Tuesday, June 10, 2008

Scaling up to Universal Access

See http://www.un.org/webcast/aidsmeeting2008/index.asp?go=104 for the webcast

Margaret Chan
Predictable and sustainable funding is crucial - you cannot start a programme without commitment to ongoing funding (literally, life long). We should be looking at our strategy for the next 27 years, learning from the lessons of the first 27 years of responding to the pandemic.

Integration of health and social services once again emphasised. Over and over we hear that rather than scale down HIV services to invest in other area, why not scale up both? Surely what has been learnt about coordinating massive national and global epidemic responses shows us what we can do in mobilising resources to respond to other major health needs.

Norway
Need to catch up, scale up and sustain. We also need to link up with other health and social issues; AIDS response can be a driver towards achieving all the MDGs.

Netherlands
Need to hold governments to account - internationally holding one another accountable, and nationally Civil Society should be holding their governments to account.

USA
Need to make sure 12-16% of all funding for therapy scale ups should be for paediatric therapy - current draft PEPFAR Bill is focussing on funding therapy in these proportions. Others should be aiming for this kind of scale up.

Russia
Scaling up treatment on a three year budgeting cycle - i.e. to 2011. c$1B

UK
Need to scale up all health systems. Not just ARVs but palliative medicines, opiate substitution therapies.

Also increase health workers, with specific targets such as 2.3 nurses per 100,000 population.

UK has announced a long term financing commitment to spend $12billion up to 2015

No comments: