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UNAIDS Program Coordinating Board Meeting 10 December 2009 Geneva

The Impact of the Global Economic Crisis on HIV and AIDS UNAIDS Program Coordinating Board Meeting 10 December 2009 Geneva The context At the 24th Meeting of the UNAIDS Programme Coordinating Board in June, the Board requested that UNAIDS:

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UNAIDS Program Coordinating Board Meeting 10 December 2009 Geneva

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  1. The Impact of the Global Economic Crisis on HIV and AIDS UNAIDS Program Coordinating Board Meeting 10 December 2009 Geneva

  2. The context At the 24th Meeting of the UNAIDS Programme Coordinating Board in June, the Board requested that UNAIDS: “report at the 25th Programme Coordinating Board Meeting on the anticipated impact that the financial crisis will have on countries’ ability to meet their universal access targets and to include recommendations and mitigation strategies.”

  3. Monitoring system: sources of information 1. UCCs survey • March survey 71 responses • July survey 63 responses 2. CSOs survey • PCB Delegates provided the list of NGOs • 458 CSOs started the survey and 80 fully completed it • CSOs respondents from 75 countries 3. Country Case studies • 12 country case studies 4. Cosponsor’s contributions 5. Donor’s interviews • Structured interviews with the top five bilateral donors plus the Global Fund and World Bank

  4. Reported and expected impact is getting worse (UCCs July Survey)

  5. Percentage of countries in each region where funding reduction is expected to affect prevention

  6. Universal Access off-track (Coverage of ART for illustration) 19 on track 32 off-track 12 not available

  7. II. What are the driving forces? Economic slowdown and external shocks Flat international resources Competing priorities for development assistance Growing uncertainty at the country level

  8. Macro and Micro Impacts related to HIV/AIDS

  9. Economic Slow-Down and Shocks: UCCs reported risk factors

  10. Factors perceived by CSOs to affect HIV and AIDSof the Crisis on HIV/AIDS

  11. Impact of the Crisis on HIV/AIDS Programs: CSOs perspective

  12. What are the countries’ needs for technical assistance? Strategic planning: 20 countries Improved tracking, monitoring, evaluation 9 countries Economic analysis: of impact of crisis 8 countries Prioritization and efficiency: 8 countries Resource mobilization strategy: 7 countries Mitigation of the impact and Social protection package for poor AIDS affected households (1 country) Capacity building and strengthening the institutional capacity of civil society

  13. The outlook for donors Interviews with major donors, plus the Global Fund and World Bank, suggest that: • Donors and International Financing Institutions are striving to maintain financial support for AIDS in the context of a very challenging environment • There are significant shifts towards: • funding for health systems and other development agendas. • favouring countries with a high burden of disease and lower income status.

  14. What are the main findings? • Reported and expected impact is getting worse with the biggest impacts experienced by prevention programs delivered by CSOs • HIV funding is leveling off • Universal access goal is off track

  15. What can be done to address the negative effects of the economic crisis on AIDS programs Target better existing but constrained resources to protect priority services and populations including those delivered by CSOs. Pursue greater efficiencies in existing programmes Develop funding diversification strategies Increase the stability and predictability of funding Expand “safety net” services for poor and vulnerable populations

  16. Each and every one of us has a responsibility to improve the picture of the response toHIV/AIDS!

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