In June 2011, world leaders unanimously adopted the UN General Assembly Political Declaration on AIDS that laid out ambitious targets for the global HIV response. They pledged, among other goals, to reduce the sexual transmission of HIV by 50%, end new HIV infections among children and ensure 15 million people have access to HIV treatment by 2015. While the International Organisation of La Francophonie (IOF) has made considerable progress towards these targets, its member countries are characterized by marked variations in access to treatment and prevention services as well as inadequate funding from both international and domestic sources.