One of the Theni District Positive regular social events which provide relaxation, comfort and support, India © Gideon Mendel for the Alliance A peer education leads a life skills session © Nell Freeman for the Alliance

Health & HIV financing

Aids AllianceAids Alliance

    With investment in the approaches that have been proven to work we could achieve an HIV-free generation 

Aids Alliance

Introduction

The Alliance works to ensure increased financing for health and HIV and that the communities whom we work with have an opportunity to contribute to decisions on how the money should be spent.

In 2011, there was a paradigm shift in the way we talk about the HIV response. Thanks to new scientific and research breakthroughs (including treatment as prevention and prevention of mother to child transmission) it has become realistic to start talking about ending AIDS. With investment in the approaches that have been proven to work we could achieve an HIV-free generation.

However, right at the time when we need more investment in HIV and health, the global economic crisis (which started in 2008) has led to many donors flat lining or reducing their Official Development Aid (ODA). Total donor funding for HIV has not increased for the past four years.

Now is not the time to give up. Our message to the international community and national governments is ‘Don’t stop now, finish the job!’

Global Picture

In 2011 the Global Fund to Fight AIDS, Tuberculosis and Malaria was forced to cancel its round 11 grants after governments did not fulfil their funding promises. No new grants will be given until 2014. As we reported in 2011 the effect of this on individuals and communities is devastating.

This failure of governments to live up to their funding commitments is having a serious effect on our ability to reach global HIV targets. The Millennium Development Goal (MDG) to have ‘halted and begun to reverse the spread of HIV/AIDS’ by 2015 is off track in many regions, and the target to reach universal access by 2010 was not achieved. In the current funding climate reaching the 2012 UN Political Declaration on HIV/AIDS investment target of $22-24 billion by 2015 is also at risk.

The process for replenishing the Global Fund starts in March 2013. It is imperative that donor countries dig deep to find the resources to fully fund the Global Fund. If they don’t act now, the lives of millions of the poorest and most vulnerable people in the world will be at risk.

Even if pledges are kept, the High Level Taskforce on Innovative Financing for Health, have reported that there will still be a $28-37 billion shortfall in funding to meet the health MDGs. That’s why ground-breaking financing solutions, such as the Financial Transactions Tax (FTT) are of paramount importance.

Additionally, in countries where dependence on aid is declining, governments need to start funding the HIV response themselves, especially for groups who are most vulnerable.

Alliance Approach

The Alliance is well positioned to engage with DFID, U.S government officials, representatives of EU Institutions, UN agencies and civil society in the UK, Brussels, Geneva and Washington to demonstrate the importance of continued political and financial commitment to HIV in a time where the end AIDS is in reach if funding is increased and targeted efficiently and effectively.

As part of our work to address HIV and health funding we are members of the following networks, coalitions and groups:

Better funding is one of the core strands of our ‘What’s Preventing Prevention?’ campaign.

We also support the UNAIDS’ Investment Framework for HIV, a new conceptual framework for guiding targeted investment in HIV interventions which have been proven to work. Read more in our discussion paper.

Our work and achievements

  • We have published two reports on the impact of Global Fund cuts, on the global HIV response, and on people who use drugs.
  • In 2012, as part or the civil society delegation to the Global Fund, we contributed to the freezing of 55% rule, which limited funding for middle-income countries.
  • In 2011 we worked to ensure that governments attending the UN High Level Meeting on AIDS adopted a robust Political Declaration with a strong focus on human rights and key populations, which will shape the HIV response until 2015.
  • As part of AFGH we are challenging European governments to increase aid going to health. Read more in the ‘Results of rhetoric’ report.
  • A key achievement for the Robin Hood Tax campaign came in 2012 when France introduced an FTT. 11 European countries are now planning to follow their lead. Read more here.

Our partners

  • Robin Hood Tax Campaign
  • Action for Global Health  
  • Stop AIDS Campaign