Maher Sleiman

This session fostered a vibrant debate on HIV's future in global health, exploring integration versus exceptionalism. Panellists, speaking independently of their organizations, delved into historical, political, and movement-based perspectives, highlighting risks and envisioning future pathways. The engaged audience contributed to a rich dialogue on this critical global health issue.

Moderated by Anders Nordström (Karolinska Institute) and featuring online contributions from As Sy Elhadj (Kofi Annan Foundation), this session engaged in a candid debate on the future of HIV in global health. Panellists Angeli Achrekar (UNAIDS), Vuyiseka Dubula (The Global Fund), and Lawrence Gostin (Georgetown University Law Center) highlighted the critical juncture we face between integration and exceptionalism. Initial audience voting revealed an almost even split on this issue. Concerns were raised about defunding the HIV response and pushing for integration when global systems are ill-prepared. The notion of UNAIDS being replaced by WHO was dismissed, emphasizing HIV’s multi-sectoral impact beyond health. Rushed integration, particularly driven by right-wing leaders with anti-rights agendas, poses severe risks, potentially leading to increased deaths among key affected communities. The debate challenged the binary perspective, inviting discussion on a third approach that addresses the unique, exceptional nature of the current HIV situation. This vibrant discussion underscores the need for a nuanced strategy that safeguards the gains made and continues to prioritize the multifaceted response required to address HIV effectively.

The debate on moving from “UNAIDS to UN-Health” revealed that simplistic acronyms fail to capture the complexity of HIV integration. Highlighting the need for multi-sectoral collaboration, innovative thinking, and inter-movement solidarity, the session emphasized that historic reflection, collective action and youth activism are crucial. The AIDS movement teaches us the strength of courage and unity, the importance of revisiting foundational principles, and the limiting nature of binary thinking. As global health systems remain unprepared for HIV integration, meaningful progress requires embracing diverse perspectives and strategies, while prioritizing the safety, wellbeing and leadership of key affected communities.