The principle of Meaningful Involvement of  People Living with HIV  and AIDS (MIPA) in all aspects of HIV and AIDS programming, seeks to promote the integration of People Living With HIV (PLWHIV) in the planning, implementation, and monitoring and evaluation of interventions addressing HIV and AIDS. Such an approach is critical to the ethical, efficient and effective response to HIV and AIDS.

It is essentially a policy position which rationalises and secures the position of PLWHIV as legitimate participants in policy and decision making.

The MIPA concept was originally expressed through the acronym “GIPA” which referred to a stated intention to greater/ increased involvement of PLWHIV. The GIPA concept was adopted by the United Nations General Assembly Special Session on HIV and AIDS (UNGASS DoC) in 2001. In 2003, PLWHIV lobbied for a new GIPA initiative, one that shifted the focus from increased involvement to a more expansive vision for meaningful involvement of PLWHIV, focussing more on the overall empowerment of PLWHIV.

Zimbabwe has committed itself to integrating the principles of GIPA and MIPA, though the operationalisation of this commitment has tended to be on an ad hoc basis. In the National HIV and AIDS Strategy (ZNASP 2006- 2010) one of the strategic issues is the full adherence to the principles of greater and meaningful involvement of PLWHIV. NAC has since appointed a MIPA coordinator to ensure the implementation the MIPA principles.