Addressing critical enablers

Addressing critical enablers for HIV, TB and malaria

An enabling legal framework that protects and promotes human rights and gender equality is imperative to fostering the development of all people and attaining the United Nations 2030 Agenda for Sustainable Development and the Sustainable Development Goals. Research shows that it is also critical to successful HIV, TB and malaria programmes. It helps people affected by HIV, TB and malaria to protect and promote their rights to non-discrimination, equality and freedom from violence by allowing them to:

  • Access effective HIV, TB and malaria health information and services without discrimination
  • Reduce their risk of HIV, TB and malaria infection
  • Participate meaningfully in the design, development, implementation, monitoring and evaluation of services, and
  • Realize their human rights to equality, health and development.

Nurse led program reducing human rights barriers to increasing access to services

Nurse led program reducing human rights barriers to increasing access to services

For this reason, human rights, gender equality and enabling legal and policy frameworks are viewed as critical enablers to creating effective, sustainable HIV, TB and malaria responses, including for key populations. National HIV, TB and malaria programmes need to integrate, and be integrated within these broader development goals, in order to be successful.  

However, national health responses to HIV, TB and malaria often fail to address critical enablers adequately. This may be due to political sensitivities around human rights, gender equality and key populations, or due to limited capacity and understanding of critical enablers, why they are important and how to address them in HIV, TB and malaria programmes. Critical enablers require people and organizations to work together to develop an integrated response from both health and non-health sectors, such as law and justice, education, employment, social services, governance, finance and planning. Many of these partners may be unfamiliar with and lack the capacity to address human rights, gender equality and strengthened legal and policy frameworks in the context of HIV, TB and malaria.

Critical Enablers