Domestic Resources Missing in Africa’s AIDS Response

By Chief K.Masimba Biriwasha Biriwasha | DevAge Global Editor At Large

HARARE, Zimbabwe – Ninety per cent of AIDS programmes in Africa are foreign funded, a situation that is highly unsustainable especially in the face of the global economic crisis, Director of the UNAIDS Regional Support Team for East and Southern Africa, Professor Sheila Tlou revealed in an exclusive interview at the inaugural GlobalPOWER Women Africa conference held recently in Harare, Zimbabwe.

“There are individual variations among countries but indeed in a lot of our programmes continent-wide, ninety-percent of the funding comes from external sources, for example, the Global Fund, PEPFAR and other development partners. There is an AIDS dependency on the continent,” she said, adding that Africa needs increased domestic resources targeted towards the AIDS response.

“We need to have domestic resources because if every country can own the epidemic and say that it’s ours – that can do quite a lot.”

She attributed the continent’s AIDS dependency to the history of epidemic which has been largely characterized by foreign funding of AIDS programmes.

“When HIV came, I would say, a lot of donors were willing to pour a lot of money in, and maybe the situation could have continued had the world not experienced the global economic crisis,” she said.

Tlou said that though African governments have long-recognized that they need to dedicate domestic resources to the AIDS response, there was still a lack of political commitment to implement declarations.

“In 2001, African presidents met in Abuja and made a declaration to devote 15 per cent of national budgets to health but it’s happening in a very few countries. If we can have at least every African country saying we’re going to put 15 per cent of their national budgets to health, we would be far much better off,” she said, pointing out that countries such as Botswana, Mauritius, Namibia and South Africa had committed fifteen percent of their national budgets to the health sector with tangible improvements in the response to AIDS.

“The political commitment needs to be there. Fifteen percent is not a magical bullet but it shows that countries have goodwill to respond to the epidemic whereby donors can say we are helping those who’re helping themselves.”

Tlou added that AIDS programmes in Africa currently exist in silos, far removed from each other, lacking in integration and a holistic approach.

“The real problem is that the AIDS response in Africa is disintegrated. We need to take AIDS out of isolation and make sure that it is integrated into the whole healthcare system,” she said.

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GlobalPOWER Women Network Africa Conference Opens in Harare

By Chief K.Masimba Biriwashs | iZiviso Global Editor At Large

HARARE, Zimbabwe – Women parliamentarians, leading African women entrepreneurs, civil society leaders, and development partners from Africa are meeting in Harare over the next two days for the inauguration and launch of the GlobalPOWER Women Network Africa.

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The conference, being attended by approximately 300 participants, is aimed at providing a strategic political platform to accelerate game changing approaches to HIV prevention and sexual and reproductive health and rights responses for women and girls. The idea to create an Africa-specific GlobalPOWER Women Network stemmed fom a September 2010 meeting in Washington DC that saw prominent female decision makers come together alongside their US peers to discuss how to accelerate the implementation of the UNAIDS Agenda for Women and Girls.

Participants at the conference are expected to address the key issues affecting girls and women in Africa including eliminating new HIV infections among children, keeping mothers alive and maternal and child health. The meeting will result in the “Harare Call to Action” to advance women’s empowerment and gender equality through HIV and Sexual and Reproductive Health and Rights responses.

President of the GlobalPOWER Women Network Africa and Zimbabwe Deputy Prime Minister, Thokozani Khupe said that women must take an active role in ensuring their empowerment.

“To achieve the vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths, it is critical to recognise women and girls as key agents in making this vision a reality – society has to invest in the health of women and girls,” Khupe said.

Addressing the conference, Zimbabwe President Robert Gabrial Mugabe said the launch of the network will take the issue of women’s emancipation and empowerment a step further.

Äfter the launch, the real work will begin and call for the same passion, unity of purpose and consistency in pursuing the goals which have characterized this Women’s Network thus far. Of particular note will be the challenge of giving unstinting support to women candidates of every hue and cry; of varying professional qualifications, driven by different talents and capabilities to realise their potential in the collaborative work of Global Power Women Network, the Africa Union and UNAIDS,”said Mugabe.

In Africa, women and girls carry a disproportionate burden of the HIV epidemic – they constitute 59 percent of all people living with the disease. To make matters worse, gender inequality compounded by gender-based vioence, increase women and girl’s risk of HIV infection.

Ëmpowering women and girls to protect themselves against HIV infection and gender-based violence is a non-negotiable in the AIDS response,”said UNAIDS Executive Director, Michel Sidibe.