2 December 2022

UNAIDS and the Australian Government have signed a new five-year strategic partnership agreement to advance efforts to respond to HIV in the Asia-Pacific region. The agreement will help to intensify efforts to get back on track to end AIDS by 2030, by addressing the inequalities that hamper the global HIV response. 

As part of the agreement, Australia will commit AUD 25 million from 2022 to 2027 to support the global effort to ending AIDS, and to improve HIV outcomes for people in Asia-Pacific.  

While Asia-Pacific has seen remarkable progress, many challenges remain. The COVID crisis interrupted vital services across the region, hurting progress. New HIV infections in the region are rising again for the first time in a decade. Key populations, LGBTQI communities, and people with disabilities continue to face unequal access to medicine and healthcare, along with enduring stigma. These inequalities have hindered the HIV response.  

The agreement will assist communities and countries to tackle those inequalities, advancing proven approaches which help equalize access to HIV prevention, testing, treatment and care. The agreement recognizes the role of UNAIDS in providing international leadership and coordination to guide the HIV response. It builds on the strengths and experiences of Australia and UNAIDS to ensure strong partnership engagement.  

The partnership will enable a robust and sustainable response to HIV which is integrated into the wider context of health and sustainable development in the Asia–Pacific region. 

“Australia is a longstanding and valued partner of UNAIDS, said Winnie Byanyima, Executive Director of UNAIDS. This new agreement will help us to build on this partnership and draw on our collective expertise to end AIDS by 2030.”  

“The Australian Government is investing in our long-standing partnership with UNAIDS,” said Senator the Hon Penny Wong, Minister of Foreign Affairs. “Our five-year partnership builds upon our efforts to recover lost ground during the COVID pandemic and set our region, and the world, back on the path to ending HIV/AIDS.”

In 2021, 650 000 people were lost to AIDS and 1.5 million people newly acquired HIV. Through bold international action to tackle the inequalities which drive it, the world can end AIDS by 2030. 

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS Executive Director calls for immediate investment of $35 million in end-of-year funding and a commitment to increase the operating budget to $210 million for 2023

GENEVA, 3 November 2022—Board members of the United Nations Joint Programme on HIV/AIDS (UNAIDS) have met to discuss how to address a $35 million funding gap in the organization’s minimum operating budget of $187 million which is undermining efforts to end the AIDS pandemic as a global health threat by 2030. The budget required to fully meet the organization’s operational needs is set at $210 million.

In his opening remarks at a special meeting held in Geneva to discuss solutions to the funding gap, the Ambassador of Thailand’s Permanent Mission to the United Nations Office in Geneva, Rongvudhi Virabutr, the current chair of UNAIDS Programme Coordinating Board, said that the Joint Programme continued to have an important role in data collection and analysis to develop evidence and mobilize political leadership.

“As the largest funder of AIDS responses said earlier this year, the Joint Programme is “the North Star", without which we are all blind. A fully funded and effectively functioning Joint Programme is key to our collective success. We have no time to waste.”

Calling for an immediate release of $35 million in end-of-year funding, UNAIDS Executive Director, Winnie Byanyima said that the organization’s financial position had deteriorated even further since the last meeting of the UNAIDS PCB in June. She said that the war in Ukraine and movements in currency exchange markets had aggravated the situation.

“The size of the budget shortfall means that it cannot be addressed by stretching the budget or finding any more efficiency gains. It is forcing stark choices—a dramatic reduction in UNAIDS country presence or further reductions to our co-sponsors are some of the scenarios,” said Ms Byanyima. “These choices are devastating, and all scenarios will set the global AIDS response back even further by denying HIV prevention, treatment and care services to millions of vulnerable people.”

UNAIDS has taken significant action to resolve the funding gap by instituting budget discipline, developing a new resource mobilization strategy and working closely with a specially appointed task team made up of members of the PCB to come up with actions and recommendations to strengthen the financial position in 2023.

UNAIDS co-sponsors, communities of people living with and affected by HIV and civil society organizations have all called for UNAIDS to be fully funded so it can achieve is vital mission.

“The world is in danger and now our collective efforts in addressing the Sustainable Development Goal of eliminating HIV/AIDS as a public health threat is at stake,” said Christian Hui of the Prevention Access Campaign, Canada. “We cannot deny the contribution of the Joint Programme. Civil society, especially marginalised and key populations, have hugely benefited from the Joint Programme to advance access to lifesaving antiretrovirals and to combination prevention, to advance human rights and to empower communities to take an active part in HIV programming.”

Recognizing the complementarity of UNAIDS work, other partners in the HIV response, including the Global Fund to Fight AIDS, Tuberculosis and Malaria and the United States President’s Emergency Plan for AIDS Relief (PEPFAR) have also added their voices for UNAIDS to be fully funded.

UNAIDS is present in 70 countries worldwide working in partnership with governments, civil society and communities, collecting the data that shapes the HIV response, advocating for the reversal of harmful laws and policies to create an enabling legal environment, working for an end to HIV-related stigma and discrimination, and challenging the inequalities driving the HIV pandemic among vulnerable and marginalized groups of people. In 2020-2021, UNAIDS supported more than 80% of applications to the Global Fund, guiding $5 billion in HIV funding.

“We would like to call upon all stakeholders for increased support, coordination and collaboration with UNAIDS to address the unfinished agenda of saving lives and leaving no one behind in our efforts to end AIDS,” said Alegnta Gebreyesus Guntie of the Permanent Mission of Ethiopia to the United Nations Office in Geneva.

“UNAIDS support to countries is on developing data-informed, science-based strategies tailored to the epidemic and developing plans to implement them well,” said Ms. Byanyima. “Now, the work of the Joint Programme is needed more than ever to help countries to be ready for the next round of Global Fund applications in a difficult allocation environment.”

The UNAIDS Global AIDS Update In Danger reveals an HIV response faltering in the wake of the COVID-19 pandemic, the global economic crisis, and the war in Ukraine. A total of 650 000 people died of AIDS-related illnesses in 2021 and there were 1.5 million new HIV infections—1 million above the 2020 target of 500 000. New HIV infections increased in 38 countries.

“UNAIDS is working tirelessly to reverse the trend and to get the HIV response back on track.” said Ms. Byanyima.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

In 2020 highly indebted countries already used four times more of their revenues on debt repayments than on health investments, reveals UNAIDS report A Pandemic Triad. The report was presented at an event hosted by Georgetown University in Washington DC during the Annual meetings of the International Monetary Fund (IMF) and the World Bank

WASHINGTON/GENEVA, 13 October 2022—COVID-19 and the debt crisis, now aggravated by the consequences of the war in Ukraine, have created an unprecedented setback in global health, and put the global response to AIDS in jeopardy, risking 7.7 million deaths to AIDS-related causes by 2030, according to a new report by UNAIDS.

The report, A Pandemic Triad, shows that the debt crisis and the war in Ukraine have deepened the fiscal crisis of developing countries, severely undermining their capacity to invest in health. It also shows that the countries most affected in economic terms by COVID-19 are the countries deepest in debt—they are also the countries most affected by HIV. In 2020, for every US$ 10 available, US$ 4 was spent on debt servicing and only US$ 1 was invested in health.

“The multilateral system cannot fail again,” said Winnie Byanyima, Executive Director of UNAIDS. “The response to COVID was dramatically inadequate, from very limited vaccination in developing countries to no permanent debt relief, and scarce fresh resources to countries with severe health and social problems—there can be no mistakes this time.”

The World Bank is forecasting that, without even including the latest numbers, 110 countries will have health spending in 2027 either under 2019 levels or slightly over, with only 67 countries. going above 2019 pre-COVID health investment levels.

The 2020 data show that there was a temporary increase in health spending, but it was focused predominately on the COVID emergency, leaving other health priorities behind. Latest forecasts from the IMF predict slower economic growth, higher inflation and worsening debt risks, leaving health and HIV investments under severe threat.

“We need a brave multilateral response to enable developing countries to respond to current pandemics and prevent future ones, while tackling the urgent food crises,” said Ms Byanyima. “Growing development cooperation, closing tax loopholes and promoting progressive taxation, providing fast and effective debt cancellation and relief, and avoiding the resource to austerity that would mean less doctors, nurses, midwives, is the way to go. New resources and resources freed from debt or tax dodging should be invested wisely to end AIDS by 2030 and respond effectively to future pandemics.”

A Pandemic Triad shows that of the 38 million people estimated to be living with HIV, 26 million are in developing countries and two thirds are in countries that received absolutely no debt relief at all despite the deep health and economic crisis brought by COVID.

The HIV response in low- and middle-income countries is US$ 8 billion short of the amount needed by 2025. In 2021, international resources for HIV were 6% lower than in 2010. It is estimated that the reduced availability of resources to finance access to HIV services could cost 7.7 million lives over the next decade.

The Global Fund to Fight AIDS, Tuberculosis and Malaria is seeking additional resources for countries´ investments in the fight against the three diseases.

Kalipso Chalkidou, Head of Health financing at the Global Fund said, “As the latest IMF World Economic Outlook figures illustrate, the outlook is dire for donor and recipient countries alike, with debt servicing severely constraining especially poorer nations' ability to spend in health and social causes. In this environment, Global Fund views debt swaps for health as a promising tool for creating badly needed fiscal space to invest in health systems and the three diseases."

On average, public debt levels in low- and middle-income countries rose from 55% to 63.8% of GDP between 2019 and 2020 equivalent to a staggering US$ 2.3 trillion and continue spiraling. Meanwhile currency depreciation to the US dollar of over 10%, and escalating interest rates payments are creating a perfect debt storm. For low-income countries (LICs), total debt is estimated at 87% of GDP. As a consequence, the proportion of LICs in debt distress, or at high risk of debt distress, has doubled to 60% from 2015 levels.

OXFAM presented the update of the commitment to Reduce Inequality Index at the Annual meetings and presented the latest data around inequalities in access to health.

Max Lawson, Head of Inequality Policy and Advocacy at Oxfam International said, “Our analysis shows that half of the poorest countries cut health spending, despite the worst health crisis in century. They are spending far more on repaying their huge debts to rich creditors in New York and London than they are able to spend on protecting their people from dying from diseases. This is an appalling situation, made more appalling because it does not have to be this way. Inequality is a policy choice, not an inevitability”.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

High-income countries, private sector partners and developing countries, many with high HIV burdens, have all stepped up to fund the Global Fund  

NEW YORK/GENEVA, 21 September 2022—UNAIDS congratulates donors for increasing their contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Donors pledged US$ 14.25 billion to support efforts to end the three pandemics with more funding set to come. Donors made their pledges at the Global Fund’s Seventh Replenishment Conference hosted by the President of the United States Joe Biden.  

“Leaders from around the world who have committed resources today are life savers. They have made an investment in the future of children, young people and those facing the disproportionate burden of global inequalities—especially young women and girls. They are helping to build resilient health systems and be better prepared to face emerging threats to global security,” said Winnie Byanyima, Executive Director of UNAIDS.  

Countries rose to the challenge of increasing funding by 30%, demonstrating their confidence in the strong leadership of the Global Fund and its partners. The United States continued its position as a leader in global health by pledging US$ 6 billion, committing to invest US$1 billion for every US$ 2 billion pledged by the rest of the world. Canada, Germany, Ireland, Japan, Luxembourg, Portugal, Spain and South Africa all increased their funding by 30%. A notable contribution came from the Republic of Korea which increased its contribution by 300% to US$ 100 million.  

Developing countries, many tackling large HIV epidemics also stepped up in support of the Global Fund. Burkina Faso increased its contribution by 100%, Uganda and Togo increased by 50%, Kenya by 40% and Cote d’Ivoire by more than 30%. The Central African Republic, Eswatini, Malawi, Nigeria, Tanzania, Rwanda and Zimbabwe all made contributions to the Global Fund despite facing huge fiscal challenges, exacerbated by current global crises.  

“I am truly humbled to see so many developing countries, that are themselves facing multiple crises, and yet still made increased pledges to the Global Fund. I commend them,” said Ms Byanyima. 

France, the European Commission and the Bill and Melinda Gates Foundation all made important contributions to the Global Fund while Canada made an additional pledge of CAD 100 million for pandemic preparedness and called for increased financial contributions to UNAIDS and other partners working to end AIDS, TB and malaria. 

Two major donors are still to pledge, the UK and Italy, both of whom reiterated their support to the Global Fund and indicated they will be pledging in the coming weeks. UNAIDS urges them to match the 30% increase of their peers to get closer to the Global Fund US$ 18 billion target.  

This replenishment has mobilized the biggest global commitment to the Global Fund to date, in a context where challenging currency fluctuations made significantly increased contributions from European donors less visible when counting pledges in US dollars.  

UNAIDS congratulates Donald Kaberuka, Chair of the Global Fund Board and Peter Sands, Executive Director of the Global Fund. This achievement is a strong endorsement of their leadership of the Global Fund by member states and private donors, and of our collective efforts to fight AIDS, TB and Malaria.  

The HIV pandemic remains a global crisis claiming a life every minute but ending AIDS by 2030 is possible if countries continue to be bold in their financial contributions and work together to tackle inequalities. The actions needed to end AIDS will help protect the health and rights of everyone, strengthen economic development, and leave the world better prepared for future pandemic risks. 

UNAIDS will continue to work closely with the Global Fund in a joint effort to end AIDS. Since the creation of the Global Fund in 2002, UNAIDS has supported more than 100 countries in leveraging and implementing Global Fund resources—ensuring the funds are available and reach people most in need. 

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

DUBLIN/GENEVA, 1 March 2022—Ireland has today announced that it is increasing its core funding for UNAIDS from €2.4 million in 2021 to €2.5 million in 2022. The announcement was made at a meeting in Dublin between Ireland’s Minister for Overseas Development Aid and Diaspora, Colm Brophy, and the Executive Director of UNAIDS, Winnie Byanyima.

Ireland has been a partner and supporter of UNAIDS for more than 20 years. It has supported programmes that reduce the impact of HIV among some of the most-at-risk groups, including gay men and other men who have sex with men and young women and girls. In addition to the €2.4 million contribution in 2021, Ireland provided €1 million in support of UNAIDS’ zero discrimination agenda.

“Ireland is a strong leader in the global AIDS response and continues to be a steadfast ally to UNAIDS,” said Ms Byanyima. “This additional financial contribution from Irish Aid is an important signal at a time when the world must step up its efforts to remove laws that harm and instead create laws that empower so that people can receive life-saving and life-changing HIV services.”  

This year on Zero Discrimination Day, which is being held under the theme “Remove laws that harm, create laws that empower”, UNAIDS is highlighting the urgent need to take action against discriminatory laws. In many countries, laws result in people being treated differently, excluded from essential services or being subject to undue restrictions on how they live their lives, simply because of who they are, what they do or who they love. Such laws are discriminatory—they deny human rights and fundamental freedoms.

On Zero Discrimination Day, 1 March, we celebrate the right of everyone to live a full and productive life—and live it with dignity and free from discrimination.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.