In 2022, the frequency and magnitude of climate shocks, droughts and floods, as well as conflict and a global food crisis, led to more humanitarian emergencies, forced displacement, food insecurity, poverty and sexual violence. In humanitarian settings, unsafe living conditions, a heightened risk of sexual violence and negative coping strategies can contribute to increased rates of HIV transmission.

Additionally, access to HIV treatment is often interrupted due to procurement disruptions and the closure or reduced operations of health facilities. Where treatment is still available, insecurity, lack of access to food, and the loss of documents can undermine treatment adherence.

In 2022, Joint Programme activities resulted in strengthened diagnosis, management and outcome monitoring for people living with HIV and people with HIV/TB, as well as an improved response to health and protection needs in humanitarian settings through disseminated and promoted guidance.

Further, essential health services, including HIV services, that have been disrupted by COVID-19 were continued and restored; and more resilient systems for health and pandemic preparedness were supported in ways that also support platforms for the HIV response and more fully leverage lessons from the HIV response.