implement the programs established for education, prevention, epidemiological surveillance,
research, care and monitoring of STI/HIV/AIDS.32
48.
The State has enacted other provisions related to care for people living with HIV.
They include the issue of Ministerial Decree No. 472-2012 of August 13, 2012, which
ensured the supply of Lopinavir/Ritonavir for patients of the National Program for the
Prevention and Control of STI/HIV/AIDS (hereinafter also “PNPC”), and of Ministerial Decree
No. 871-2012 of September 26, 2012, approving an international cooperation framework for
the supply of and access to the antiretroviral drugs used by the PNPC. 33
A.3. Other measures adopted to treat HIV/AIDS in Guatemala
49.
Starting in 1985, the State adopted public policies to prevent and treat the HIV/AIDS
epidemic following identification of the first cases of the infection. In 1996, the first national
strategic plan to respond to HIV was drawn up. In 1999, at the request of the Ministry of
Public Health and in close collaboration with the Asociación Coordinadora de Sectores de
Lucha contra el SIDA (Association to Coordinate the Sectors combatting AIDS), the 19992003 STI/HIV/AIDS National Strategic Plan was prepared. In 2000, the General Law to
combat HIV/AIDS established the creation of the National Program for the Prevention and
Control of STI/HIV/AIDS. In 2002, the Population and Social Development Policy was
published establishing the goal of “a 20% decrease in sexually transmitted infections, HIV
and AIDS in the long term.”34
50.
In 2005, the President of the Republic, by Government Decree No. 638-2005, ratified
the Public Policy for the Prevention of Sexually Transmitted Infections (STI) and Acquired
Immunodeficiency Syndrome (AIDS). The same year, the PNPC published the Guatemalan
Guidelines for Antiretroviral Treatment and Treatment of Opportunistic Infections, and the
Ministry of Public Health published the Guidance Manual on STI/HIV/AIDS. In March 2006, a
new National Strategic Plan for the Prevention, Care and Control of STI, HIV and AIDS was
adopted for the period 2006-2010. In 2007, the National Information, Education and
Communication Strategy to change behavior was launched – Information, Education
Communication/behavioral change (IEC/bc) for the prevention of STI, HIV and AIDS in
Guatemala. The same year, the Ministry of Public Health, together with the PNCP, published
the Manual on the comprehensive treatment of sexually transmitted infections emphasizing
syndrome management and, in 2008, it published the Manual on the feeding of infants
whose mothers are living with HIV.35
Cf. Government Decree No. 317-2002 of September 6, 2002, Regulations to the General Law to Combat
the Human Immunodeficiency Virus (HIV) and the Acquired Immunodeficiency Syndrome (AIDS) and for the
Promotion, Protection and Defense of Human Rights in the presence of HIV/AIDS, Articles 2, 31, 32 and 35
(evidence file, folios 9931, 9938 and 9939).
32
Cf. Communication M12-OAS-F.9.2.1 No. 1330-2012 of November 26, 2012, signed by the Permanent
Representative to the Organization of American States, Ambassador Rodrigo Vielmann, and addressed to the
Executive Secretary of the Inter-American Commission on Human Rights, Emilio Álvarez Icaza (merits file, folio
210).
33
Cf. National Program for the Prevention and Control of Sexually Transmitted Infections (STI), the Human
Immunodeficiency Virus (HIV) and the Acquired Immunodeficiency Syndrome (AIDS) (evidence file, folio 8750);
Decree 27-2000 of June 2, 2000, General Law to Combat the Human Immunodeficiency Virus (HIV) and the
Acquired Immunodeficiency Syndrome (AIDS) and for the Promotion, Protection and Defense of Human Rights in
the presence of HIV/AIDS, article 4 (evidence file, folio 9915), and the Population and Social Development Policy
established as a goal the “a 20% decrease in sexually transmitted infections and HIV and AIDS in the long term”
[…] emphasizing that, “[it was] important to reinforce comprehensive care for STI, HIV and AIDS, and inform and
educate the population in order to enhance prevention” (evidence file, folio 9132).
34
Cf. Government Decree No. 638-2005 of November 30, 2005, ratifying the Public Policy for the Prevention
of Sexually Transmitted Infections (STI) and of Acquired Immunodeficiency Syndrome (AIDS) (evidence file, folio
35
16