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OpEdNews Op Eds    H3'ed 12/3/20

Community-led approaches are pivotal to respond to HIV, SRHR and COVID-19

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Young key populations of the region experienced disruptions when accessing condoms, Pre-Exposure Prophylaxis (PrEP), HIV testing and medication, mental-health medication and psychological support.

Gender-identity-related stigma and discrimination also increased significantly during this time and amplified sexual and other forms of gender-based violence as well as violence against key populations by their families because people are spending a lot more time together in closed personal spaces.

Community solidarity and resilience in times of COVID-19

There are countless examples of how community solidarity has been at the forefront of doing their bit to maintain continuum of HIV care and service delivery, despite lockdowns. These include community-led innovations on differentiated service delivery, multi-month distribution of home antiretroviral (ARV) refill delivery and PrEP delivery service in Philippines; adapting service delivery to meet the needs for PrEP in Viet Nam; community ARV dispensing in India, Nepal, Papua New Guinea, Philippines, and Thailand; key population led PrEP service delivery in Thailand, to name a few. Regional community networks have also amplified the impact of these and other community-led responses.

However, such solidarity cannot be the sole responsibility of communities. Governments cannot absolve themselves from their responsibility to accelerate and sustain progress on every evidence-based intervention for HIV prevention, treatment, care and support. They also have no excuse to not invest fully for universal access to health through universal health coverage, which should be focussed not only on issues of health financing, but anchored in the right to health for everyone.

Shobha Shukla - CNS (Citizen News Service)

(Shobha Shukla is the award-winning founding Managing Editor of CNS and is a feminist, health and development justice advocate. She is a former senior Physics faculty of Loreto Convent College and current Coordinator of Asia Pacific Media Network to end TB & tobacco and prevent NCDs (APCAT Media). Follow her on Twitter @shobha1shukla or read her writings here www.bit.ly/ShobhaShukla)

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Citizen News Service (CNS) specializes in in-depth and rights-based, health and science journalism. For more information, please contact: www.citizen-news.org or @cns_health or www.facebook.com/cns.page
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