Since 2010, we have seen considerable progress in the response to HIV. There has been a significant reduction in mortality, and millions of people now have access to antiretroviral treatment. However, in sub-Saharan Africa, the situation remains worrying. More than 25 million people are still living with HIV in this region, and sub-Saharan Africa remains the area most affected by this pandemic.
And regarding Senegal, where are you in this fight?
Senegal has made notable progress in its response to HIV. The prevalence there is estimated at 0.3%, which is relatively low compared to other countries in the region. The country also follows UNAIDS targets. Currently, 88% of people living with HIV know their status, which is close to the target of 95%. In addition, 91% of people who know their status are on treatment, and of these, 90% have an undetectable viral load. This demonstrates the effectiveness of treatment and response efforts.
What are UNAIDS’ missions in this fight and how do you support countries like Senegal?
UNAIDS’ mission is to coordinate the global response to HIV. We help countries develop national strategies, produce strategic information and monitor progress. We also support the production of data and the analysis of the challenges encountered. For example, every year, we produce a global report which allows us to monitor the evolution of the epidemic. In Senegal, we assist the country in the implementation of public policies and in the fight against stigma and discrimination linked to HIV.
Eliminating mother-to-child transmission is one of the global goals of UNAIDS. Where are you on this?
Unfortunately, this goal has not yet been achieved, although we have all the technical and strategic tools to eliminate it. Very few countries have succeeded in eradicating this transmission, and in the region, no country has yet been completely successful. However, some countries, such as Cape Verde, are on the right track.
You mentioned the rise in new infections, particularly among young people. What are you doing to combat this phenomenon?
This is a major concern. We are observing an increase in new infections, particularly among young people, and especially among young girls who are more vulnerable than boys. One of the problems is that prevention has not been sufficiently emphasized in recent years. Treatments have provided a better quality of life for people living with HIV, but this should not make us forget that prevention remains essential. We are putting in place strategies to raise awareness among young people, particularly in school and out-of-school settings, so that they have the right information on HIV prevention.
Stigma remains a big obstacle in the fight against HIV. How do you respond to it?
Stigma is a major challenge because it prevents people living with HIV from accessing care and services. It is crucial that these people feel safe and not discriminated against in order to benefit from treatment. The fight against stigma requires awareness-raising actions, including in communities, with authorities and health services, as well as with religious leaders. We continue to advocate for these issues to be taken seriously and for non-discrimination policies to be enforced.
What are the other challenges you face in the fight against HIV in Senegal?
Besides stigma, one of the biggest challenges remains resource mobilization. To sustain the HIV response and ensure access to free medicines, it is essential to continue mobilizing funds, both nationally and internationally. This requires constant support from international partners and the private sector, as well as good management of available resources.
And finally, what role do the media play in this fight?
The media has a key role to play in awareness and education. They must continue to talk about HIV to prevent the epidemic from being forgotten. Social media and mobile apps are also powerful tools for reaching young people and providing them with essential prevention information. It is crucial to maintain the visibility of HIV in the public space so as not to leave room for ignorance.
