PEPFAR

Ce nouveau numéro de l’OFM met en lumière l'onde de choc provoquée par le gel de l’aide américaine sur la santé mondiale, notamment en Afrique. Alors que les systèmes de santé vacillent sous le poids des interruptions de traitement et du désengagement financier, le Fonds mondial lui-même fait face à une menace existentielle. La nécessité de diversifier les sources de financement et de renforcer la mobilisation domestique devient impérative. Enfin, l’initiative conjointe de l’Afrique du Sud et du Royaume-Uni pour lever des fonds offre une lueur d’espoir dans un paysage fragilisé. Plus qu’une crise, ce moment est une opportunité de réinventer les équilibres de la santé mondiale.

ABSTRACT A new analysis by Aidspan shows that domestic contributions by low- and lower-middle income countries to their HIV, TB and malaria responses accounted for around one third or less of their funding to tackle these diseases over the 2015-2017 period. The analysis also quantifies the projected gaps in overall funding for the 2018-2020 period - 24% for HIV, 49% for TB, and 44% for malaria - unless domestic and international commitments increase.

ABSTRACT PEPFAR has created the impression that it is directly providing treatment to far more people than is in fact the case. And the Global Fund may have done the same.

RÉSUMÉ Dans le monde, en 2020, près de la moitié (46 %) des 1,7 million d’enfants séropositifs n’était pas sous traitement et 150 000 nouvelles infections au VIH ont été enregistrées chez les enfants, soit quatre fois plus que l’objectif de 40 000 nouvelles contaminations pour 2020. Un nouveau rapport met en évidence les inégalités criantes qui affectent les enfants en matière d’accès aux services de prévention et de traitement du VIH. Le rapport souligne ensuite trois actions nécessaires pour mettre fin aux nouvelles infections au VIH chez les enfants dans les pays ciblés.

ABSTRACT While developed and developing countries around the world struggle to cope with the shocking rapidity and scale of COVID-19’s spread, the Global Fund and other major global donors are rallying to support countries' efforts, both medical and economic, to cope. The Global Fund is enabling up to $500-million within the current portfolio for reprogramming, the World Health Organization is gaining traction with its Solidarity Fund, and the World Bank Group has announced a $12-billion financing package for countries. The G20 has made broad commitments to protect lives and help “all countries in need of assistance” – what this means concretely is not yet clear.

ABSTRACT In 2014, PEPFAR adopted its new strategy, titled PEPFAR 3.0 - Controlling the Epidemic: Delivering on the Promise of an AIDS-Free Generation, designed to step up its efforts to optimize its investments. The HIV testing strategies now target geographical areas and populations for a better “yield” and higher positivity rates. This article presents an analysis of how the targeted testing strategy was rolled out in Côte d’Ivoire, between 2014 and 2018, in a context where PEPFAR uses its Country Operational Plans (COPs) to adjust its strategic directions annually.

ABSTRACT President Donald Trump’s proposed budget for fiscal year 2020, released last week, undermines the aspiration he expressed in his February State of the Union address to obtain bi-partisan support to eliminate HIV in the U.S. and the rest of the world. Though advocates and commentators believe it unlikely that Congress will approve the proposed cuts, they still signal a retreat of U.S. leadership on global health.

ABSTRACT Short summaries of varied news and items of potential interest to those who are part of, or linked to, the Global Fund, its partners and communities.

ABSTRACT This study from the Kaiser Family Foundation and UNAIDS finds donor government funding for HIV rose to US$8.1 billion in 2017, from $7 billion in 2016, due to a shift in the timing of U.S. disbursements. This would appear to contradict recent reports of a 'flat-lining' of donor funding for the HIV response, but the study says this boost included funds appropriated but not spent from previous years.

ABSTRACT President Donald Trump had sought a $224 million cut to the U.S. contribution to the Global Fund, but the FY 2018 budget adopted by Congress left the contribution intact at $1.35 billion. This is the first contribution by the U.S. towards its pledge of $4.3 billion for the replenishment period 2017–2019. The budgets for other global health programs generally remained unchanged from FY 2017, despite the president’s proposed cuts.