Donors

UNAIDS and the National Center for Global Health and Medicine in Japan bolster collaboration to end AIDS

26 November 2020

TOKYO/GENEVA, 26 November 2020—UNAIDS and the National Center for Global Health and Medicine (NCGM) in Japan are joining forces to end AIDS in Japan. The two organizations today signed a memorandum of understanding to promote the response to HIV and sexually transmitted infections ahead of and during the Olympic and Paralympic Games and to promote the Fast-Track cities initiative to end AIDS by 2030.

“This new partnership further strengthens the long-standing cooperation between UNAIDS and Japan,” said Winnie Byanyima, Executive Director of UNAIDS. “Japan’s strong leadership and commitment to global health, at a time when the world is fighting COVID-19, is highly commendable and we look forward to working together closely on responding to the colliding pandemics of HIV and COVID-19.” 

Japan has been firmly engaged in the global AIDS response for many years. In 2000, Japan introduced infectious diseases on the agenda of the Group of Eight summit in Okinawa, paving the way for the establishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Japan remains a strong supporter of the Global Fund and is one its leading donors.

“This partnership will enable communities and health-care providers to work together in the response to HIV, sexually transmitted infections and COVID-19,” said Shinichi Oka, the Director of the AIDS Clinical Center of NCGM.

Through the memorandum of understanding, UNAIDS and NCGM will promote awareness of HIV, including HIV prevention, during the Olympic and Paralympic Games, which are due to open in Tokyo in July 2021. The games, which usually draw millions of people, were scheduled to take place in 2020 but were postponed to 2021 due to COVID-19.

UNAIDS and NCGM will also be working together to promote the Fast-Track cities initiative, which supports cities and municipalities to take transformative action to ensure equitable access to HIV services and to reduce stigma and discrimination.

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 68 96
bartonknotts@unaids.org

UNAIDS congratulates President-elect Joe Biden and Vice President-elect Kamala Harris on their election

10 November 2020

GENEVA, 10 November 2020—UNAIDS congratulates President-elect Joe Biden and Vice President-elect Kamala Harris on the recent election results in the United States of America.

“UNAIDS looks forward to working with the new United States administration on the challenge of ending AIDS, for which there is still no vaccine and no cure,” said Winnie Byanyima, Executive Director of UNAIDS. “The colliding pandemics of COVID-19 and HIV are evidence that global solidarity and shared responsibility is needed now more than ever before to ensure that no one is left behind and that medicines, services and solutions can be accessed equitably.”

In 2019, around 1.7 million people became infected with HIV and 690 000 people died of AIDS-related illnesses. UNAIDS and the United States Government have collaborated closely since the inception of UNAIDS in 1996, to accelerate progress towards global HIV prevention and treatment targets in the countries most affected by HIV.

Through the United States President’s Emergency Plan for AIDS Relief (PEPFAR), the United States Government has invested more than US$ 85 billion in the global response to HIV, the largest commitment by any nation to address a single disease. Strong bipartisan support for investments to end AIDS across successive administrations and effective, data-driven and evidence-informed HIV programming through PEPFAR and investments to the Global Fund to Fight AIDS, TB and Malaria, have enabled millions of men, women and children to live longer, healthier lives.

To ensure continued success towards ending AIDS, concerted, strategic efforts in the months and years ahead will be needed, especially at a moment when COVID-19 threatens the health of people all around the world. To end these dual pandemics UNAIDS looks forward to continuing to work closely with the United States for a safer, healthier world.

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

Contact

UNAIDS Media
tel. +41 22 791 4237
communications@unaids.org

KFF/UNAIDS Analysis Finds Donor Governments Spent US$7.8 Billion for HIV in 2019, Down Almost $200 Million From the Previous Year

06 July 2020

Funding from Donor Governments was nearly the same as a Decade Ago, Despite an Increase in the Number of People Living with HIV of 24 percent over that period

GENEVA/SAN FRANCISCO, 6 July 2020A new report from KFF (Kaiser Family Foundation) and The Joint United Nations Programme on HIV/AIDS (UNAIDS) finds donor government disbursements to combat HIV in low- and middle-income countries totaled US$7.8 billion in 2019, a reduction from the US$8 Billion in 2018 and nearly the same as the funding levels of a decade ago.

Half of the 14 donor governments analyzed in the study decreased their spending on global HIV efforts from 2018 to 2019; six increased; and one held steady. Donor government funding supports HIV care and treatment, prevention and other services in low- and middle-income countries.

The decline in funding was driven primarily by a decrease in bilateral funding from the United States, due to, flat funding from Congress for several years and a shrinking funding pipeline for programs, as well as the timing of disbursements. The decline is also attributable to declining funding from other donors, though to a lesser extent. While donors increased multilateral contributions to The Global Fund to Fight AIDS, Tuberculosis, and Malaria, UNAIDS, and UNITAID by more than $100 million, these gains were not enough to offset declines in bilateral funding. Since 2010, funding from donor governments other than the U.S. has declined by more than US$1 billion largely due to decreased bilateral support for HIV.

Even with its decreased funding, the United States remains the world’s largest donor government to HIV, disbursing US$5.7 billion in 2019, and ranking first in funding relative to the size of its economy. The next largest donor is the United Kingdom (US$646 million), followed by France (US$287 million), the Netherlands (US$213 million) and Germany (US$180 million).

These data feed into the broader UNAIDS global report, which examines all sources of funding for HIV relief, including local governments, non-governmental organizations and the private sector, and compares it the resources need to achieve goals related to testing and treatment. UNAIDS estimates that resources needed by the end of 2020 are US$26.2 billion, compared to US$19.8 billion currently available, leaving a gap of several billion dollars. This gap has grown in recent years as the number of people living with HIV in low and middle income countries has increased by 25% over the past decade and the number of new HIV infections remains high.

“Every dollar not invested today contributes to AIDS-related deaths and new HIV infections,” said Winnie Byanyima, Executive Director of UNAIDS. “In a world characterized by massive inequalities we must ramp up investments for realizing the right to health. It's a shared responsibility, demanding more donor funding and domestic resources, including freeing up fiscal space through debt cancellation.” “Donor governments continue their move away from funding HIV programs in low and middle income countries, while the number of people living with HIV continues to grow,” said KFF Senior Vice President Jen Kates. “This situation is likely to become more precarious in 2020 and beyond, as the effects of COVID-19 hit donor government budgets and take an increasing toll on health and economies around the world.”

The new report, produced as a long-standing partnership between KFF and UNAIDS, provides the latest data available on donor government funding based on data provided by governments. It includes their bilateral assistance to low- and middle-income countries and contributions to the Global Fund, UNAIDS, and UNITAID.  “Donor government funding” refers to disbursements, or payments, made by donors.

The Kaiser Family Foundation

KFF is a non-profit organization focusing on national health issues, as well as the U.S. role in global health policy.

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

Kaiser Family Foundation
Nikki Lanshaw
nikkil@kff.org

Contact

UNAIDS
Sophie Barton-Knott
tel. +41 79 514 6896/+41 22 791 1697
bartonknotts@unaids.org

Report

Germany ramps up its contribution to the HIV response with an extra €20 million to UNAIDS

25 June 2020

GENEVA, 25 June 2020—The Government of Germany has announced that, in addition to its annual core contribution of €5 million, it will contribute a further €20 million to UNAIDS in 2020 to strengthen the response to HIV during the COVID-19 pandemic. The Federal Minister of Health, Jens Spahn, made the announcement during a meeting with Winnie Byanyima, the UNAIDS Executive Director, in Geneva, Switzerland, during the 46th meeting of the UNAIDS Programme Coordinating Board.

“We commend UNAIDS’ work in the fight against COVID-19, which focuses on engaging communities, ensuring that vulnerable and key populations are reached with essential health services, including HIV services, protecting basic rights and mitigating the socioeconomic impacts of the epidemic,” said Mr Spahn. “With the additional funds, we encourage UNAIDS to continue this important work alongside the World Health Organization and other global health partners.”

The Government of Germany and parliamentarians, civil society and other partners in Germany have long shown commitment to the global HIV response and to global health and health security, with Germany pledging US$ 1 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria at its last replenishment. A valued partner of UNAIDS, the Government of Germany is firmly committed to ending AIDS as a public health threat by 2030 and has invested significant resources to ensure that no one is left behind.

“UNAIDS welcomes this show of support by Germany. It is an encouraging recognition of the work undertaken by UNAIDS with countries and partners to respond to HIV during the COVID-19 pandemic. It is also a crucial recognition of the lessons and experiences gained over the past decades in the HIV response, which are now being used in the fight against COVID-19,” said Ms Byanyima. “I call upon others to follow Germany’s lead and continue to invest in the global HIV response.”

German’s increased support is a critical investment in saving lives and protecting the dignity of people living with or at risk of HIV. At a time when the world faces the colliding pandemics of HIV and COVID-19, Germany is continuing to demonstrate the need for shared responsibility and global solidarity. Modelling suggests that an unmitigated six-month interruption of HIV services due to COVID-19 could double AIDS-related deaths in sub-Saharan Africa, setting the clock on AIDS-related deaths in the region back to 2008, and could increase new paediatric HIV infections by up to 162%.

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 68 96
bartonknotts@unaids.org

Contact

UNAIDS Media
tel. +41 22 791 4237
communications@unaids.org

UNAIDS calls for increase in health spending and social protection as an essential part of the economic response to COVID-19

17 April 2020

UNAIDS Executive Director Winnie Byanyima’s statement on the economic response to COVID-19 during an online event held on 16 April 2020 cosponsored by the Global Development Policy Center and the United Nations Conference on Trade and Development

COVID-19 is killing people. However, the scale and the consequences of the pandemic are man-made.

It was not inevitable that there would be thousands of lives lost and millions of livelihoods destroyed. Those losses are the result of the extreme inequality that is hardwired into our global economy.

The steepness of the mortality curves, the depth of the economic losses and the social upheavals in different countries are the consequences of our policy choices, a function of the economic model that we have created.

COVID-19 has pushed the world into a recession. The International Monetary Fund is reporting that the great lockdown is going to be worse than the global financial crisis of 2008. According to the International Labour Organization, COVID-19 is expected to wipe out the equivalent of 195 million full-time jobs.

As we know from the HIV epidemic, epidemics wreak havoc in an unequal world. They feed off existing inequalities and hit the most vulnerable and marginalized the hardest—those who have no access to health care, who have no social safety net, who have no right to sick leave or who have no water with which to wash their hands. The people whose right to health is denied are those who are hit first and hit the hardest.

When governments prioritize privatized health-care systems over publicly funded universal health care they are making a choice, they are saying that the right to health becomes a privilege for the few who can afford it. When an epidemic hits, that choice translates into a decision about who will live and who will die. Those with the privilege of access to health care live, those without, die.

Governments must invest in universal social protection. In poor communities around the world, we are hearing: “If we cannot work, we will die of hunger before we get sick from the coronavirus.” This is a choice no one should have to make. This health crisis is rapidly becoming a food crisis.

Across our economy, we see business models that rely on workforces that are not protected. Models that exploit workers and suppliers, that do not support or protect them.

The climate crisis is another consequence of our rigged economic model, exploitative of the ecosystems on which we depend. And again, it is the poorest, those least responsible for the exploitation, who are the hardest hit. Right now in the Pacific, people are not only struggling against COVID-19 but are recovering from the aftermath of Cyclone Harold.

None of this is an accident. It is by design. Earlier, I said that we are living with man-made choices, and in many ways they are MAN-made. It is men who still dominate corporate boardrooms and the corridors of political power, while it is women who take the biggest burden of caring for others—women who must look after sick relatives in a pandemic or who walk further to find drinking water.

But the story is not all bleak. We are seeing some silver linings; some lessons are being learned. We are seeing more awareness of the importance of health and social protection. This means that if we are to recover, we must reset—we can’t go back to where we were.

We are seeing some countries imposing what they are calling solidarity taxes on big businesses and on wealthy individuals. We are hearing about cancellation of student debt, health fees being waived, including user fees, and more support for carers. This is a new agenda.

However, we are seeing other countries moving in a different direction—tax cuts for the rich, bailouts for big companies, without any guarantee that those bailouts are going to translate into support for the workers and suppliers on the ground. So, we are seeing different signals.

Health spending and social protection must be increased. This could be the basis for the rebuilding, not so that it’s not just a patch-up with bailouts.

We must come out of this crisis differently, with a determination to change the economic model. We need a Global Green New Deal, where the stimulus is invested in people and in the planet.

A new economic model that expands universal health coverage and universal social protection to all, that boosts decent work and pays decent wages, where the rewards are distributed across the whole supply chain and every stakeholder benefits equitably. And a model in line with the Paris Agreement on climate change.

We have a chance to make different choices and I am praying that world leaders will decide to make different choices.

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

Resources

Webinar details

New Investment Book highlights investment opportunities

13 February 2020

The Investment Book, an online tool for UNAIDS donors that capitalizes on the unique value of UNAIDS, has been launched. Highlighting the opportunities that are available for partnership and donor investment, the Investment Book shows the impact of investment opportunities at the global, regional and country levels.

The Investment Book is filled with opportunities to support and partner with the Joint Programme in a variety of ways. Whether learning more about how the Joint Programme functions and partners at the country level, or learning more about opportunities to join forces around human rights or violence against women, each proposal tells an important part of the story of what it will take to end AIDS.

AIDS is unfinished business, and an investment in the Joint Programme is an investment in a future when AIDS is no longer a public health threat. As Winnie Byanyima, the Executive Director of UNAIDS, said, “The global response to HIV and the Joint Programme provide one of the strongest examples of the value of multilateralism and global solidarity.” Be part of making AIDS history. Partner with UNAIDS.

Investment opportunities

Investment Book

Commemorating World AIDS Day in Belgium

05 December 2019

Gunilla Carlsson, the UNAIDS Deputy Executive Director, Management and Governance, commemorated World AIDS Day in Brussels, Belgium, celebrating the power of communities with civil society and Barbara Trachte, the Secretary of State of the Brussels-Capital Region.

Ms Carlsson presented some of the key messages from Power to the people, UNAIDS’ new report, which shows that when people have the power to choose, to know, to thrive, to demand and to work together, lives are saved, injustices are prevented and dignity is restored.

“The AIDS response shows that when communities are empowered and have agency, change happens. Now more than ever we need a fully funded community-led response,” said Ms Carlsson.

She thanked the Regional Government of Brussels and the Federal Government of Belgium for its support for people living with HIV and the organizations working on HIV and related sexual and reproductive health and rights. For many years, Belgium has invested energy and resources to meet the needs of the most vulnerable and communities affected by HIV around the world, with a strong focus on human rights, gender equality, key populations, strengthening health systems and sexual and reproductive health and rights.

"Today, on 1 December, it is important to reinforce that undetectable = untransmittable in order to change society’s view of people living with HIV,” said Thierry Martin, Director of Plateforme Prévention Sida.

During her visit to Belgium, Ms Carlsson also met with the Minister-President of Flanders, Jan Jambon, and signed a new two-year partnership agreement with UNAIDS. Flanders has been a valued and prominent partner since the founding of UNAIDS and has invested energy and resources to meet the needs of communities affected by HIV, with a focus on vulnerable populations and girls in southern Africa.

Mr Jambon expressed confidence in renewing the long-term partnership agreement with UNAIDS. “Since its inception, UNAIDS has been working towards a multisectoral, rights-based and people-centred approach that addresses the determinants of health and well-being for the AIDS response, especially the most vulnerable populations, including the LGBTQI+ communities, and this is now more relevant than ever,” he said.

Mr Jambon also welcomed the reforms within UNAIDS to reinforce a positive workplace culture. “I am confident that with the new policies in place and the new leadership, this will enable staff to deliver at their best and maximize their collective results,” he said.

Ms Carlsson also attended a panel discussion with members of the parliament and representatives of civil society and the United Nations, where she provided an update on the status of the HIV epidemic and response, highlighting key actions for support by the European Parliament and European Union. She emphasized the important role that parliamentarians play in the global response to HIV.

UNAIDS Executive Director holds first face-to-face meeting with key donors

13 November 2019

Ahead of the opening of the Nairobi Summit on ICPD25, the Executive Director of UNAIDS, Winnie Byanyima, and Peter Eriksson, the Minister for International Development Cooperation of Sweden, co-hosted a ministerial breakfast meeting with key donors and partners to highlight the need for a strong UNAIDS to lead the global response to HIV.

It was Ms Byanyima’s first face-to-face meeting with some of UNAIDS’ key donors and partners in her capacity as the Executive Director of UNAIDS, during which she pledged to take a feminist approach in taking the organization forward.

“UNAIDS is at a critical juncture as it emerges from the challenges of the past two to three years, and the staff will be my first priority; we need healing, trust-building and closure. I want to bring back the joy in the great work of UNAIDS,” said Ms Byanyima.

Katherine Zappone, the Minister for Children and Youth Affairs of Ireland, Christopher MacLennan, Canada’s Assistant Deputy Minister of Global Issues and Development, and other heads of delegations applauded UNAIDS’ intention to make meaningful culture change happen at UNAIDS.

“UNAIDS has been at the frontline of the AIDS response for years. Canada has been a strong supporter and we are so pleased that Winnie has joined,” said Mr MacLennan.

Ministers and representatives of Australia, Belgium, Canada, Finland, Germany, Ireland, Luxemburg, the Netherlands, Norway, Sweden and Switzerland encouraged UNAIDS to continue its leading role in promoting community-led solutions and responses. They also highlighted the need to leverage the unique capacity of UNAIDS and build on its human rights expertise to address the social and political barriers that are hindering progress on HIV.

“We must integrate sexual and reproductive health and rights better into the HIV response in order to reach our targets,” said Mr Eriksson. “The Joint Programme has a very important role in driving sexual and reproductive health.”

The meeting was also attended by representatives of several UNAIDS Cosponsors―the United Nations Population Fund and the United Nations Development Programme (UNDP). “UNDP is committed to working with UNAIDS in supporting governments to establish enabling legal, policy and regulatory environs for effective and rights-based HIV responses,” said Achim Steiner, the Administrator of UNDP.

UNAIDS, donors and partners agreed on the need to forge partnerships with the Global Fund to Fight AIDS, Tuberculosis and Malaria to ensure a sustainable response to HIV.

The meeting was the first in a series of events planned as part of UNAIDS’ enhanced collective engagement and strengthened collaboration as it embarks on the process of developing a new strategic plan on HIV.

The Nairobi Summit on ICPD25

Browse Summit site

UNAIDS and Luxembourg―working together in western and central Africa

09 October 2019

Western and central Africa continues to lag behind the rest of Africa in preventing and treating HIV, leaving millions of people vulnerable to HIV infection and 2.4 million people living with HIV without treatment. Following calls to action made at the 2016 United Nations High-Level Meeting on Ending AIDS and the July 2016 African Union summit, UNAIDS and partners launched a plan to accelerate efforts to stop new HIV infections and ensure that everyone in the region has access to life-saving treatment.

Although resources available in western and central Africa to respond to HIV increased by 65% between 2006 and 2016, reaching an estimated US$ 2.1 billion, most countries remain highly dependent on donors. However, international funding is declining and current investment levels are far lower than what is actually needed to make a sustainable change.

Luxembourg is one country that remains committed to investing in western and central Africa. Marc Angel, Chair of the Foreign Affairs and Development Committee in the Luxembourg Parliament and UNAIDS Champion for the 90–90–90 Targets, joined UNAIDS on a recent visit to Senegal to see how Luxembourg’s contribution to UNAIDS for the acceleration of the AIDS response in western and central Africa was helping to make a difference.

Supported by funding from Luxembourg, UNAIDS and partners have established the innovative Civil Society Institute for HIV and Health in West and Central Africa. The institute acts as a coordinating mechanism for around 80 nongovernmental organizations working in the interests of people affected by HIV in 20 countries across western and central Africa.

One such group is CEPIAD, the first centre for harm reduction for people who inject drugs in western Africa. The medical staff and social assistants are pioneers in the region, treating people who use drugs with a public health approach rather than judgement. In Mbour, at the treatment centre for key populations, Mr Angel heard from people who had injected drugs in the past, who shared their personal stories of how the centre had helped them to reintegrate with their families and society.

“Only by including key populations can the 90–90–90 targets be reached,” said Mr Angel. “Senegal’s public and civil society actors have to continue working hand in hand towards this objective. For Luxembourg’s development cooperation, the human rights dimension in the fight against AIDS and in global health is key. Together with UNAIDS we need to ensure that voices from communities are being heard, working all over the country, in particular with vulnerable populations, including children.”

Mr Angel also visited the paediatric treatment ward of the Albert Royer Hospital, where he met young people living with HIV. They shared their experiences of treatment for HIV, which is allowing them to live normal lives. He noted the progress made in stopping new HIV infections among children in Senegal and the important work done around sexual and reproductive health and HIV to prevent new HIV infections among adolescents.

During meetings with the Minister of Health and Social Action of Senegal, Abdoulaye Diouf Sarr, and the Secretary-General of Senegal’s National AIDS Committee, Safiatou Thiam, Mr Angel praised Senegal for decreasing the national HIV prevalence.

However, he also highlighted areas of concern, including the high HIV prevalence among key populations, emphasizing that access to treatment for key populations was instrumental to ending AIDS by 2030. He also advocated for an increase in national resources to respond effectively and sustainably to HIV in Senegal.

Kaiser/UNAIDS analysis finds donor governments spent US$8 billion for HIV in 2018, similar to a decade ago

16 July 2019

U.S. remains top donor, providing more than half the total

GENEVA/UNITED STATES, 16 July 2019—Donor government disbursements to combat HIV in low- and middle-income countries totaled US$8 billion in 2018, little changed from the US$8.1 billion total in 2017 and from the levels of a decade ago, finds a new report from the Kaiser Family Foundation (KFF) and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

Half of the 14 donor governments analyzed in the study increased their spending on global HIV efforts from 2017 to 2018; five decreased their spending; and two held steady. Donor government funding supports HIV care and treatment, prevention and other services in low- and middle-income countries.

The United States remains the world’s largest donor for HIV by far, disbursing US$5.8 billion last year, and also ranks first in disbursements relative to the size of each donor’s economy. The next largest donors are the United Kingdom (US$605 million), France (US$302 million), the Netherlands (US$232 million) and Germany (US$162 million).

Since 2010, donor governments, other than the United States, significantly reduced their funding for HIV, which fell by more than $1 billion in the aftermath of the global financial crisis, and with the competing aid demands of a global refugee crisis and other humanitarian challenges. Most of the decline was in bilateral support. 

These donors increased their support for the Global Fund to Fight AIDS, Tuberculosis and Malaria over this period, but not by enough to offset a large drop in bilateral support. When factoring how the Global Fund divides its resources among the three diseases, and reduced funding for UNITAID, multilateral support for HIV has also fallen since 2010.

The data on donor government funding for HIV feed into the broader UNAIDS report Communities at the Centre, which examines all sources of funding for HIV relief, including local governments, non-governmental organizations and the private sector, and compares it to need. According to estimates from that report, there was a decline of $1 billion across all sources of funding between 2017 and 2018, leaving a $7 billion gap between resources and need in 2020 after adjusting for inflation.

“Donor contributions are vital for the AIDS response, particularly in East and South African countries, except South Africa, where the majority of countries rely on donors for 80% of their HIV responses," said Gunilla Carlsson, Executive Director a.i., UNAIDS. "It is disconcerting that in 2018, total available resources for HIV declined by US$ 1 billion. I call on all countries—domestic and donors to urgently increase their investments and close the US$ 7 billion funding gap for the AIDS response.”

“Since the global financial crisis a decade ago, donor governments’ support for HIV has flattened and funding from donors other than the U.S., which has held steady, has gone down,” said KFF Senior Vice President Jen Kates. “Unless this calculus changes, efforts to prevent and treat HIV globally will need to rely increasingly on other sources of funding."

The new report, produced as a long-standing partnership between KFF and UNAIDS, provides the latest data available on donor government funding based on data provided by governments. It includes their bilateral assistance to low- and middle-income countries and contributions to the Global Fund as well as UNITAID.  “Donor government funding” refers to disbursements, or payments, made by donors.

 

The Kaiser Family Foundation

KFF is a non-profit organization focusing on national health issues, as well as the U.S. role in global health policy.

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

Kaiser Family Foundation
Craig Palosky
tel. +1 (202) 347-5270
cpalosky@kff.org

Contact

Kaiser Family Foundation
Nikki Lanshaw
tel. +1 (650) 854-9400
nlanshaw@kff.org

Contact

UNAIDS
Sophie Barton-Knott
tel. +41 79 514 6896/+41 22 791 1697
bartonknotts@unaids.org

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