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Response of Governments/International Institutions/Civil Society on Scaling Up HIV/AIDS Financing. Global Conference Brasilia, Brazil – November 2006 Aisha Baldeh National AIDS Secretariat The Gambia. Outline of Presentation. Part I - Global call for HIV/AIDS funding HIV/AIDS Financing
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Brasilia, Brazil – November 2006
National AIDS Secretariat
UN Millennium Project (2005): $33 billionachieve the MDGs in Africa
Gleneagles communiqué: aid flows to Africa by $25 billion by 2010
World Bank and IMF $14 to $18 billion per year during 2006–8
Global Fund to Fight AIDS, Tuberculosis and Malaria
UN Declaration of Commitment (2001) on HIV/AIDS: mobilise $7-10 million
USD 300 million
USD 6.1 billion
USD 8 billionSources of Financing
Donor Government -bilateral, multilateral, intl corporations, intl NGOs)
(Central government, sub-natl govt, social security)
(Households, out-of-pocket expenditure (OOPE), NGOs, CBOs, FBOs, insurance)
for the AIDS response from 2005 to 2007*
* Assuming there are no new commitments
Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.
World Bank loan 27%
Global Fund 2%
HIV and AIDS spending per capita
Source: UNAIDS, based on National AIDS Spending Assessments.
Source Section 26: African Summit on HIV/AIDS, Tuberculosis and Other Related Infectious Diseases, Abuja, Nigeria 24-27 April 2001
Source: UNAIDS. Resource Needs for an Expanded Response to AIDS in Low and Middle Income Countries.Presented to the Programme Coordinating Board. Seventeenth Meeting, Geneva, 27-29 June 2005.
Adequacy: How much was pledged? And how much was committed?
Priority: How does the budget for HIV/AIDS compare to resources spent in other areas e.g. malaria etc?
Progress: Are financial commitments of different stakeholders (donor, governments & civil society improving?
efficiency: Are we using the funds for the right mix of interventions or programmes?
Are resources being allocated fairly?
Are African states meeting the Abuja target?
Sources: Mozambique National Statistics Institute Database, 2003. South African Budget Review, 2003/04 and Estimates of National Expenditure, 2003. Kenyan Estimates of Recurrent and Development Revenue, 2003, and National Aids Resource Envelope, 2003.
Mozambique: The Challenge of HIV/AIDS Treatment and Care. Economic Commission for Africa. http://www.uneca.org