The High-Level Panel (HLP) Report outlines a vision to frame the global agenda after the current Millennium Development Goals (MDGs) expire in 2015.
The Alliance, in collaboration with many partners, has provided significant input through the national, regional and thematic consultations that have informed the deliberations of the HLP which is chaired by David Cameron, Ellen Johnson and Dr Susilo Bambang Yudhoyono.
Commitment to reducing the burden of HIV and TB
We are pleased that the report acknowledges and seeks to build on the significant role the MDG’s have played in forging progress on key global challenges to date. We also welcome the importance it places on completing the unfinished business of the unmet MDG’s.
This is particularly relevant for HIV where, despite the progress achieved in scaling up the global response in recent years, we are still facing significant challenges to achieve universal access to HIV prevention, treatment, care and support. We commend the HLP decision to carry forward the unfinished MDG to reduce the burden of HIV and TB within the new framework.
The report also recognises and tries to fill the many gaps in the MDGs. One of these gaps was the need for an overarching health goal and we support the inclusion of the outcome-focused 4th goal of Ensuring Healthy Lives. We also agree with the report that Universal Health Coverage is the key way to achieve this.
Another glaring gap in the current MDGs was around sexual and reproductive health and so we commend the inclusion of the target to ensure universal sexual and reproductive health and rights. This is long overdue.
We welcome the ambitious overarching vision outlined in the report to bring an end to extreme poverty by 2030. The report states that this is now achievable if governments, UN agencies, civil society and the business sector work closely together to tackle the significant challenges faced, particularly by the poorest and most marginalized.
However, the High Level Panel members acknowledge that this requires a sea change in how we all address the structural barriers that lie at the root of inequality, including ensuring access to justice, laws and institutions that protect human rights (particularly of the most marginalized), and a more equal distribution of wealth, goods and services within and across countries.
We couldn’t agree more. The AIDS response has demonstrated clearly that involvement of the most affected communities and recognition of the key role communities play in providing services and advocating for their rights is crucial if we are to address extreme poverty and marginalisation meaningfully and deliver HIV, health and broader development services for all.
The journey isn’t over yet
The process of finalising the framework is far from over and another year of negotiations is ahead of us. We have fought hard to ensure that the HLP report recommendations include an overarching health goal, and specific targets to drive and monitor the progress that needs to be made to bring an end to AIDS. Now the indicative goals and targets need concrete indicators to monitor progress. Today’s report outlines no goals or indicators to drive the much needed political commitment to equality and the need to create more engaged and inclusive societies that address the needs of the most marginalized.
Central to the vision of the HLP report is the willingness of all players to work differently to drive significant changes that will secure a more equitable, prosperous and sustainable global community. This is central to the Alliance’s global strategy and we welcome that challenge.