Resources and funding

HIV financial data: A transformative power to ensure sustainability of the AIDS response

19 December 2024

Progress towards ending AIDS as a public health threat has been strongest in the countries and regions with sufficient investments in their HIV responses, especially in countries from eastern and southern Africa. However, a critical part of this success lies in understanding where resources are being allocated and ensuring that investments are directed towards the most impactful interventions.

“HIV financial data is essential for decision-making”, said Jaime Atienza, Director of Equitable Finance at UNAIDS. “This is especially important when we can see constraints, now and around the corner.”

To reflect on the current use and future potential of HIV financial data, UNAIDS and the Global Fund to Fight AIDS, TB and Malaria brought together representatives from 10 African countries to Cape Town, South Africa. During the event, countries shared how they are using HIV financial data to transform their national HIV responses.

In the case of Kenya, for example, the 2022 National AIDS Spending Assessment (NASA) revealed that approximately 84% of the funds for care and treatment programmes came from external sources. This heavy reliance on external funding prompted the development of a cabinet advisory note on local commodity manufacturing, aimed at addressing commodity security risks. In response, the Office of the Presidency issued a statement on Worlds AIDS day 2022 directing that the government would support the pharmaceutical sector to strengthen its local manufacturing capacity and review relevant regulations and tax policies to create an enabling environment.

In Mozambique another NASA study showed how the country spent 26% less on HIV treatment than the National Strategic Plan required, while surpassing the antiretroviral (ART) coverage target by 24%. ART unit costs have fallen from US$ 208 in 2017 to US$ 137 in 2022—well below most countries in the region. Economies of scale and differentiated service delivery likely contributed to this outcome. “We are using this data to inform multi-sectoral plans and state budgets” said Francisco Mbofana, Executive Secretary of Mozambique's National AIDS Council.  

HIV financial data is also seen by countries as an effective tool for mobilizing resources. Ethiopia’s NASA and National Health Accounts (NHA) informed a Domestic Resource Mobilization Strategy. The Strategy aims to boost domestic investment from US$ 27.9 million in 2020 to US$ 68.5 million by 2025 through government revenues, AIDS fund(s), targeted mainstreaming, community care coalitions, and earmarked taxes. In addition, South Africa demonstrated to the Global Fund that of the US$ 6.3 billion the government committed to invest in HIV from 2022-2025, US$ 6.2 billion (98.99%) is likely to be realized. This, in turn, unlocks the US$ 92.7 million co-financing incentive from the Global Fund grant for 2025-2028.

Financial data has also stressed the major underinvestment in HIV prevention. “The de-prioritization of HIV prevention is among the top sustainability threats,” said Thembisile Xulu, Chief Executive Officer of the South African National AIDS Council. While prevention will require a third (32.8%) of total HIV resources by 2025, NASA data shows current HIV prevention spending is at 9.4% in Kenya, 9% in Namibia, 11% in South Africa, and 13% in Uganda.

Nonetheless, several strategies to boost HIV prevention investments are being developed following evidence provided by HIV financial data. Kenya used its NASA data to develop guidelines for harnessing resources from construction projects to support HIV prevention. Zimbabwe’s resource tracking influenced a new policy to implement social contracting with a least one civil society organization per province, to channel domestic resources to community-led HIV responses. Zimbabwe has committed to invest 21% of domestic funds in HIV prevention, with a focus on key populations.

In the current environment of dwindling resources for HIV—2023 recorded the lowest amount of resources available for HIV in low-and-middle income countries in a decade—strengthening HIV resource tracking is key to ensure effective and sustainable HIV responses. “We need to plan for sustainability,” said Nertila Tavanxhi, Senior Manager for Health Financing Country Support at the Global Fund. “To do this, we really need to understand who is funding what, where and whom. This will show us the gaps, and where we must focus.”

“We are in a time of transformations towards sustainability,” said Mr Azcona. The National HIV Response Sustainability Roadmaps are an essential part of the work that the Global Fund, UNAIDS, PEFPAR and country partners are undergoing in 2024 and 2025. “This makes it even more important to have the right data to make the best possible choices on what these transformations must be.” 

UNAIDS welcomes the Spanish government’s announcement of a new € 1 million contribution to overcome the global AIDS pandemic

15 October 2024

GENEVA, 15 October 2024—The Spanish government has today announced a further € 1 million contribution to UNAIDS to support its work to end AIDS by 2030 as part of Sustainable Development Goals. The announcement was made following a meeting between Spain’s Minister of Health Mónica García Gómez and the Executive Director of UNAIDS Winnie Byanyima in the country’s capital Madrid.

“We warmly welcome Spain’s commitment to ending AIDS,” said Ms Byanyima. “We are at a critical moment in the response to HIV, and the path global leaders take this year will determine whether the pandemic continues indefinitely or we end AIDS by 2030. Spain’s solidarity with UNAIDS and the global AIDS response, and its commitment to tackling stigma and discrimination, is testament to their determination to get the world on track to end AIDS and save millions of lives. Spain has set an example for the rest of the world.”

Spain is a long-standing champion of the right to health. During the Spanish Presidency of the Council of the European Union in the second half of 2023, Spain made the fight against stigma and discrimination associated with HIV a political priority. Spain also joined the Global Partnership for Action to Eliminate all forms of HIV-related Sigma and Discrimination and is moving forward with its implementation plan to eliminate stigma in health, workplace and education settings.

UNAIDS looks forward to continuing to strengthen its partnership with Spain to advance progress towards global targets, and to build a robust and rights-based response to end AIDS by 2030 and sustain the gains into the future.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS and China sign two strategic agreements to advance the HIV response

15 July 2024

BEIJING, 15 July 2024 – The Joint United Nations Programme on HIV/AIDS (UNAIDS) and China signed two new Memoranda of Understanding (MOU) to advance joint strategic efforts to end AIDS in China and globally.

The first agreement was signed on 10 July by Wang Hesheng, Vice Minister of the National Health Commission and Administrator of the National Disease Control and Prevention Administration (NDCPA) and Winnie Byanyima, Executive Director of UNAIDS, in Beijing. UNAIDS and China have agreed to deepen their collaboration to reach the 2030 Sustainable Development Goals, within the context of China’s Global Development Initiative (GDI) and the Belt and Road Initiative (BRI). The agreement acknowledges China’s commitment to take a leadership role in the global HIV response including mobilizing partners and supporting efforts to end AIDS in middle- and lower-income countries. 

Mr Wang thanked UNAIDS’ for technical support and guidance around China’s HIV response, particularly in formulating HIV response plans and strategies, monitoring and assessment, as well as UNAIDS’ data collection and analysis.

“We expect to continue and further our cooperation with UNAIDS with this MOU,” he said. “The first steps will be to boost communication and coordination, and actively participate in global health governance.”

According to the agreement, NDCPA will make an annual contribution of USD$1 million to UNAIDS from 2025 to 2029, totaling USD$5 million, which includes increased core funding.

The other agreement signed in Beijing on 13 July with the China International Development Cooperation Agency (CIDCA) addresses critical global development issues to achieve the Sustainable Development Goals (SDGs), which includes promoting health and ending AIDS globally, especially in other developing countries in Africa and Asia Pacific.

Luo Zhaohui, Chairman of the CIDCA recognizes UNAIDS’ leadership in the global HIV response and encouraged UNAIDS to apply for more Global Development and South-South Cooperation Fund (GDF) to address the HIV epidemic.

“Let’s work together to improve people’s health especially after the COVID-19 pandemic.” he said. "HIV is a new area for CIDCA but UNAIDS has a lot of experience so there is huge prospect to have more cooperation.”

As part of this agreement, UNAIDS and CIDCA will fund projects in developing partner countries through policy coordination, community engagement, capacity building and technical insight.

Since its founding in 2019, the CIDCA has provided steady financial support to UN agencies and developing member states. As highlighted at the annual Steering Committee of UNSDCF, 13 UN agencies mobilized more than US$ 100 million in South-South funding, predominantly from CIDCA, which assisted 85 partner countries in the areas of COVID response and resilience, social inclusion, agriculture, climate and energy efforts. Earlier this year, UNAIDS received the first GDF to support Iran’s upscaling of rapid HIV testing. UNAIDS is the second UN entity to sign a MOU with the CIDCA.

UNAIDS looks forward to deepening cooperation with China especially in South-South Cooperation and China-Africa cooperation in the areas of local drug production as well as supporting partner countries.

Ms Byanyima said, “Global South solidarity is the bedrock of the HIV response. It is only by standing together that we can end AIDS by 2030 and I welcome steps towards a deeper partnership building China and African countries.”

UNAIDS will also closely work with the African Union, the African Center for Disease Control and Prevention and the African Medicine Agency.   

Ms Byanyima’s week-long mission to China is her first to the country since she became Executive Director of UNAIDS.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS China
Wei Xiangnan
weix@unaids.org

Contact

UNAIDS Geneva
Charlotte Sector
sectorc@unaids.org

UNAIDS and Global Fund sign a new strategic framework for their collaboration to end AIDS

24 June 2024

GENEVA, 24 June 2024— UNAIDS Executive Director, Winnie Byanyima, and Executive Director of The Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund), Peter Sands, signed a new strategic framework for cooperation and collaboration to end AIDS (2024 –2028). The agreement renews the organizations’ longstanding partnership and aligns ongoing collaboration with the most recent United Nations General Assembly Political Declaration on HIV and AIDS: Ending Inequalities and Getting on Track to End AIDS by 2030.

“The longstanding partnership between UNAIDS and the Global Fund has been instrumental in supporting many millions of people living with or vulnerable to HIV to enjoy better health and well-being through improved access to essential services,” said Winnie Byanyima, UNAIDS Executive Director. “We at UNAIDS are excited to continue building our collaboration with the Global Fund as we head toward our common goal of ending AIDS.”

The new strategic framework puts people and communities at the centre and aims to unite countries, communities and partners across and beyond the HIV response to take prioritized actions to accelerate progress towards the vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths.

“Our strong collaboration, especially at country level, makes a huge difference in the fight against AIDS,” said Peter Sands, Executive Director of the Global Fund. “Our counterparts at UNAIDS play a crucial role on the ground: they help put communities living with and affected by HIV at the center of the response and ensure that rights-based approaches are widely adopted.”

The Global Fund Strategy (2023–2028) Fighting Pandemics and Building a Healthier and More Equitable World is fully aligned with the Sustainable Development Goals and UNAIDS’ Global AIDS Strategy (2021–2026) End Inequalities, End AIDS, which guides the global AIDS response. It calls on all actors to scale up and sustain global and domestic investments to achieve the strategy’s ambitious targets and commitments for 2025 as well as put the world on course to end AIDS as a public health threat by 2030.

Collaboration under the new agreement will focus on reducing the inequalities that drive the AIDS epidemic and closing the HIV prevention and treatment gaps that are preventing progress towards ending AIDS. It will also prioritize people who are not yet accessing life-saving HIV services.

The common approach supports a renewed focus on primary prevention, addressing structural drivers of HIV infection and AIDS-related deaths, and challenging inequities and human rights and gender-related barriers to services including stigma, discrimination and criminalization. It leverages new HIV prevention and treatment modalities, precision public health approaches, as well as support synergies between HIV services and related areas of health. In addition, the framework continues longstanding support to strengthen countries’ capacity to measure their epidemics and monitor their responses, and act on the data to drive results. There will also be a push for countries to map out the longer-term sustainability of the HIV response through stronger health systems, better-integrated services for HIV, and more streamlined donor contributions.

 

The Global Fund

The Global Fund is a worldwide partnership to defeat HIV, TB and malaria and ensure a healthier, safer, more equitable future for all. They raise and invest more than US$5 billion a year to fight the deadliest infectious diseases, challenge the injustice that fuels them, and strengthen health systems and pandemic preparedness in more than 100 of the hardest hit countries. They unite world leaders, communities, civil society, health workers and the private sector to find solutions that have the most impact, and they take them to scale worldwide. Since 2002, the Global Fund partnership has saved 59 million lives. Learn more at The Global Fund.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS
Charlotte Sector
sectorc@unaids.org

Contact

The Global Fund
Ann Vaessen
ann.vaessen@theglobalfund.org

UNAIDS calls for sustained and expanded health and HIV investments at the Spring Meetings of the IMF and World Bank

16 April 2024

Debt restructuring and reforms to the global tax system are urgently required to finance health systems and other essential services

WASHINGTON/GENEVA, 16 April 2024—As financial leaders meet in Washington for the annual Spring Meetings of the World Bank and the International Monetary Fund, UNAIDS is calling for increased and sustainable investments in the global response to HIV and other health threats.

“At a time of multiple geo-political and economic crises, the need to tackle the financial constraints threatening the global fight against HIV and other health threats has never been greater,” said UNAIDS Executive Director Winnie Byanyima, “At their Spring Meetings in Washington, global financial leaders must find the courage to reject calls for more fiscal restraint and embrace measures that can release the necessary investments to save millions of people and transform the lives of the most vulnerable all over the world, including women and girls.”

As the world struggles to achieve many of the health goals set out in the United Nations Sustainable Development Agenda, investments in the HIV response have returned extraordinary gains for humanity. Since 2010, AIDS-related deaths have declined by 51% worldwide and new HIV infections have fallen by 38%.

But more than 9 million people are still waiting to receive HIV medication that will stop them dying from AIDS and there were still 1.3 million new HIV infections in 2022. Increased investments in the HIV response today are crucial to reach everyone who needs treatment and to prevent new infections that will only increase future treatment costs.      

However, there is a huge shortfall in the global investments required to end AIDS as a global health threat by 2030. A total of US$ 20.8 billion (constant 2019 US$) was available for HIV programmes in low- and middle-income countries in 2022––2.6% less than in 2021 and well short of the US$ 29.3 billion needed by 2025.

In many countries with the most serious HIV pandemics, debt service is consuming increasingly large shares of government revenue and constraining public spending.

In Angola, Kenya, Malawi, Rwanda, Uganda, and Zambia, debt service obligations exceed 50% of government revenues. Last year, in GDP terms, Sierra Leone spent 15 times more on public debt servicing than on health, 7 times more on public debt servicing than on education and 37 times more on debt servicing than on social protection. For Angola, debt servicing was 7 times more than investments on health, 6 times more than on education and 14 times more than on social protection.

UNAIDS maintains that reform to the global financial system including the cancellation of debt, the introduction of fairer and affordable financing mechanisms and global taxation reform is key to releasing transformative funding for health, education and social protection also required to end AIDS as a public health threat by 2030.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS Geneva
Michael Hollingdale
tel. +41 79 500 2119
hollingdalem@unaids.org

Related: A triple dividend: the health, social and economic gains from financing the HIV response in Africa

Expand HIV services to power gains across health, urges new report

15 April 2024

WASHINGTON/GENEVA, 15 April 2024—A new report released today by UNAIDS and Friends of the Global Fight Against AIDS, Tuberculosis and Malaria shows how countries are leveraging their HIV responses to both ensure impact on the HIV response and also to improve broader national health and well-being. The report finds that investing now to end AIDS as a public health threat by 2030 will not only follow through on the commitment to end the pandemic but also magnify the broader health benefits of HIV specific investments.

The report, Expanding the HIV response to drive broad-based health gains, profiles country examples from Colombia, Côte D’Ivoire, Jamaica, South Africa, Thailand and Uganda. Experiences in these six countries indicate that strengthened HIV responses have contributed to broader health benefits. Far from being in isolation, HIV treatment, prevention and care programmes are also helping to build more robust health systems that enhance access to people-centred care and bolster pandemic preparedness.

For example, the integration of HIV and non-HIV specific services is increasing access to holistic, comprehensive health services needed for people living with and affected by HIV. In Côte d’Ivoire, Jamaica, South Africa and other countries, service platforms originally developed to respond to HIV are leveraged to provide a broad range of health services, including prevention, screening and treatment of noncommunicable diseases.

HIV care is inspiring models of care in other areas. In Colombia, a model of care specifically developed for HIV is now being used for the provision of comprehensive, coordinated care for other chronic diseases, including diabetes, cancer and cardiovascular diseases.

Health system components strengthened through HIV investments are also improving a wide array of health outcomes in addition to those related to HIV and AIDS. In Côte D’Ivoire, laboratory systems strengthened through HIV investments are contributing to diagnostic services for multiple health issues, including maternal and child health, tuberculosis, viral hepatitis and COVID-19.

As progress lags in achieving many of the health targets of the Sustainable Development Goals, efforts to end AIDS stand out as a beacon of hope. Since 2010, annual new HIV infections and AIDS-related deaths have declined globally by 38% and 51%, respectively.

Angeli Achrekar, Deputy Executive Director of Programmes at UNAIDS, said “This report highlights the need for more purposeful efforts by countries to identify and capitalize on ‘win-win’ opportunities that efficiently and effectively increase the reach of health services to accelerate progress towards ending AIDS as a public health threat by 2030 and to reach other health-related Sustainable Development Goals.”

The report concludes with a series of recommendations to further leverage the wider health benefits through increased and sustained HIV investments. It says that particular attention is required to maintain and further strengthen investments in robust, sustainable community networks of people living with HIV and key populations, including networks led by women and young people.

Chris Collins, President and CEO of Friends of the Global Fight, said: “The HIV response is a force for multistakeholder engagement, human rights-based programming, community leadership and constant innovation. These are strengths we need to bring to health services more broadly, including pandemic preparedness and Universal Health Coverage. But this catalytic role for the HIV response is only possible if governments, donors and communities invest adequately and commit to accelerated progress against HIV.”

To join the April 16 (09:00 ET/15:00 CET) webinar highlighting the report findings, please register here.

Thank you to the Elton John AIDS Foundation for its support of this project.

 

Friends of the Global Fight

Friends of the Global Fight Against AIDS, Tuberculosis and Malaria advocates for U.S. support of the Global Fund, and the goal to end the epidemics of AIDS, tuberculosis and malaria. For more information about Friends of the Global Fight, visit www.theglobalfight.org.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS Geneva
Michael Hollingdale
tel. +41 79 500 2119
hollingdalem@unaids.org

Expanding the HIV response to drive broad-based health gains: Six country case studies

With a modest increase in investment UNAIDS can get 35 countries over the line to end their AIDS pandemics by 2025

28 March 2024

UNAIDS needs to increase funding to just 1% of the US$ 20 billion HIV resources to effectively support countries in their goal of ending AIDS by 2030

GENEVA, 28 March 2024—UNAIDS is urging donors for a modest increase in funding to ensure that 35 countries can end their AIDS pandemics by 2025, five years ahead of the 2030 target. Current funding for UNAIDS is at US$ 160 million, less than 50% than the resources available in 2015. For maximum impact UNAIDS estimates it will need US$ 210 million annually which represents less than 0.02% of total health spending in low- and middle-income countries.

“UNAIDS has remained a steadfast and dependable partner, advocating and leveraging the strengths of the UN system to catalyze action, secure commitments, mobilize stakeholders, generate authoritative data, empower communities, address vulnerabilities, and tackle barriers,” said Ruth Laibon-Masha, Chief Executive Officer, National Disease Control Council of Kenya. “Let us seize this historic moment, where we are united in our consensus that we need UNAIDS to be fully functional as we have no doubt of the contribution of UNAIDS to global health and its centrality to ending AIDS as a public health threat. Kenya reaffirms our commitment to UNAIDS by honoring our pledge to contribute funds in 2024 and invite other implementing and donor countries not to be left behind by also increasing their contributions.”

UNAIDS projects that fully funding the Joint Programme would enable 35 countries to achieve the viral load suppression targets by 2025. That achievement would save 1.8 million lives, prevent 5.7 million new HIV infections by 2030 and establish a solid foundation for the world to end AIDS by 2030.  

“If UNAIDS was not there, we would all be asking for UNAIDS to be established. While we celebrate the progress we have made, we still need a very strong and well-resourced UNAIDS to continue to drive that progress.” said Ambassador John Nkengasong, U.S. Global AIDS Coordinator and Senior Bureau Official for Global Health Security and Diplomacy. “A generational threat requires sustained leadership - sustained leadership that comes with the sustained commitment to provide financing for UNAIDS. So it is always our commitment from the United States that we make UNAIDS stronger and will continue to make UNAIDS that body that provides that Northern Star for all of us.”

“We rely on UNAIDS to support the voice of communities most affected by HIV in national HIV policies and decision-making processes as well as in efforts to improve access to services and address stigma and discrimination and gender inequity” said Peter Sands, Executive Director of the Global Fund. “Ensuring that UNAIDS is adequately resourced is critical to achieving continued progress in controlling HIV.”

As Mary Mahy, Director of Data for Impact, UNAIDS explains, “Diseases go through a period of increasing new infections, and over time, after interventions are implemented, new infections start to decline and countries reach a point of disease control then elimination, and eventually eradication. But with HIV we have not achieved disease control globally and some countries are still in the increasing infections stage. So there is still a considerable amount of work to be done in the HIV response to achieve HIV disease control, elimination and eradication.”

In 2022, every minute someone died of AIDS, 4000 young women and girls aged between 15 and 24 became infected with HIV every week, and of the 39 million people living with HIV more than 9 million do not have access to HIV treatment.

“Pandemics tend to go through cycles of panic and neglect. But health security can only be delivered when we break these cycles and deliver and sustain the gains that we have made together,” said Winnie Byanyima, Executive Director of UNAIDS. “With a modest increase in funding, over the next two years, UNAIDS can support 35 countries in reaching the 95-95-95 targets – and help sustain the gains. This will be an outstanding global achievement.”  

UNAIDS has developed a value proposition which highlights three key messages for the 2024–2025 period: 

  • We know how to end AIDS as a public health threat. Taking this path is a political and financial choice. 
  • A modest investment in UNAIDS will deliver maximum impact at the national and global levels.
  • UNAIDS is uniquely placed as the lead of the global HIV response. Investment in UNAIDS is vital to invest to end AIDS, fight inequalities and save lives.  

UNAIDS is leading on the HIV response sustainability agenda, supporting countries to ensure well resourced, people centred and human rights-based HIV programmes that are increasingly funded through domestic resources. The sustainability agenda encompasses political, programmatic and financial sustainability, developed in close collaboration with PEPFAR, the Global Fund and other donors, countries and communities.

The agenda will consider the implications of the growing financial and debt crises faced by many low- and middle-income countries which are also highly affected by HIV. Approximately 60% of the resources for HIV responses in low- and middle-income countries came from domestic sources in 2022, compared to 50% in 2010. UNAIDS has a critical role in ensuring that political, programmatic and financial commitments for the HIV response are sustained.

“We all want the Joint Programme to continue to lead the AIDS response towards 2030,” said Kenya's Ambassador to the United Nations office in Geneva and Chair of UNAIDS Programme Coordinating board Cleopa K. Mailu. “It is the priority we make to the vulnerable people who need our support to lead meaningful and full lives. We must be able to find a collective solution to close the funding gap. Any moment we spend speaking of unsustainable funding for UNAIDS is a moment lost to save a life, prevent a new infection or a death.”

By fully funding UNAIDS and drawing on the technical expertise and geographical reach of its 11 United Nations Cosponsors, UNAIDS can continue to strategically lead and steer the response to HIV, based on data, agreed targets and principles laid out in the Global AIDS Strategy 2021-2026. UNAIDS can maximize the return on investments made by governments, PEPFAR and the Global Fund, and work hand in hand with countries to end their AIDS pandemics by 2030 and ensure sustainability into the future.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Contact

UNAIDS Geneva
Sophie Barton-Knott
tel. +41 79 514 6896
bartonknotts@unaids.org

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