A/RES/65/277
toxic and simplified treatment regimens that avert drug resistance, simple,
affordable diagnostics at point of care, cost reductions for all major elements of
treatment delivery, mobilization and capacity-building of communities to support
treatment scale-up and patient retention, programmes that support improved
treatment adherence, directing particular efforts towards hard-to-reach populations
far from physical health-care facilities and programmes and those in informal
settlement settings and other locations where health-care facilities are inadequate
and recognizing the supplementary prevention benefits from treatment alongside
other prevention efforts;
68. Commit to develop and implement strategies to improve infant HIV diagnosis,
including through access to diagnostics at point of care, significantly increase and
improve access to treatment for children and adolescents living with HIV, including
access to prophylaxis and treatments for opportunistic infections, as well as
increased support to children and adolescents through increased financial, social and
moral support for their parents, families and legal guardians, and promote a smooth
transition from paediatric to young adult treatment and related support and services;
69. Commit to promote services that integrate prevention, treatment and care of
co-occurring conditions, including tuberculosis and hepatitis and improve access to
quality, affordable primary health care, comprehensive care and support services,
including those which address physical, spiritual, psychosocial, socio-economic and
legal aspects of living with HIV, and palliative care services;
70. Commit to take immediate action at the national and global levels to integrate
food and nutritional support into programmes directed to people affected by HIV in
order to ensure access to sufficient, safe and nutritious food to enable people to
meet their dietary needs and food preferences, for an active and healthy life as part
of a comprehensive response to HIV and AIDS;
71. Commit to remove before 2015, where feasible, obstacles that limit the
capacity of low- and middle-income countries to provide affordable and effective
HIV prevention and treatment products, diagnostics, medicines and commodities
and other pharmaceutical products, as well as treatment for opportunistic infections
and co-infections, and to reduce costs associated with life-long chronic care,
including by amending national laws and regulations, as deemed appropriate by
respective Governments, so as to optimize:
(a) The use, to the full, of existing flexibilities under the Agreement on
Trade-Related Aspects of Intellectual Property Rights specifically geared to
promoting access to and trade in medicines, and, while recognizing the importance
of the intellectual property rights regime in contributing to a more effective AIDS
response, ensure that intellectual property rights provisions in trade agreements do
not undermine these existing flexibilities, as confirmed in the Doha Declaration on
the TRIPS Agreement and Public Health, 8 and call for early acceptance of the
amendment to article 31 of the TRIPS Agreement adopted by the General Council of
the World Trade Organization in its decision of 6 December 2005; 9
(b) Addressing barriers, regulations, policies and practices that prevent
access to affordable HIV treatment by promoting generic competition in order to
help to reduce costs associated with life-long chronic care and by encouraging all
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9
World Trade Organization, document WT/MIN(01)/DEC/2. Available from http://docsonline.wto.org.
See World Trade Organization, document WT/L/641. Available from http://docsonline.wto.org.
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