UN Special Envoy for HIV/AIDS in Africa

 Elizabeth Mataka, United Nations Secretary General's Special Envoy for AIDS in Africa:

“We are no longer fatalistic about HIV and AIDS. There is hope.”

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Financing a Response to the Epidemic

Multilateral development banks spend about 100 billion dollars ‘development aid’ every year. But little of this huge amount is used to address reproductive health concerns in poverty stricken areas. Inadequate funding and appalling quality of solutions for reproductive health and HIV and AIDS projects by various multilateral development banks continues unabated despite decades of endless commitments and deadlines, newest amongst them are the millennium development goals.
 
Africa development bank spends less than 1 percent of total spending on reproductive health and hiv and aids issues (Dennis and Zuckerman et al). According to a recent study by Zuckerman and Dennis, the world bank’s funding for HIV and AIDS projects has declined by 40 percent while the number of projects has dropped by 57% between 2003 and 2006 alone.
According to UNAIDS, 10 billion US dollars has been made available to the cause so far. For the most part, hardest hit countries by the epidemic have been the majority of recipients, of which most are in Africa. A large proportion of funding has been made available for sexual behaviour change programmes, Voluntary Councelling and Testing and treatment campaigns which have been a main focus of the response so far.
 
However, to achieve universal access by 2010, funding still has to be scaled up by 50% to address a US $ 8.1 billion funding gap. In addition, it has been realised that more funds need to be made available for health system support, civil society support and addressing gender imbalances, which are key factors that still need to be tackled in order to curb the HIV/AIDS epidemic. African governments in particular need to start scaling up the amounts they spend on their health infrastructure, technology, health personnel and finding lasting solutions to tackling gender discrimination as well as to foster gender empowerment (see map for per capita health expenditure).
 
 

 

Note 1.    1986 to 2000 are international funds only.

Note 2.    Domestic funds are included 2001 onwards.

1986 – 2006 statisitics extracted from 2006 report on the Global HIV/AIDS epidemic       

Dennis, S and Zuckerman, E. Mapping mulateral development banks' spending on reproductive health and HIV and AIDS. Gender and development. 2008, 16:2 pg 287.