UNAIDS and KFF report. Financing the Response to HIV in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2015
This report, Financing the Response to AIDS in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2015, tracks funding levels of the donor governments that collectively provide the bulk of international assistance for AIDS through bilateral programs and contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria. Donor government funding to support HIV efforts in low- and middle-income countries fell for the first time in five years in 2015, decreasing from US$8.6 billion in 2014 to US$7.5 billion.
KEY FINDINGS INCLUDE:
- Overall spending for HIV went down in 2015.
- The decline is due to a complex set of factors.
- Bilateral spending declined for all 14 governments.
- Multilateral contributions were down for 12 of 14 governments.
- Most HIV funding is bilateral.
- The U.S. remains the largest donor to HIV.
- In 2015, several donor governments provided a greater share of funding to HIV than their share of the world’s GDP.
In 2015, funding disbursed by donor governments for HIV declined by more than US$1 billion, or 13%, compared to 2014. While the decline is due to a complex set of factors, including issues of timing and exchange rate fluctuations, donor spending declined even after accounting for these factors. As such, it marks the first decline in 5 years. Whether this decline remains a single year event or a harbinger of more to come remains to be seen, although donor governments are facing many competing funding demands, including humanitarian emergencies and the refugee crisis, all against a backdrop of fiscal austerity in a number of countries. With UNAIDS estimating that in- country resources for HIV, including from donor governments, will need to increase by at least US$7.2 billion by 2020 to put the world on a trajectory to end AIDS by 2030, it will be critical to monitor donor government spending going forward.
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