40th PCB Meeting
Agenda 4.1: Unified Budget Reporting and Accountability Framework [UBRAF]
Kene Esom, African Delegate
The NGO Delegation notes the UBRAF Performance Monitoring Report 2016. We particularly wish to commend the efforts of the Joint Programme to work towards the achievement of the set targets to end AIDS, despite the current challenges in the global AIDS response, key among these being the question of lack of funding to the response and its consequence on fully resourcing the UBRAF.
The strength of the Joint Programme lies in the capacity of the Secretariat to carry out the key functions of leadership, coordination, partnership, strategic information and accountability and the co-sponsors’ to deliver on the targets of ending AIDS as an epidemic by 2030. We are concerned by the impact that the funding cuts and the inevitable prioritization exercise by the co-sponsors, will have on key interventions to key populations, both in fast-track and non-fast countries, if there is not a clearly articulated and coordinated approach to this prioritization effort. To quote the report ‘Stabilization of the Joint Programme in Light of the Budget Shortfall’ presented under Agenda 5 of the 39th PCB, “the capacity … to deliver on several of its core functions – particularly generating strategic information, empowering and supporting civil society and providing dedicated support to key and other marginalized populations – will be severely weakened.”
For communities, this translates practically to service providers who will have to close their doors; national AIDS strategic plans and Global Fund concept notes that will no longer be effectively supported to ensure inclusion of human-rights and evidence-based interventions for those that need it the most; on-going legal and policy reforms that will be dropped mid-stream and the attendant regression for efforts to create enabling environment necessary to end AIDS; a high number of young girls and adolescent women who will be infected, drop out of treatment and/or be added to the statistics of AIDS-related deaths; and the communities key populations who will be forced back into the shadows. Chair, I could go on and on.
As a Delegation, we join the appeal to donor countries to increase their commitments funding the UBRAF. We also need to be more innovative in resource mobilization, in the utilization of available resources. The fulfilment of global and regional commitments to resource health is imperative in general and HIV targets in particular. For example, The African Union under the Abuja Declaration has committed to allocating at least 15% of their national budget to health. 15% of the budget expenditures of the top 6 Fast-Track African countries by 2016 budget expenditure was $27.43Bn. Imagine the impact that $27bn investment in the health systems of these 6 countries would have on their national health, and AIDS targets.
The #UNAIDSWENEED supports Member States to implement innovative financing mechanisms, as well as to fulfill their commitment to domestic financing of the AIDS response.