On behalf of the NGO Delegation, we express our appreciation to Joel Rehnstrom and his team for incorporating the majority of our recommendations into this document. Thank you.
We now have the UNAIDS strategy that is needed to call a halt to the illness, death, and family grief that HIV can cause. We can stop the suffering now. But to realize this hope, we need ambitious indicators and we need an ambitious budget. We fear the budget numbers provided here – a zero growth budget – will not accelerate the HIV response in the way that is absolutely needed to save lives.
The Fast Track response is an approach that is intended to end the AIDS epidemic as a public health concern by 2030. As such, the Fast Track approach is necessary in every region, subregion, country, city and community. We cannot fast track the response to HIV only in countries with big populations and with big epidemics. We also need to fast track the response in countries where the epidemic mostly affects key populations and in medium-size and smaller cities. The fast track approach in countries with concentrated epidemics will have an extremely beneficial impact on key populations, reducing new infections, reducing HIV-related deaths and reducing stigma and discrimination on key populations. We need fast track EVERYWHERE.
Considering this, we ask the PCB to commit to the level of funding required to realize the hope of the Fast Track, with the understanding that the budget numbers may need to be increased as the Results and Accountability Framework is revised. We need more than Fast language, we need Fast Track money.
In the consultation process, communities asked for clear and transparent reporting from the Joint Programme that allows us to understand what activities are taking place, who is doing those activities, and what investments are being made. As the expert group refines the results and accountability framework, the NGO Delegation looks forward to seeing clear lines of accountability that are transparent to communities.
The NGO Delegation seeks a well-defined and central focus in the UBRAF on advocacy, communities strengthening, and resource mobilization.
We urge the expert panel to consider indicators that measure percent change, rather than raw amounts. We need to be able to identify percent changes in the investments in, and funding for, civil society. We need this information differentiated by support to grassroots organizations, women’s organizations, networks of PLHIV and key populations. Tracking the percent change over time is also needed to see changes in levels of foreign and domestic investment in low and middle income; and investment in research, development, and roll out of new prevention and diagnostic technologies and interventions to end HIV and related stigma and discrimination
Finally, and above all else, we ask that every output measure be considered though the lens of human rights. For example, testing and treatment must always remain voluntary and informed; and the scale up community delivery must be funded and not added on as women’s or community’s unpaid labor.
We offer our support to the Secretariat in the further refinement of the Results and Accountability Framework.