Agenda item 7. Report on feasible ways to monitor the achievement of the financial-related targets of the 2016 Political Declaration
Delivered by Marsha Martin, NGO North America
I want to begin my remarks by reminding us of some of the key commitments from the 2016 Political Declaration on Ending AIDS:
We committed to increase and fully fund the HIV response from all sources, with overall financial investments in developing countries reaching at least US$ 26 billion/year;
We committed to ensure that financial resources for prevention are adequate and constitute no less than a quarter of global HIV spending on average;
We agreed to ensure at least 6% of HIV resources are allocated for social enabling activities, including advocacy, community and political mobilization, community monitoring, public communication, and outreach programmes for rapid HIV tests and diagnosis, as well as for human rights programmes, such as law and policy reform, and stigma and discrimination reduction and expanding community-led service delivery to cover at least 30% of all service delivery by 2030.
We also agreed that, in order to know whether we are moving forward–these financing and programmatic targets would be monitored. UNAIDS agreed to help coordinate the development and identification of tools and vehicles to assist with the monitoring task. Now what we need to agree on now is for UNAIDS to consider integrating and harmonizing all financial and programmatic targeting and monitoring processes to capture and tell the true story of how the collective WE is doing in achieving the agreed targets.
In 2016, an estimated US$ 19.1 billion was available for HIV in low- and middle-income countries, 57% of which came from domestic resources (public and private). International assistance for HIV amounted to US$ 8.2 billion in 2016. This translates to a funding gap of US$ 7 billion (the difference between the resources available in 2016 and the estimated US$ 26.2 billion needed by 2020). Another missing quarter. IF we do not fill that gap, what will that mean? Monitoring, NOT making it, is not the goal we agreed to. The tools are to assist us in moving forward, not for us to stand still and continually repeating the limited success we have achieved.
The historical trend shows that resources almost doubled from US$ 10 billion in 2006 to US$ 19.1 billion in 2016. WE do not have ten years to double the funds, we have only two short years.
While additional funds will be needed, resources should be prioritized to achieve efficiency gains in HIV programmes and innovative funding mechanisms should be urgently put in place. Prioritization of HIV programmes depends on the epidemiology and cost-effectiveness of service delivery in each setting, as well as resource availability. But it is also a political decision.
Transitioning from donor support to a sustainable domestic response is important for many countries faced with the prospect of losing eligibility for development assistance funds. But it won’t be possible for all countries, thus increasing the development assistance funds and having all countries reaching the 0.7% ODA target is also imperative.
Member States, UNAIDS Secretariats and Cosponsors, we have to change our tune and change the dance, if we are to reach our agreed goals and targets. And I am not sure we are prepared to do so. The challenges we are confronting about achieving the targets is not about feasible ways to monitor the achievement of financial related targets in the declaration. As my colleague from the African Delegation, Musah, reminded us yesterday, what we need to be monitoring is how people are getting diagnosed, getting care, and what is needed to make us to move to the end of AIDS as a public health crisis by 2030. Ambassador Birx shared yesterday we need to use our heads and our hearts in our work. Today, she encouraged us and many delegations reinforced it: we need to do it better.
I thought I heard some old songs playing these last few days. I want to suggest that it is time to change the music. Some of us can no longer dance to what we’ve heard here.
To transform the HIV trends, WE ALL need to learn the new beat and melody so we can change our dance routine. Some of us require new dance partners, some of us, because it is new music and a new routine, may actually need to take dance classes.
There are plenty of NGOs and CSOs prepared to teach those classes. Join us, learning to dance is a good way of moving our hears, our bodies and our minds. You are all invited invited to join us at the new PCB Impact ball.