Brazil

Key Results in 2022-2023

Combination HIV prevention, including PrEP, and testing services were scaled up among young people, key populations, indigenous people, refugees and migrants.
43 000 teenagers and over 2000 schoolteachers improved their literacy of HIV, sexual and reproductive health, drug abuse and gender diversity.
Brazil reaffirmed its commitment to human rights and healthcare for all by joining the Global Partnership for Action to Eliminate all Forms of HIV-Related Stigma and Discrimination.

Joint Programme Results

With substantial support from the Joint Programme, Brazil continued to expand HIV prevention, detection and treatment services among vulnerable and key populations, including women and children. In Amazon, Semiarid and Southeast regions, 366 159 children under the age of five and 25 000 pregnant women benefited from qualified and integrated services. Additionally, through the Early Childhood Friendly Units initiative, 2945 healthcare professionals from 471 health and early education units were trained and people-centred action plans were developed to further improve quality of services. Furthermore, 300 health units were recognized for their efforts in improving early childhood care indicators, meeting set quality standards, and successfully implementing initiatives to prevent, detect and treat vertical transmission of HIV and syphilis (UNICEF).

Implementation of community-led and culturally appropriate combination HIV prevention services further improved access among vulnerable and key populations, particularly indigenous refugees and migrants from the Warao ethnic group residing in shelters and people from informal settlements in Boa Vista and Pacaraima. Pre-exposure prophylaxis (PrEP) and HIV self-testing services for key populations were scaled up in Roraima, which receives a significant influx of migrants and refugees from Venezuela. PrEP dispensing services were established in 17 health units and around 1100 PrEP kits were dispensed, thanks to the significant support from the Joint Programme (WHO). A total of 630 people received training and subsequently facilitated 21 workshops on combination HIV prevention, stigma and discrimination for vulnerable and key populations, including migrants, refugees, sex workers and people from the LGBTQI+ and marginalized communities. Workshop participants also received 1000 self-testing kits for HIV and other sexually transmitted infections (UNESCO, UNAIDS Secretariat).

HIV incidence per 1000 uninfected populations

Source: AIDSinfo

AIDS mortality per 1000 population

Source: AIDSinfo

Progress towards 95-95-95 targets

Source: AIDSinfo

As part of UNAIDS Fast-Track Cities initiative, more than 1000 people from vulnerable and key populations, including pregnant women, people experiencing homelessness, sex workers and people from the LGBTQI+ community in Santa Catarina accessed HIV prevention and testing services, thanks to the financial support provided to the civil society organization GAPA Florianópolis (UNAIDS Secretariat). As part of the Conscious Generation Project, 43 000 teenagers and 2148 schoolteachers in Rio Grande do Sul improved their knowledge of comprehensive sexuality education, prevention of HIV and other sexually transmitted infections, alcohol and drug abuse and gender diversity (UNESCO, UNAIDS Secretariat).

To improve access to and uptake of tailored HIV and harm reduction services, 53 women representatives of 17 civil society organizations actively engaged in a national dialogue on combination HIV prevention and other tailored services for women who use drugs (UNODC, UNAIDS Secretariat). More than 30 members of the Quilombola communities (Brazilian Afro-descendants) were also empowered on public health policies, HIV prevention services, and engaged in discussions on toxic masculinities and the prevention of gender-based violence through a collaboration with the Women’s Action for Equity organization. In addition, over 6000 people, predominantly healthcare and social workers who are serving people from the LGBTQI+ communities gained better understanding of HIV-related discrimination through an online course launched in partnership with the Brazilian Association of Collective Health (UNAIDS Secretariat).

Brazil joined the Global Partnership for Action to Eliminate all Forms of HIV-Related Stigma and Discrimination demonstrating its continued commitment to global diplomacy for health and human rights, the protection of the rights of LGBTQI+ people and comprehensive healthcare access for all with a gender equality approach following advocacy by the Joint Programme (ILO, UNAIDS Secretariat). The Government of Brazil is also a member of the Global Council on Inequalities, AIDS and Pandemics and hosted its launching with members from government, academia, civil society and development partners to develop evidence-based strategies, nurture grassroots advocacy and support policies that address inequalities in the HIV and other pandemic responses (UNAIDS Secretariat).