Financiering voor het Global Fund nodig voor komende jaren

STOP AIDS NOW als onderdeel van de wereldwijde aids movement zet zich in om te zorgen dat dit jaar overheden zich blijven inzetten voor de bestrijding van AIDS, Tuberculose en Malaria. Hieronder een bijdrage met achtergrond informatie waarom dit zo nodig is en waarom nu.
 
Global Fund Replenishment
2010 Is an exiting year for the international aids movement. Not only is 2010 the year that the world promised to achieve universal access to care, treatment and support. This is also a replenishment year for The Global Fund to Fight AIDS, Tuberculosis and Malaria, which means that donor countries will determine the future course and goals of the Global Fund.

Replenishment
The Global Fund to fight Aids, Malaria and TB (GFATM), is not as much an organization, as it is a fund. A ‘war chest’ as Kofi Anan called it in 2002, when the Global Fund was founded. A fund where the world can bundle its resources to fight the three killer diseases of our time: AIDS, malaria and tuberculosis. Like any other fund, the GFATM runs out of money and needs to be ‘replenished’. In October of this year, world leaders are invited by UN Secretary-General Ban Ki-moon to come together in New York to pledge funds to the GFATM for the next three years (2011 – 2013).

Results
Every day, programs supported by the Global Fund save at least 3,600 lives, prevent thousands of new infections and alleviate untold suffering. Its combined efforts saved an estimated 4.9 million lives by December 2009 and restored hope for the 33 million people living with HIV, the hundreds of millions of people who contract malaria or who are at risk each year, and the 9.4 million who contract active TB annually. From its founding through December 2009, the Global Fund Board approved proposals totalling US$ 19.2 billion, and disbursed US$ 10 billion for HIV, tuberculosis (TB) and malaria control efforts.

Global Fund and MDG4 and MDG5
HIV, TB and malaria affect the health of women and children directly and indirectly. Together, these three epidemics directly cause 1.1 million deaths a year among women aged 15 to 59 and 1.2 million deaths among children aged 0 to 4. Among women of childbearing age (15 to 44 years), HIV is the leading cause of death. Malaria directly causes 17 percent of death among children aged 0 to 4.
In 2009 alone, 345,000 pregnant women in low- and middle-income countries received treatment to prevent mother-to-child transmission of HIV (PMTCT) made possible by Global Fund support. This represents a substantial increase over previous years, and corresponds to 55% of the total number of 628,000 HIV-positive pregnant women in these countries who received PMTCT treatment from all donor-supported programmes in 2008. ARV prophylaxis to HIV-positive pregnant women is estimated to have averted 82,000 new HIV infections among children since 2003, including 35,000 in 2009 alone. (Attached you find the entire report on MDG4 and MDG5).

How much money does the Global Fund need?
Answering this question, is answering the question ‘what do we want to achieve?’. The Global Fund has prepared three scenario’s to give donors an impression of what is possible, and at what price.
• Scenario 1 ($13 billion) would only allow for the continuation of funding of existing programs. This would mean that successful programs can not be scaled up something that is unacceptable for STOP AIDS NOW!.
• Scenario 2 ($17 billion) would allow for the continuation of funding of existing programs and for funding just a few new proposals at a level that comes close to that of recent years.
• Scenario 3 ($20 billion) would allow for the continuation of funding of existing programs. In addition, well-performing programs could be scaled up significantly, allowing for more rapid progress towards achievement of the health-related Millennium Development Goal. This would mean that in 2013 a total of 7.5 million people on ARV therapy (up from 2.5 million at the end of 2009) and 1.1 million HIV-positive women receiving PMTCT annually (compared to 345,000 in 2009).

STOP AIDS NOW! is part of a larger movement of Dutch NGOs that will come together to ensure a continued and generous support of the Global Fund by the Dutch government. On the STOP AIDS NOW! website you will find a summary of the fourteen reports that the Global Fund presented during the pre-replenishment meeting on March 24-25 in the Hague. This includes more information on results, resource scenarios and impact on MDG4 and MDG5.