Transcript Slide 1

Progress in the AIDS Response
Since the 2000 G8 Summit
The road behind and the road ahead
23 May 2008
Tokyo
2000

28 million people living with HIV.

1.6 million AIDS deaths

3.2 million people newly infected

200 000 people on treatment in developing countries.

USD1,3 billion for AIDS.
Millions
Number of people living with HIV globally
1990–2007
40
30
Number
of people
20
living
with HIV
10
0
199019911992199319941995199619971998199920002001200220032004200520062007
Year
This bar indicates the range
HIV Prevalence among pregnant women attending
Antenatal clinics in Sub Saharan Africa
1997-2006
35
30
Cote d'Ivoire
HIV %
25
Ethiopia
Kenya
20
Burkina Faso
Zimbabwe
15
10
5
0
1997
1998
1999
2000
2001
Years
2002
2003
2004
2005
2006
10 Top Causes of Death in 2007
Africa
World
1. Ischaemic heart disease
2. Cancers (all cancers combined)
3. Cerebrovascular disease
4. Lower respiratory infections
5. Chronic obstructive pulmonary
disease
6. Perinatal conditions
7. AIDS
8. Diarrhoeal disease
9. Tuberculosis
10. Malaria
Extrapolated from WHO data.
HIV/AIDS
Malaria
Lower respiratory
infections
4.
Diarrhoeal diseases
5.
Perinatal conditions
6.
Cerebrovascular disease
7.
Tuberculosis
8.
Ischaemic heart disease
9.
Measles
10. Road traffic accidents
1.
2.
3.
Number of people on antiretroviral therapy
in low- and middle-income countries, 2002‒2007
Millions
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
end-
2002
mid
end-
2003
mid
end-
2004
mid
end-
2005
mid
end-
2006
mid
end-
2007
Funding
Total annual resources available for AIDS, 1986 ‒2007
US$ million
10 billion
10 000
8.9 billion
9000
Signing of Declaration of
Commitment on HIV/AIDS, UNGASS
8000
8.3 billion
7000
6000
4000
3000
2000
World Bank
MAP launch
G8,
Okinawa
5000
UNAIDS
Less than
US$ 1 million
1000
59
PEPFAR
1623
292
257
212
Gates
Foundation
Global Fund
0
1986 ‘87
Notes:
‘88
‘89
‘90
‘91
‘92
‘93
‘94
‘95
‘96
‘97
‘98
‘99
[1] 1986-2000 figures are for international funds only
[2] Domestic funds are included from 2001 onwards
[i] 1996-2005 data: Extracted from 2006 Report on the Global AIDS Epidemic (UNAIDS, 2006)
[ii] 1986-1993 data: AIDS in the World II. Edited by Jonathan Mann and Daniel J. M. Tarantola (1996)
‘00
‘01
‘02
‘03
‘04
‘05
‘06
2007
From 2000 to 2008
2000
2008
Number of people living with
HIV
28 million
32.8 million
AIDS deaths
1.6 million
2.1 million
New HIV infections
3.2 million
2.5 million
200.000
3 million
1.3 billion
10 billion
Number of people on
antiretroviral treatment in
developing countries
AIDS funding
How has this happened?
 Activism
 Political
leadership
 Availability
treatment
 Funding
of combination antiretroviral
Availability of treatment
Prices of First-Line Antiretroviral Regimen in Uganda: 1998-2003
Okinawa: milestones in the AIDS
response
Global Fund to fight AIDS,
Tuberculosis and Malaria
Millions
50
10 billion $ for
AIDS in
developing
countries
The UN General Assembly
Special Session on
HIV/AIDS
45
40
Estimated 3 million
on ART in
developing countries
"3 x 5"
initiative
Okinawa
Declaration, G8’
OAU, Abuja
35
30
25
UN Security
Council
Resolution 1308
20
2.3 million on
ART in
developing world
President Bush
announces PEPFAR
15
MDGs mid-point
review
International
AIDS Conference
in Durban
10
5
0
1980
‘99
‘00
People living with HIV
‘01
‘02
‘03
‘04
‘05
‘06
‘07
‘08
Our task today

Sustain achievements.

Universal access to HIV treatment.

Accelerate HIV prevention.

Maintain AIDS on political and development
agendas.

Add long-term response to crisis management.
Millions
Universal Access to HIV treatment
12
10
10
million
Number of people
on treatment
8
6
Number of people
still needing
treatment
4
3 million
2
0
HIV prevention today

7000 new infections per day.

For 2 people on ART, 5 people get newly
infected with HIV.

Coverage of prevention of mother-to-child
transmission increased to 28%.

Fewer than 50% of men who have sex with
men have access to condoms.
Sustain gains

Strengthen health systems (ART, PMTCT).

Community mobilization and social change
(prevention, stigma).

Make the money work.

Increase efficiency/decrease unit cost.

Harmonization and alignment.
GTZ
WHO
CIDA
UNAIDS
RNE
UNICEF
Norad
WB
Sida
USAID
T-MAP
50 MUSD
CF
PEPFAR 60
GFATM
290 MUSD
INT NGO
3/5
MOF
UNTG
DAC
GFCCP
PMO
PRSP
MUSD
HSSP
MOH
MOEC
SWAP
CCM
CTU
NCTP
200 MUSD
LOCALGVT
CIVIL SOCIETY
CCAIDS
NACP
PRIVATE SECTOR
6 Myths around AIDS
1.
2.
3.
4.
5.
6.
All we need to do is strengthen health
systems
There’s too much money going to AIDS
AIDS should be normalized as just
another disease
Prevention doesn’t work
If we could only do XXX, there’d be no
more new HIV infections
AIDS has been dealt with
AIDS: a long-wave event
Numbers
HIV prevalence
A
Impact
A2
A1
AIDS - cumulative
B
B1
T1
T.Barnett, A.Whiteside
T2
Time
UNAIDS and the Global Fund
 UNAIDS
= 10 UN system agencies and
Secretariat.
 Complementarity
 Growing
operational collaboration.
Lessons learned

Anything can happen

Solution must come from within

Global action does make a difference

Don’t take success for granted

Politics do make a difference