UNAIDS is urging governments to ensure that HIV service providers from community-led organizations be recognized as essential service providers at the time of Covid-19.
For UNAIDS, as a “cornerstone of the response to HIV, community-led health service delivery has become even more critical in the context of COVID-19, as the needs of marginalized community members and the burden on the health sector are increasing, making it vital that continued provision of HIV, tuberculosis and other health services is secured.”
These community-led organizations are “providing a lifeline to underserved, marginalized and hard-to-reach populations around the world.”
UNAIDS acknowledged that physical distancing restrictions created challenges for those needing to access essential services, which created an increased burden on community organizations, which are at the center of service delivery.
But “community-led networks and organizations have… developed important working relationships and roles within health and community systems, including in coordination and task-shifting functions. As evidenced in many countries, these capacities can, with proper support, be deployed to facilitate the provision of Covid-19 information, prevention, testing and linkages to care.”
And yet “without formal recognition of the essential nature of their work, they face significant barriers to continuing to provide services.”
UNAIDS urged Covid-19 crisis committees at the national and district levels to:
- Include the workforce of community-led health care services into the lists of essential service providers and treat them as equivalent to health-care providers.
- Design physical distancing restrictions and policies in ways that allow community-led services to continue operating safely. Essential services include, but are not limited to, the physical provision of HIV, tuberculosis and Covid-19 and other health services that include prevention commodities, including condoms, lubricants, clean needles and opioid substitution therapy, contraceptives, hygiene kits, test kits, medication, triage and linkage to care, adherence support, packages of food and other essentials, the provision of legal services and protection for survivors of gender-based violence and other forms of violence and discrimination. Particular attention needs to be paid to people with physical disabilities.
- Provide special authorization to relevant community-led service providers to move freely, with appropriate personal protective equipment, to deliver the services when and where needed.
- Ensure that community-led organizations, networks and groups be provided with personal protective equipment and training in order to protect themselves and their clients in the course of service delivery.
- Take urgent measures to ensure the security, and expansion, of existing funding for community-led organizations, so that those organizations can continue to provide services.
- Ensure inclusive and transparent governance of Covid-19 responses, with decision-making bodies that include representatives of community-led organizations, including those focused on gender, equity and human rights, to ensure that Covid-19 policies are designed to support the range of service providers and activities necessary for an effective and equitable response.