The number of young people living with HIVi* is increasing. This is a call to action.
I am one of 7 million young people living with HIV.
I am one of 2 million children infected at birth or in infancy. I am one of 5 million young people who
contracted HIV at a young age, either through drug use or sex.
There are many of us – toddlers, small children, teenagers with desires and aspirations same as any
other ? who still don’t know that we are living with HIV. In sub?Saharan Africa, I am most likely to be
a young woman and in Eastern Europe I am probably a person who has used drugs. In Asia, there are
many like me. In the Middle East, we are only a handful.
30 years into the response, I face stigma and discrimination on a daily basis: people still fear me
because of the virus in my body.
I am not part of a homogenous, empowered “Youth Movement”. YPLHIV are sex workers, people
who use drugs, gays and transgender, migrants ? and people just like you. We are a diverse group of
young people with common needs and particular challenges, united often only by our HIV status.
I am sometimes an articulate voice for others like me or a leader at the centre of the response but as
I “age out”, my skills, experience and leadership will be lost to the YPLHIV community.
I am often without a voice.
I am asking for the same rights and opportunities as any other young person. Nothing more.
Here are 5 of the most important things you can do for me:
My needs change as I grow. I need a health service that supports me as I move from childhood to
adolescence into adulthood ? services that also respond to the particular needs of young people
most affected by HIV. However, Universal Access is not just about health services – every part of the
government has a responsibility to make Universal Access a reality for me. For example, laws and
policies requiring parental consent for testing, treatment and care work against Universal Access for
all young people.
Do away with laws and policies that criminalise HIV transmission. Make laws and policies that
promote and protect my rights. Make it your responsibility to entrench my rights to confidentiality,
health, happiness, education, sexual and reproductive fulfilment, and participation. I am not under
any increased responsibility to disclose. Scrap the laws and policy that make it compulsory for me to
disclose my status. I will choose to disclose to whom I want, when I want, how I want.
Don’t assume that I want to make a career out of my status. I may want to be involved as an
advocate, a volunteer, or a mentor. I may not want to disclose my status but I can still be passionate
and active about the issues that affect me and others like me. I also need to be a meaningful part of
the larger community – gain a qualification, get a job, enjoy life with my friends and family. Let me
choose my own path and destiny.
I want to be active in the response and have a space at your decision?making table. Flying me to a
high?level meeting on the other side of the world for a meeting does not develop my leadership skills
or result in any benefit for my life and my community. I need skills, qualifications and opportunities
to become a leader and the opportunity to pass on my knowledge to others like me when I am an
adult. Ask me why I want to get involved and what I hope to accomplish, and find me mentors. Don’t
burn me out.
Three decades into the response, why is it that I still don’t feel safe to disclose my HIV status? Here’s
what I need you to understand: I want to feel empowered to disclose my status not only for my own
well?being but also for my peers. Providing a conducive environment for safe disclosure in my school
and my community means that more young people will talk about HIV, more young people will test
and more young people will get the support they need.
I face stigma and discrimination on a daily basis. Thirty years into the response, people still fear my
HIV status and I don’t feel safe to disclose. I endure a triple jeopardy ? I am young, I am positive and
often, I am part of a stigmatised group that sits on the margins of society. The ever?present
prevention campaigns help to stigmatise me further. Ill?considered laws and poorly planned policies
that breach confidentiality or require disclosure disempower me.
It is time to change the messages and normalise my status.
I am one of 7 million young people living with HIV. These are the things I need you to understand.