World AIDS Day 2009

Part of the debate – in the Scottish Parliament at 5:48 pm on 25 November 2009.

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Photo of Shona Robison Shona Robison Scottish National Party 5:48, 25 November 2009

I, too, thank Jack McConnell for securing this important debate. The motion highlights vividly the enormity of the worldwide HIV/AIDS epidemic and the issues that we face in Scotland. I welcome the opportunity to set out the work that the Scottish Government is doing in that regard.

From the very good speeches that we have heard tonight, it is clear that the motion has struck a chord with a great many members, many of whom have direct experience of the issues that are involved, having visited some of the areas that are most affected by HIV and AIDS. In addition to our work throughout each year, it is extremely important that we use world AIDS day to take time to recognise the importance of AIDS and to highlight the challenges that this epidemic brings throughout the world.

As has been stated, more than 33 million people live with HIV across the world. In 2008, there were 412 new diagnoses of HIV in Scotland. Although that figure represents a 9 per cent decrease on the 452 cases that were reported in 2007, we cannot and will not be complacent.

Although the extent of new diagnoses in some way reflects an increase in testing, and recent figures show a reduction in the numbers of undiagnosed cases, there is evidence of transmission occurring among certain at-risk populations in Scotland. Specifically, in Scotland, men who have sex with men and people from sub-Saharan Africa are more likely to be affected by HIV than anyone else.

However—and it is a big however—as Jack McConnell and Karen Gillon pointed out, HIV does not discriminate. The stark figures not only set us a global challenge to work together internationally to reduce the spread of HIV but set the Scottish Government, health boards, local authorities and voluntary organisations a real challenge to reduce the transmission of HIV here in Scotland.

Today, with that in mind, I launched an HIV action plan for Scotland. The plan, which contains specific actions for the Scottish Government, the territorial and special health boards and the voluntary sector to take, aims to reduce HIV transmission and levels of undiagnosed cases of HIV, to reduce stigma and discrimination and to ensure the effective co-ordination of prevention and of treatment and care.

There is currently approximately £29 million each year within NHS boards' baselines for the treatment and care of HIV. In addition, the Scottish Government provides £9.5 million each year to prevent the spread of blood-borne viruses. As our epidemiology is constantly changing, we must ensure that our prevention efforts are targeted and evidence based to ensure that we have the best chance of reducing the transmission of HIV.

Reviewing the evidence and providing guidance on effective HIV prevention are a key action for the plan, which will not only require NHS boards to use their funding effectively but require the Scottish Government and the health boards to work closely with their partners, including local authorities and the voluntary sector, to deliver the actions effectively.

Throughout the development of the plan, the stigma and discrimination faced by people who are infected and affected by HIV were of utmost concern. In Scotland, the extent of that stigma and discrimination was recently highlighted by children and young people during a needs assessment that was funded by the Elton John AIDS Foundation. That work, which was supported by Annie Lennox, gives us an understanding of the work that we must undertake in relation to HIV services for young people in Scotland. I of course welcome Annie Lennox's willingness to become the Scottish ambassador—or whatever we choose to call the post—for women and children who are affected by HIV, and I would be delighted to do what I can to make that happen.

We have undertaken work in partnership with the International Planned Parenthood Federation to understand the extent of the stigma and discrimination faced by those who are living with HIV. The findings from the research, which will be released for world AIDS day, will be used to improve policies and practices in the UK and to enhance services to meet the needs of people who are living with HIV in 2009 and beyond.

I recognise that changing the long-standing attitudes among so many in the Scottish population is a challenge and will not happen overnight, but it is a challenge that we should not shy away from. Through our national sexual health social marketing work, we must challenge the views that are held by some in Scotland by raising awareness in the general population and by providing education in schools, as Robin Harper requested.

As part of our social marketing efforts, we shall undertake some targeted work that will be aimed at men who have sex with men, to raise awareness of the risk of HIV and to provide safer sex and testing messages. That campaign, which will be launched early next year, has used the learning from the very successful HIV comeback tour and equal campaigns, and will be delivered locally in a range of community settings to ensure effective targeting.

I have already mentioned the importance of working closely with key stakeholders in Scotland to deliver change. The Scottish Government currently provides funding to Oxfam Scotland, which works with local communities in Malawi to assist the most vulnerable people affected by HIV. It is right and proper that the Majority of the debate has been focused around that.

I hope that Jack McConnell agrees that it was right and proper to increase the international development budget. Even in these tight financial times, it is crucial that we send a message that that work is important. I hope that no one in the chamber would doubt that increasing the work through the international development budget will directly impact on the work on HIV and AIDS, and I hope that every member who is speaking in tonight's debate can send out that message to others.

To date, the funding has improved access to HIV/AIDS prevention and treatment by reaching out to more than 2,000 people through community discussion forums on the rights of those living with HIV/AIDS. It has trained village rights committees on human rights and good governance as well as providing a range of training to build care capacity and support within the community in relation to HIV prevention, care and support.

We also provide more than £350,000 of funding each year to enable a number of voluntary organisations in Scotland to provide not only general HIV prevention activities but specific work with African people and men who have sex with men.

I cannot overstate the value and importance of the work that is done in Scotland. I echo members' thanks to all those individuals and organisations, both statutory and voluntary, who dedicate their lives to raising awareness of HIV/AIDS and work not only to reduce transmission of the infection but, importantly, to provide treatment and support to those who need it most.

Meeting closed at 17:55.

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