
Contextual risk.
Increasing opposition from conservative states and fundamentalist
organisations to the human rights-based approach, including towards key populations,
LGBTI+ persons, as well as those most at-risk. In the short-term, during the last six years
of the Agenda 2030, changing international and political dynamics related to sustaining and
transitioning the UNAIDS Joint Programme and its current architecture beyond 2030 is a
risk that UNAIDS has started to respond to, but that will require close monitoring and
diplomatic engagement by Denmark and its likeminded.
Programmatic risk.
UNAIDS has a risk management policy, and a structured risk
management system supported by several internal and external control policies that address
risk mitigation. These include the adoption of WHO’s Internal Control Framework, Fraud
Prevention Policy, Fraud Awareness Guidelines, and Whistle Blowers Protection Policy, as
well as Financial disclosure policies issued by UNAIDS itself. A recently revised
procurement manual provides for standard anti-corruption and anti-fraud clauses to be
incorporated in commercial contracts and funding agreements. Derived from the
contextual risk described above, increased conservative pushback may also hamper
UNAIDS’ human rights-based advocacy and programming at the operational country level.
Lack of financing and related consequences for effective resource mobilisation are the most
severe programmatic risks facing UNAIDS. This risk is amplified by the need for increased
transparency on which criteria UNAIDS uses to prioritise UBRAF implementation to
mitigate core funding reductions and fundraising shortfalls. UNAIDS is strengthening its
global partnerships to mitigate this risk, for example, in June 2024, the Global Fund and
UNAIDS signed a new Strategic Framework for Cooperation and Collaboration for the
period of 2024 to 2028. As mentioned above, the UNAIDS Secretariat and Cosponsors
are working to ensure the sustainability of the achievements of the UNAIDS Joint
Programme to be organised and a fit-for-purpose organisation for a post-2030 period risk
creating uncertainty and distractions. Forces and countries already undermining and
pushing back may seek to take advantage.
UNAIDS’ management response to MOPAN’s recommendations includes several
improvement efforts that provide Denmark and its likeminded with concrete opportunities
to monitor the programmatic risks. UNAIDS is expected to conduct a mid-term review of
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the Global Aids Strategy 2021-2026. UNAIDS proactively briefs the PCB and its members
on its financial situation, which allows Denmark to engage in informal dialogue with
likeminded and its constituency to address these risks. In 2022, the PCB requested the
convening of an Informal Inclusive Multistakeholder Task Team on options for resolving
the immediate funding crisis for the 2022-2023 biennium and to report back to the PCB
on outcomes and recommendations. Recommendations included addressing the impact of
currency fluctuations, promoting co-investment in the Global Fund and the Joint
Programme, and building solidarity and engagement by the PCB. Finally, UNAIDS reports
against 13 commitments and 28 indicators of the Funding Compact showing high
compliance. It also holds annual Structured Funding Dialogues, which are part of these
commitments.
11
Reputational risks.
Denmark will continue following UNAIDS’s efforts to strengthen its
ethics and risk management and zero tolerance for corruption, harassment, sexual
exploitation abuse and harassment, and the misuse of power. Denmark will also continue
to promote a strong and independent evaluation policy.
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Annex 1: Summary results matrix
The matrix below shows the chosen Danish priority results (cf. chapter 4) and the related
set of outcomes, outputs and indicators from the UBRAF 2022-2026.
3
Danish priority results area 1: Ensure that UNAIDS’s clear focus on human rights, including equity and
gender equality, is maintained
Related to:
JOINT PROGRAMME OUTCOME 2: Communities of people living with, at risk of and affected by HIV,
including key populations, women and young people, are empowered, enabled and effectively resourced to lead
HIV service delivery, advocate for and enjoy their right to health, and social and structural drivers of the HIV
epidemic are removed
Result Area 5 Human Rights
Result Area 6: Gender Equality
Outputs (5 years)
Human Rights
5.1 Provide technical,
policy and advocacy
support to countries on
enabling
legal
environments for HIV
and
advocate
in
international
and
regional forums for
rights- based approaches
Indicator 5.1.1. Number of countries
supported by the Joint Programme in
activities to remove or amend punitive and
discriminatory laws and policies, and/or
develop protective ones affecting the HIV
response
Indicator
Baseline and milestones
Indicative baseline
28 countries were supported by the
Joint Programme to remove punitive
and discriminatory laws and policies
and/or develop protective laws and
policies affecting the HIV response in
2021 (based on the reports of 37 Joint
UN Teams on HIV and AIDS at the
country level, source: 2022 UBRAF
Indicator Data Collection Survey).
Milestone (2023)
At least 30 countries supported in
activities to remove or amend punitive
and discriminatory laws and policies
and/or develop protective laws and
policies affecting the HIV response.
Milestone (2025)
At least 640 countries supported in
activities to remove or amend punitive
and discriminatory laws and policies
and/or develop protective laws and
policies affecting the HIV response.
Target (2026)
At least 60 countries supported in
activities to remove or amend punitive
and discriminatory laws and policies
and/or develop protective laws and
policies affecting the HIV response.
Baseline
Baseline does not exist as this is a new
indicator that is intended to more
systematically measure the Joint
Programme’s support in this area. As an
indicative reference 28 countries had
5.2 Provide technical
and policy support to
countries
in
the
implementation
of
sustainable
Indicator 5.2.1. Number of countries
supported by the Joint Programme for
actions to reduce stigma and discrimination
in any of the six settings defined under the
Global Partnership for action to end all
Source:
https://open.unaids.org/sites/default/files/2024/PCB50_Indicator_Matrix_2022-
2026UBRAF_EN_REV1-Dec-2022-update.pdf
3
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programmes or reforms
(e.g.
curricula,
law
reform,
access
to
justice) to reduce HIV
related stigma and
discrimination
Draft 29 August 2024
stigma
and
joined the Global Partnership for
Action to Eliminate HIV Related
Stigma and Discrimination by end-2021.
Milestone (2023)
At least 25 countries report Joint
Programme supported (technical
and/or policy support) to reduce stigma
and discrimination in at least 2 of the 6
settings as promoted by the Global
Partnership for Action to Eliminate
HIV Related Stigma and
Discrimination.
Milestone (2025)
At least 60 countries report Joint
Programme supported (technical
and/or policy support) to reduce stigma
and discrimination in at least 2 of the 6
settings as promoted by the Global
Partnership for Action to Eliminate
HIV Related Stigma and
Discrimination.
Target (2026)
At least640 countries report Joint
Programme supported (technical
and/or policy support) to reduce stigma
and discrimination in at least 3 of the 6
settings as promoted by the Global
Partnership for Action to Eliminate
HIV Related Stigma and
Discrimination.
forms of HIV-related
discrimination
Gender Equality
6.1 Strengthen gender
expertise and capacity in
countries supported by
the Joint Programme to
design, resource,
implement, and monitor
gender-transformative
national and local HIV
plans, policies, and
programmes, that
address unequal gender
norms, and to
meaningfully engage
women and girls, in all
their diversity together
with men.
Indicator 6.1.1. Number of countries where
the Joint Programme contributed to
strengthened gender expertise and capacity
to further integrate gender equality into the
national HIV response, and meaningfully
engage women in all their diversity together
with men.
Baseline
19 countries supported by the Joint
Programme, strengthened gender
expertise and capacity to integrate
gender equality into the national HIV
response, and meaningfully engage
women in all their diversity together
with men in 2021 (based on 37
responses received from Joint UN
Teams on HIV and AIDS; source: 2022
UBRAF Indicator Data Collection
Survey).
Milestone (2023)
30 countries supported by the Joint
Programme strengthen gender expertise
and capacity to integrate gender equality
into the national HIV response, and
meaningfully engage women in all their
diversity together with men by 2023.
Milestone (2025)
45 countries supported by the Joint
Programme to strengthen gender
expertise and capacity to integrate
gender equality into the national HIV
response, and meaningfully engage
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women in all their diversity together
with men by 2025.
Target (2026)
54 countries supported by the Joint
Programme to strengthen gender
expertise and capacity to integrate
gender equality into the national HIV
response, and meaningfully engage
women in all their diversity together
with men by 2026.
Indicative Baseline:
16 countries supported by the Joint
Programme to receive policy and
advocacy support and for mobilizing
partnerships to implement gender-
responsive HIV prevention, treatment,
care and support services free of
gender-based discrimination and
violence in 2021 (based on 37 responses
received from Joint UN Teams on HIV
and AIDS; source: 2022 UBRAF
Indicator Data Collection Survey).
Milestone (2023)
27 countries supported by the Joint
Programme receive policy and advocacy
support and for mobilizing
partnerships, to implement gender-
responsive HIV prevention, treatment,
care and support services free of
gender-based discrimination and
violence by 2023.
Milestone (2025)
44 countries supported by the Joint
Programme receive policy and advocacy
support and for mobilizing
partnerships, to implement gender-
responsive HIV prevention, treatment,
care and support services free of
gender-based discrimination and
violence by 2025.
Target (2026)
53 countries supported by the Joint
Programme receive policy and advocacy
support and for mobilizing
partnerships, to implement gender-
responsive HIV prevention, treatment,
care and support services free of
gender-based discrimination and
violence by 2026.
6.2 Provide policy and
advocacy support by the
Joint Programme to
countries to implement
gender-responsive HIV
prevention, treatment,
care
and
support
services free of gender-
based discrimination and
violence.
Indicator 6.2.1 Number of countries where
the Joint Programme provided policy and
advocacy support and contributed to
mobilizing partnerships to implement
gender-responsive
HIV
prevention,
treatment, care and support services free of
gender-based discrimination and violence.
Danish priority results area 2: Ensure that young persons, especially young women and adolescent girls,
have access to prevention
Related to:
JOINT PROGRAMME OUTCOME 2: Communities of people living with, at risk of and affected by HIV,
including key populations, women and young people, are empowered, enabled and effectively resourced to lead
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HIV service delivery, advocate for and enjoy their right to health, and social and structural drivers of the HIV
epidemic are removed
Result Area 7 young people
Outputs (5 years)
Indicator
7.1 Support countries to
scale-up multisectoral
interventions that
promote life-skills and
comprehensive sexuality
education, access to
youth-friendly SRH
services and a seamless
continuum across HIV
prevention, treatment
and care for adolescents
and youth ages 10-24
years.
Indicator 7.1.1. Number of countries
supported
to
scale-up
multisectoral
interventions that align with ministerial
commitments to increase access to youth-
friendly sexual and reproductive health (SRH)
services, including comprehensive sexuality
education (CSE), to improve young people’s
well-being
Baseline and milestones
Baseline
At least 22 countries supported by
the Joint Programme mobilize
political will to adopt ministerial
commitments to scale-up
multisectoral intervention to increase
access to youth-friendly SRH
services including CSE by 2023.
Milestone (2023)
At least 35 countries supported by
the Joint Programme implement
ministerial commitments to scale-up
multisectoral intervention to increase
access to youth- friendly SRH
services, including CSE by 2023.
Milestone (2025)
At least 55 countries supported by
the Joint Programme implement
ministerial commitments to scale-up
multisectoral intervention to increase
access to youth- friendly SRH
services and quality education,
including CSE by 2025.
Target (2026)
60 countries supported by the Joint
Programme to implement ministerial
commitments to scale-up
multisectoral interventions to
increase access to youth-friendly
SRH services and quality education,
including CSE.
Baseline
A baseline is not available. Although
the Joint Programme has worked on
supporting youth-led responses in
the past, this is a new indicator and
the information relating to this
specific indicator has not been
collected before.
Milestone (2023)
At least 10 countries supported by
the Joint Programme to develop
and/or implement a costed plan to
scale up youth- led HIV response.
Milestone (2025)
At least 35 countries supported by
the Joint Programme to develop
and/or implement a costed plan to
scale up youth-led HIV
response.
7.2 Technical support to
countries to
institutionalize the
expansion of youth-led
responses, ensure
greater involvement and
leadership of young
people in the HIV
response (service
delivery, monitoring,
advocacy and
governance) and to put
in place adequate
funding and policy
frameworks.
Indicator 7.2.1. Number of countries where
the Joint Programme provided support to
develop and implement costed plans to expand
and institutionalize youth-led HIV responses.
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Organisation Strategy for UNAIDS.
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Target (2026)
At least 30 countries supported by
the Joint Programme to develop
and/or implement a costed plan to
scale up youth-led HIV response.
Danish priority results area 3: Ensure a resilient and fit-for-purpose UNAIDS
UNAIDS Secretariat Function 1 - Leadership, advocacy and communication
UNAIDS Secretariat Function 5 – Governance and mutual accountability
Outputs (5 years)
Indicator
Baseline and milestones
S1.1
Sustain
and
enhance
political
commitments to end
AIDS and implement
the
Global
AIDS
Strategy 2021-2026 and
end
HIV-related
inequalities
Indicator S1.1.1. Number of high-level
political meetings related to HIV and AIDS
where the Secretariat informed/influenced the
outcome documents
Baseline
Number of High-Level political
meetings outcome documents
reflecting HIV/AIDS: 17 (in 2020)
and 21 (in 2021 but noting it was
special year because of the new
Global AIDS Strategy and UN
General Assembly’s High-Level
Meeting on HIV/AIDS).
Milestone (2023)
At least 15 high-level political
meetings outcome documents
reflecting HIV and AIDS.
Development of the next Global
AIDS Strategy commenced.
Milestone (2025)
At least 15 high-level political
meetings outcome documents
reflecting HIV and AIDS
Decision taken by the UN General
Assembly to convene the next High-
Level Meeting on HIV/AIDS in
2026.
Target (2026)
Next Global AIDS Strategy
developed and adopted by PCB.
UN General Assembly High Level
Meeting on HIV/AIDS convened in
2026 with adoption of new Political
Declaration on HIV and AIDS.
Baseline
A total of 20 meetings were
facilitated in 2020, reflecting
effective UNAIDS governance and
inclusive multistakeholder
engagement.
Milestone (2023)
A minimum of 14 meetings per year
held across UNAIDS primary
governance mechanisms (PCB, PCB
Bureau, ECOSOC, CCO, NGO
Delegation) to support effective
S5.1
Facilitate
and
support
effective
governance of and
inclusive
stakeholder
engagement in the Joint
Programme
and
promote
multilateral
commitment to the
Global HIV response
(PCB,
including
Committee
of
Cosponsoring
Indicator S5.1.1. Number of meetings with
constituency inclusive engagement facilitated
to support the governance of the Joint
Programme, including by transparent and
effective decision-making per the PCB modus
operandi.
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Organisation Strategy for UNAIDS.
Organizations (CCO),
ECOSOC, and UNGA).
Draft 29 August 2024
governance and inclusive stakeholder
engagement.
Milestone (2025)
A minimum of 14 meetings per year
held across UNAIDS primary
governance mechanisms (PCB, PCB
Bureau, ECOSOC, CCO, NGO
Delegation) to support effective
governance and inclusive stakeholder
engagement.
Target (2026)
A minimum of 14 meetings per year
held across UNAIDS primary
governance mechanisms (PCB, PCB
Bureau, ECOSOC, CCO, NGO
Delegation) to support effective
governance and inclusive stakeholder
engagement.
Baseline
External auditor report (2021),
Internal auditor report (2021), Ethics
report (2021), Performance
Monitoring report (2020-2021),
Financial Reports (2020-2021).
Milestone (2023)
Annual performance monitoring
reporting, financial reporting, and
organizational oversight reports
submitted and considered by PCB.
Results and Transparency portal
updated with latest information.
Milestone (2025)
Annual performance monitoring
reporting, financial reporting, and
organizational oversight reports
submitted and considered by PCB.
Results and Transparency portal
updated with latest information.
Target (2026)
Performance monitoring reporting
and transparency portal demonstrate
effective and transparent
accountability of the Joint
Programme.
Oversight reports, management
responses and the related PCB
decisions demonstrate effective and
transparent accountability and
compliance by the Secretariat.
S5.2 Mutual
accountability and
transparency
mechanisms, including
the PCB Independent
External Oversight
Advisory Committee, in
place (in relation to
UBRAF management,
monitoring and
reporting, compliance
with IATI, follow up to
audit recommendations,
relevant PCB decisions,
and MOPAN).
Indicators S5.2.1. Annual performance
monitoring, financial and organizational
oversight reports (i.e. reports of the auditors,
Ethics Office, and UNAIDS Independent
External Oversight Advisory Committee)
submitted to the PCB for consideration and
Results & Transparency Portal updated.
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Annex 2: Annual Wheel
Quarter 1
UNAIDS
UNAIDS Structured
Funding Dialogue
(held in Q1 or Q3)
Quarter 2
Regular PCB meeting
/1
(June)
GVAMIS
Participates in ongoing meetings with UNAIDS and
like-minded countries.
Prepares Annual Stock Taking Report (ASR) for the
preceding year based on latest information (early
February)
Participates in UNAIDS Structured Funding
Dialogue, when organised.
Disbursement of annual Danish contribution to
UNAIDS.
Consults with like-minded countries and Nordic+
constituency ahead of June PCB meeting.
Agenda and background documents for the PCB to
be shared with relevant embassies and departments
for their inputs, as well as adopted decision points
after the PCB.
Participates in PCB meetings through the Nordic+
constituency and after consultations with like-
minded countries.
Participates in ongoing meetings with UNAIDS and
like-minded countries.
Participates in UNAIDS Structured Funding
Dialogue, when organised.
Participates in Nordic consultations with UNAIDS,
when organised.
UNAIDS' Global AIDS Update shared with relevant
embassies and departments.
Consults with like-minded countries and Nordic+
constituency ahead of December PCB meeting.
Agenda and background documents for the PCB to
be shared with relevant embassies and departments
for their inputs, as well as adopted decision points
after the PCB.
Participates in PCB meetings through the Nordic+
constituency and after consultations with like-
minded countries.
World AIDS Day report shared with relevant
embassies and departments.
Prepares draft Annual Action plan
/2
Quarter 3
UNAIDS Structured
Funding Dialogue
(held in Q1 or Q3)
Quarter 4
Regular PCB meeting
/2
/1 The Executive Director provides a mid-year progress report on UNAIDS' activities, strategies, and global progress in addressing HIV/AIDS. This report usually
focuses on the implementation of the UNAIDS Strategy, emerging issues in the global HIV/AIDS response, partnerships, and financial and operational matters.
/2 The Executive Director delivers a more comprehensive end-of-year report that evaluates the overall performance of UNAIDS for that calendar year. The December
report typically includes: Strategic and operational progress on UNAIDS’ goals, particularly in relation to the global AIDS targets. Budgetary and financial reporting,
including the management of resources and future financial outlook. The PCB reviews and approves key financial, budgetary, and operational matters.
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Organisation Strategy for UNAIDS.
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Annex 3: UNAIDS Background material
Annex 3.1 Global status HIV/AIDS 2024 (visuals)
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
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Organisation Strategy for UNAIDS.
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Organisation Strategy for UNAIDS.
Annex 3.2 Organisational Structure
Draft 29 August 2024
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Organisation Strategy for UNAIDS.
Annex 3.3 MOPAN 2023 performance illustration
Draft 29 August 2024
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Organisation Strategy for UNAIDS.
Draft 29 August 2024
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Organisation Strategy for UNAIDS.
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AIDS stands for Acquired ImmunoDeficiency syndrome caused by the HIV a retrovirus that infects cells of the
human immune system and destroys or impairs their function
2
UNICEF, UNDP, UNFPA, UNESCO, WHO, World Bank, UNODC, ILO, WFP, UNHCR, and UNWOMEN
3
https://www.unaids.org/en/resources/documents/2021/2021-2026-global-AIDS-
strategy?_gl=1*vbl7mi*_gcl_au*NDQzMTE0NzEuMTcyMzk3NDEzNg..*_ga*MTcwMTk4NjIxNS4xNzIzOTc0
MDcw*_ga_T7FBEZEXNC*MTcyMzk3NjU2Ni4yLjAuMTcyMzk3NjU2Ni42MC4wLjA.
4
Stated intention to end other epidemics include: tuberculosis, malaria, and neglected tropical diseases and combat
hepatitis, water-borne diseases, and other communicable diseases by 2030.
5
https://www.unaids.org/sites/default/files/media_asset/PCB54_PMR_Executive_Summary%20final.pdf
6
https://data.unaids.org/una-docs/three-ones_keyprinciples_en.pdf
7
https://unaidspcbngo.org/
8
MOPAN 2023: 21
9
https://www.unaids.org/sites/default/files/media_asset/PCB54_Report_Executive_Director.pdf
10
The scope of the assessment excluded UNAIDS country offices and UNAIDS regional support offices, the
performance of the UNAIDS Joint Programme as a whole, i.e. the coalition of Cosponsors and Secretariat.
11
https://open.unaids.org/2030-agenda-and-un-reform
1
30