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Financing HIV and AIDS Programs in Africa: Hopes and Challenges

Financing HIV and AIDS Programs in Africa: Hopes and Challenges. Dr Debrework Zewdie Deputy Executive Director The Global Fund to Fight AIDS, Tuberculosis and Malaria. Outline. Where we have come from Global economic situation and implications for HIV resources

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Financing HIV and AIDS Programs in Africa: Hopes and Challenges

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  1. Financing HIV and AIDS Programs in Africa: Hopes and Challenges Dr Debrework Zewdie Deputy Executive Director The Global Fund to Fight AIDS, Tuberculosis and Malaria Addis Ababa

  2. Outline • Where we have come from • Global economic situation and implications for HIV resources • Global Fund financial situation and implications • The way forward Addis Ababa

  3. AIDS at 30: Where We Have Come From Addis Ababa

  4. US$ 10b 10 000 9000 US$ million UNGASS Declaration of Commitment on HIV/AIDS 8000 7000 6000 World Bank MAP 5000 4000 Gates Foundation PEPFAR 3000 UNAIDS WHO GPA 2000 US$ 59m US$ 1.6b 1000 Global Fund 0 1986 1987 1988 1994 1995 2006 2007 1991 1992 1993 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 1989 1990 Source: UNAIDS & WHO unpublished estimates, 2007 Total Resources Available 1987–2007 Addis Ababa

  5. Economic Challenges:Maintaining Existing Commitments People receiving ART through Global Fund supported programs: Number of patients surviving if ART was discontinued: Addis Ababa

  6. GDP Growth Rates for 2009 Addis Ababa

  7. Financing trend in Recent Years Source: UNAIDS, Kaiser Foundation, 2011 Addis Ababa

  8. What does this mean? • 2011 – 2013: 10 Billion USD to be disbursed • 2008 – 2010: 8 Billion USD disbursed • Donors will honour their pledge • For all signed grants, including Round 10, the resources are available for the life of the project • Everyone who is on treatment funded by the Global Fund will stay on treatment • We are introducing a transitional funding mechanism to bridge any treatment gaps Addis Ababa

  9. Progress Being Made:Changes in HIV Incidence 2001-2009 Source: UNAIDS 2010

  10. Annual HIV Domestic and International Spending Source: Country Progress Reports 2010 Addis Ababa

  11. Moving from Emergency to Sustainability Group I: Longer-term reliance on external funding Group II: Can move toward self-sufficiency Source: Spending Requirements in 2015, R4D Addis Ababa

  12. Private Sector and Innovative Financing Addis Ababa

  13. Effective Interventions/Value for Money Addis Ababa

  14. Accountability Addis Ababa

  15. ‘The choices we make today will define who we are as people and as a global community’ 1 Acknowledgements: Tarek Elshimi, Ade Fakoye, James Bridge, Natalie Cartwright

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