Udenrigsudvalget 2009-10
URU Alm.del Bilag 158
Offentligt
By 2015 we can:Eliminate malaria as a public health problem in mostmalaria-endemic countriesPrevent millions of new HIV infectionsDramatically reduce deaths from AIDSVirtually eliminate transmission of HIV from mother to childContain the threat of multidrug-resistant TBAchieve significant declines in TB prevalence and mortalityFurther strengthen health systems
2010 will be decisive. This is the year we decide if we will meet the health-relatedMillennium Development Goals.It can be done. If we continue to scale up at the pace set in recent years,we could come close to, reach or even exceed the health-related MillenniumDevelopment Goals.The Global Fund to Fight AIDS, Tuberculosis and Malaria has a lead role toplay in the race to meet these goals.
oVEr THE PAST EIGHT yEArS, DrAmATIC ProAGAInST AIDS, TuBErCuloSIS AnD mAlArIA.The substantial increase in resources dedicated to health through development assistance and other sources inthe last eight years is changing the trajectory of AIDS, TB and malaria and other health problems that confrontlow- and middle-income countries. There are many emerging signs of impact: Tenyears ago, virtually no one living with AIDS in low- and middle-income countries was receiving lifesavingantiretroviral therapy (ART). By the end of 2008, more than 4 million people had access to ART, representingmore than 40 percent of those in urgent need. AIDS mortality has since decreased in many high-burdencountries. For example, in Ethiopia’s capital, Addis Ababa, the rollout of ART has led to a decline of about50 percent in adult AIDS deaths over a period of five years. Fordecades the spread of malaria was unstoppable. Today, at least ten endemic countries in Africa havereported declines in new malaria cases and an impressive decline in child mortality of 50 to 80 percent. Inmany countries with Global Fund-supported programs TB prevalence is declining, and so are mortalityrates. Today, we are on track to meet the international target of halving TB prevalence by 2015.
THE GloBAl FunD HAS PlAyED A kEy rolEIn just eight years, the Global Fund has become the main multilateral funder in global health. It channelstwo-thirds of the international financing provided to fight TB and malaria and a fifth of the internationalfinancing against AIDS.
AIDS.At the end of December 2009,programs financed by the Global Fundwere providing ArT to 2.5 million people.In addition, they have provided 790,000HIV-positive pregnant women with treatment to prevent mother-to-child transmission of HIV; 4.5 millionbasic care and support services to orphans and other children made vulnerable by AIDS; 105 millionHIV counseling and testing sessions and 1.8 billion condoms.
had provided treatment to 6 million people who had active TB,and provided 1.8 million combined HIV and TB services.
TuBErCuloSIS.Through 2009, programs funded by theGlobal Fund
distributed 104 million insecticide-treated nets to prevent malaria.
mAlArIA.By the end of 2009,Global Fund-supported programs hadThey also supported indoor residual spraying of insecticides in dwellings more than 19 million timesand treated 108 million cases of malaria in accordance with national treatment guidelines. Global Fundinvestments have played a critical role in introducing and expanding coverage of novel, effective malariatreatments in many countries where drug resistance to older treatments is high.
oGrESS HAS BEEn mADE In THE FIGHTIncreased international investments have speedily and efficiently been turned into health services on the ground,benefiting hundreds of millions of people. Despite a lack of facilities, hundreds of thousands of health workersaround the world have used new resources to save millions of lives.It is rare in the field of development to see such rapid correlation between investment and desired results andimpact as has been produced by the efforts of recent years to fight the three pandemics.The efforts to provide drugs and care to millions and to prevent the further spread of the three diseases aresignificant beyond the health benefits they provide. They have been uniting the world around a commondevelopment agenda and have contributed to reducing inequities between rich and poor countries.Our gains, however, are fragile. A reduction – or even stagnation – of funding would lead to reversals of recentprogress and put the Millennium Development Goals out of reach.
In THE ProGrESS wE HAVE mADE.The Global Fund supports community-based interventions.Since 2003,these efforts have delivered 138 million community outreach prevention services for at least one of the threediseases and provided 11.3 million “person-episodes” of training for health and community workers.
These combined efforts had saved an estimated 4.9 million livesby
December 2009 and helped restore hope for the 33 million people living with HIV, the hundreds of millions of peoplewho contract malaria or who are at risk of it each year, and the 9.4 million who contract active TB annually.
Every day, programs supported by the Global Fund save at least 3,600lives and prevent thousands of new infections.The coming years will see even moreresults and greater impact, given the steep increase in approved funding over 2008 and 2009 which will reachcountries in 2010 and 2011, further enhancing the achievements made to date.
Global Fund investments to combat HIV, TB and malaria are also majorinvestments in health systems− bolstering infrastructure, strengthening laboratories, expandinghuman resources, augmenting skills and competencies of health workers, and developing and supporting monitoringand evaluation activities. These enhancements, in turn, increase countries’ ability to improve services in other healthareas. Ultimately, the investments translate into a healthier population and increased productivity, enabling countries tofurther their development.
Global Fund investments have accelerated progress towards themillennium Development Goals 4, 5 and 6,and indirectly to the others. TheUS$ 19.2 billion of approved investment by the Global Fund is a direct contribution to MDG 6 (“CombatHIV/AIDS, malaria and other diseases”).
major contributions have also been made to mDG 4(“Reduce child mortality”)and mDG 5(“Improve maternal mortality”) by reducing the largest causes of mortality among women and
children. This is particularly the case in sub-Saharan Africa, where HIV, TB and malaria are responsible for 52 percentof deaths among women of childbearing age and malaria alone accounts for 16 to 18 percent of child deaths.
THE GloBAl FunD HAS A ProVEn ABIlITy To DElIVEr:
It is efficient, transparent and right for the 21st century.The Global Fund was created when the world realized its failure to respond to the AIDS epidemic, as well as toTB and malaria, in developing countries. This was an unprecedented public health and human rights crisis.In April 2001, the UN Secretary-General Kofi Annan issued a “call to action” and a few months later the worldendorsed this call at the UN General Assembly Special Session on HIV/AIDS.In January 2002, the Global Fund was established to respond to this emergency and vastly accelerate theresponse to the three global epidemics and thereby help achieve the Millennium Development Goals.Global Fund Board has approvedproposals totaling uS$ 19.2 billion and disbursed uS$ 10 billionfor HIV, TB and malaria control efforts.Every dollar donated to the Global Fund goes to fund programsin country– the Global Fund has no country offices, and its operating expenses are covered by the interestearned on its contributions.
From its creation through December 2009,the
organizations and the private sector, as well as multilateral partners. All partners should take full credit for their role inscaling up services and interventions.
The impact of this funding is the achievement of all the partners thatwork together with the Global Fund– in-country partners, including governments, civil societyThe Global Fund actively contributes to global efforts to improve aideffectiveness,especially in the area of managing for results, by playing a leading role in monitoringeffectiveness and sharing its experiences with performance-based funding.
The Global Fund always seeks tolearn, improve and innovatethrough its operations, partnerships,evaluations and independent audits. The continuous attention to evaluation and learning helps the Global Fundmaximize its responsiveness, efficiency and effectiveness.
The Global Fund continues to increase value for money at every stage,from grant negotiation to implementation. For example, the comprehensive performance review which occurs byyear two of each grant allows for the reallocation of funds from poorly performing grants as well as for theidentification of efficiency gains. In 2009 alone,nearly
funding new grants.
uS$ 1 billion was freed up for
Through its portfolio of grants in 144 countries, the Global Fund hasdeveloped and is strengthening data analysis of unit costsfor HIV, TB and malaria services.This analysis will institute savings, reveal best practices andwaste, and assist in assessing resource-need estimates in future grant applications.The Global Fund to Fight AIDS, Tuberculosis and malariaChemin de Blandonnet 81214 VernierGeneva, Switzerland+41 58 791 1700 (phone)+41 58 791 1701 (fax)www.theglobalfund.org/en/[email protected]First published March 2010
ISBN: 978-92-9224-209-1
