AIDS status & challenges of the epidemic
5. What has been done in terms of funding and research?
- 5.1 What has been achieved in terms of HIV/AIDS funding?
- 5.2 What research efforts have been made?
5.1 What has been achieved in terms of HIV/AIDS funding?
The Global target related to
funding is one of the few targets set for 2005 that has been met
and the amount of money available to fight
has increased significantly since 2001. In 2005, US$ 8.3 billion
were spent to tackle AIDS in low- and middle-income countries.
The 2001 Declaration of Commitment on
resulted in the launch, in December 2002, of the “Global Fund to
and Malaria” which has so far approved 350 grants to 128
countries, and distributes 20% of all the international money
The World Bank and the United States President’s Emergency
Program for AIDS Relief are other major contributors.
However, more efforts are needed.
Indeed, despite the huge increase in funding over the years,
the money raised to fight
is still insufficient. For instance, it is expected that, in
2007, US$ 10 billion will be available while US$ 18.1 billion
will be needed.
To plan the long-term fight against
funding needs to be managed in a better way so that countries
can plan ahead knowing how much money they will receive each
year. For instance, all governments and donors should say in
advance how much money they will give and there must be systems
in place to check that the promised money is actually given.
5.2 What research efforts have been made?
would benefit people in all countries, from the richest to the
Funding for research into the development of
preventive vaccines nearly doubled from US$
327 million in 2000 to nearly US$ 630 million in 2005.
Since 2001, research and development into safe and effective
has gathered momentum with research money reaching an estimated
US$ 163 million in 2005. Such microbicides could help prevent
transmission by killing the microbes in the vagina. Large-scale
human trials are already under way to test how effective these
drugs and other methods, such as the use of a female
and adult male
are in preventing HIV.
In almost three-quarters of countries, any research involving
humans has to be approved by an ethics committee to make sure
that trials are carried out in an acceptable manner. However,
people living with
and the people caring for them, are usually insufficiently
involved in reviewing the way research is carried out.