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Informe ONUSIDA 2019

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  UNAIDS 2019 | REFERENCE UNAIDS DATA 2019  Foreword 2State of the epidemic 5Global and regional data 16Eastern and southern Africa 21 Country tables 34 Western and central Africa 75 Country tables 88 Asia and the Pacific 137 Country tables 152 Latin America 209 Country tables 222 Caribbean 255 Country tables 268 Middle East and North Africa 289 Country tables 300 Eastern Europe and central Asia 339 Country tables 350 Western and central Europe and North America 379 Country tables 388 Annex on methods 455 CONTENTS  2 The AIDS epidemic has put a spotlight on the many fault lines in society. Where there are inequalities, power imbalances, violence, marginalization, taboos and stigma and discrimination, HIV takes hold. The AIDS epidemic is changing: in 2018, more than half of all new HIV infections were among key populations—sex workers, people who use drugs, gay men and other men who have sex with men, transgender people and prisoners—and their partners. Globally, new HIV infections among young women aged 15–24 years were reduced by 25% between 2010 and 2018. This is good news, but of course it remains unacceptable that every week 6000 adolescent girls and young women become infected with HIV. The sexual and reproductive health and rights of women and young people are still too often denied. Despite the scale of the challenges and the miles we must still travel together in the AIDS response, I am hopeful. The AIDS response has demonstrated what is possible when people organize and assert their rights. Around the world, people living with HIV and civil society have raised their voices and exerted leadership. When communities organize and people empower each other, oppression can be replaced by rights and access to HIV services can be accelerated. Peer-to-peer counsellors, community health workers, door-to-door service providers, grass-root activists and networks of people living with or affected by HIV all have key roles to play in the response to HIV. As this report shows, community leadership in the AIDS response helps to ensure that HIV services are relevant to, and reach, the people who need them the most. The world has committed to achieving the 2030 Agenda for Sustainable Development. As part of that, governments must protect and uphold the human rights of everyone. As the eyes and ears of the AIDS response, communities play a critical role in holding decision-makers to account and demanding political leadership. For me, the AIDS response is about people—the young women who don’t know how to keep themselves HIV-free, the men who won’t or can’t seek out health care, the transgender people who are discriminated against and the hundreds of thousands of people who die each year, even though HIV is preventable and treatable. It is in our collective power to overcome the barriers that all too often stand in the way of better health—barriers such as user fees and other hidden costs, harmful laws, stigma and discrimination, lack of knowledge and gender-based violence. FOREWORD
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