People with disabilities have often been excluded in HIV prevention and care efforts of AIDS because it is assumed that they are not sexually active and therefore are at little or no risk to infection. The Global Survey on Disability and AIDS conducted by Yale University and the World Bankhas shown that this assumption is incorrect. The PCD have the same or higher level of exposure to all known risk factors for HIV infection. For example, adolescents and adults with disabilities have equal probability that their peers without disabilities to be sexually active. Homosexuality and bisexuality seem to occur in the same proportion between the PCD that between those who are not. The PCD have the same probability that people without disabilities to use drugs and alcohol (Unicef 1999).

It is even more likely that men and women with disabilities are victims of violence or of rape, although it is less likely to succeed in obtaining police intervention, legal protection or care prophylactic (Groce and Trasi 2004).

To reach people with disabilities messages of HIV and AIDS, health care and reproductive health services presents unique challenges. Even when AIDS messages reach the PCD, low literacy rates and limited levels of education complicate the understanding of these messages. The overall percentage of instruction for adult males with disabilities is as low as 3%, and 1% for women (Helander 1998).

Literacy is vital to understand messages of HIV and translate into a change in behavior. But even literacy can not overcome all obstacles; messages and communication of HIV are often inaccessible to people who are blind or deaf, and facilities for medical services are often not accessible to people with physical disabilities. There are few rehabilitation services, especially in rural areas. It is estimated that only 3% of all disabled persons have access to rehabilitation services they need (Unicef 1999).

Finally, persons with disabilities in many countries report being rejected in the diagnostic centers HIV or AIDS clinics. Often, the DCP reported to be sent home by the clinical staff who will ensure that people with disabilities are not infected with AIDS. " Where medicines for AIDS are scarce or services and assistance for people with HIV or AIDS are limited, people with disabilities reported to be located in the bottom of the list of those entitled to receive attention.

With the advance of medicine, as groups of people living with AIDS go to a higher survival which tends to grow increasingly. People living with AIDS are potentially associated persons living with disabilities or as a result of medication.

They are prepared Programs National STD and AIDS to address this reality?

To ensure universality, equity and sustainability in access to health programs and prevention, the planned actions should be built, with an inclusive approach from its conception to its implementation.

The exclusion of people with disabilities in the prevention and care of HIV / AIDS involves an error and a lack of vision. Given the population size of this group (an estimated 10% of the world's citizens), the AIDS crisis can not be addressed successfully unless the PCD are included routinely throughout the developed AIDS efforts.