The cash-strapped Global Fund to fight HIV/AIDS, Tuberculosis (TB) and Malaria fell under the spotlight in July, when ministers from 14 countries met in Paris, France, to address the fund's financial woes. The fund, which has committed US $1.5 billion to programmes in 92 countries in the last 18 months, faces a lack of money for proposals waiting to be funded in October.
Equity in Health
Governments, international organisations, foundations and nongovernmental organisations in 2003 will spend an estimated $4.7 billion to address the AIDS epidemic in low- and middle-income countries, but that amount is less than half of the more than $10.5 billion that will be needed each year by 2005 to fight the epidemic in those countries, according to a new UNAIDS report.
The World Health Organisation (WHO) presented a challenge to African countries last year by setting a target of three million HIV-positive Africans to be on antiretroviral (ARV) HIV/AIDS therapy by 2005. Almost a year later, a workshop on scaling up access to care and treatment for people living with HIV/AIDS (PWAs) in 17 East and Southern African countries has been held to assist them in reaching that goal. HIV/AIDS programme managers and health officials from the 17 countries emerged with country-specific "road maps" to guide them in expanding their treatment programmes.
Just a few days before his visit to Africa, President Bush announced that Randall Tobias, the former chairman and CEO of Eli Lilly Co., will take the new position of "Czar" in charge of U.S. global HIV/AIDS funding. The move to position a drug company executive centrally in global health policymaking is nothing new for this administration, but the openness of this gesture to the industry suggests that there is little shame in reversing the progress of the last several years, particularly in the realm of medicine treatment access, says this commentary on the web site www.zmag.org
Tuberculosis remains the single greatest public health challenge associated with HIV worldwide. Despite widespread recognition of this fact, and clinical trials showing that interventions can help few programmes exist to implement such measures, according to a view presented at the International Aids Society Conference in Paris in July.
A new report by the World Health Organisation in the style of a glossy but hard hitting brochure aims to draw attention to the global tuberculosis epidemic that has been spurred by the spread of HIV and multidrug resistant tuberculosis strains. The report aims to underline the programme’s call for free anti-tuberculosis drugs, which have proved highly effective in curing tuberculosis in patients with HIV infection and AIDS.
Some African countries may face complete collapse as a reult of the economic impact of HIV/AIDS being far worse than was previously thought. The World Bank's newly-released "The Long-Run Economic Costs of AIDS," study has warned that HIV/AIDS could destroy an economy within a few generations. Shanta Devarajan, World Bank economist, said in a statement: "If nothing is done to avert the epidemic, countries like South Africa could suffer a 50 percent decline in their per capita Gross Domestic Product (GDP) in about 90 years."
South Africa's health system will soon offer drugs blocking the Aids virus, the body that advises the government on HIV/Aids has said. The South African National Aids Council (Sanac) made the announcement following a meeting with the Treatment Action Campaign (TAC) - a group that has been urging the government to supply the drugs.
The Common Market for Eastern and Southern Africa, Africa's major free trade bloc, plans to lobby the United States and pharmaceutical companies for the right to produce generic antiretroviral drugs, according to the group's secretary general, Reuters reports. COMESA Secretary-General Erastus Mwencha said that patent disputes in the World Trade Organisation are "robbing the region of a key weapon against AIDS," according to Reuters.
Leaders of the world's richest countries agreed at the G8 summit to provide billions of dollars to help fight AIDS in Africa but, under present trade rules, much of that cash will go to multinational pharmaceutical companies. To the disappointment of pressure groups monitoring the summit, the leaders failed to make progress on new trade rules to allow poor countries to buy cheap, generic versions of new medicines - including the drugs which arrest AIDS.
