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Writing checks that bounce: World continues to backtrack on HIV treatment


Short-changing health

African leaders
2001: In the Abuja Declaration, African leaders pledged to allocate at least 15% of their annual budgets to health spending.

2007: Of the 52 nations, only three countries (Botswana, Djibouti and Rwanda) attained the target in 2007, while three others (Burkina Faso, Liberia and Malawi) attained the target for some of the period between 2001-2007, leaving 46 countries that have yet to fulfil their commitment even once.

President Obama and the Global Fund
2007: During his campaign, Barack Obama pledges to contribute the United States' fair share to the Global Fund.3

2010-11: U.S. Congress allocates $1.05 billion to the Global Fund, which is about $1.7 billion less than the country's fair share towards the Fund's overall needs. In 2011, President Obama is proposing to cut funding to the Global Fund and provide only $1 billion.

AIDS fatigue

Prime Minister Gordon Brown and the Global Fund
Gordon Brown was the UK finance minister when Prime Minister Tony Blair led the 2005 G8 Summit to commit to universal access to HIV treatment by 2010. But once again money did not follow words.

The United Kingdom has committed 1 billion to the Global Fund for the period 2008-2015. This long-term commitment sets a commendable precedent, but the UK is still not paying its fair share. According to the Stop AIDS Campaign UK, the country needs to almost double its annual commitment to contribute its fair share (a total of 827 million, or $1.27 billion) of the $20 billion needed by the Global Fund in 2011-13.4

Private donors
Excluding funding from the Gates Foundation (which contributed to an overall increase), estimated expenditures by U.S.-based philanthropies remained flat from 2006 to 2007 and decreased slightly (by approximately 3%) from 2007 to 2008.5

Total funding for HIV/AIDS by European-based philanthropies was lower

Contact: Kay Marshall
International Treatment Preparedness Group

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