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Political Declaration Target 6 - AIDS Resource Gap
Close the global AIDS resource gap
This 2015 target aims to reach an annual HIV funding level of US$22-24 billion for HIV activities in low- and middle-income countries.
Both domestic and international HIV funding contributions increased in 2012, generating the highest annual HIV funding of any year, and 10 percent more than 2011. Low- and middle-income countries in particular have succeeded in developing and leading efforts to mobilise resources. It is encouraging to see that more than half of all funding is now domestic, with progressive efforts particularly in sub-Saharan Africa.
However, if the target is to be reached, then substantial additional funding is needed. New resources and innovative funding techniques are required in light of the increase in new HIV infections in certain areas. Additionally, while it is true that the level of domestic funding has increased, international investment has flattened and is expected to stagnate.
What still needs to be done?
- Implement the 2013 WHO antiretroviral guidelines, which aim to increase resource needs for the HIV response. It is estimated that full implementation will need a 5-10 percent increase in total HIV funding until 2025.
- Renewed commitment from international donors. This is crucial in increasing the international funding for HIV programmes.
- However, it is also important to lessen lower income countries’ donor dependency on international financing. Too much dependency on international funding is likely to make sustainable domestic responses less feasible.
- Generate an additional US$2.9-5.4 billion in order to reach the target.
- Promote the need for high-level, sustained leadership and commitment in order to ensure that the level of domestic investments is maintained.
- Adopt an investment approach. This means focusing resources on programmes and populations where there is the greatest need, and encouraging countries to develop ‘investment cases’ to mobilise those resources.
- 39 of 99 countries that prioritise closing the AIDS resource gap are not on track to reach the target.
- Countries with few resources and significant HIV burdens need additional international help to close the resource gap.