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Donate the Dollars
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Florence Kumunhyu, AIDS educator and
founder of Buwolomera Development Association, Uganda.
All photographs on this page provided by ActionAid ©
Gideon Mendel
Network/ActionAid |
Uganda is the only country in Africa where
the progress of the epidemic has been reversed. Condom use has gone
up, the extent of casual sex has gone down, and the extent of HIV
infection has dropped. All this has been accomplished with determination
on the part of Ugandans -- but it also has been backed up by effective
outside help -- that's right, DOLLARS. Financial support increased
from $1 million to $18 million per year between 1987-1990 and was
sustained throughout the 1990s. With adequate financing, Uganda's
sustained and massive information campaign has reversed the AIDS epidemic.
Campaigning Success
All across affected regions like Africa, additional resources can
be immediately used to finance proven programs, while at the same
time strengthening and expanding health facilities over time.
In response to campaign pressure from activists and numerous concerned
groups, the international community joined together in 2001 to create
an innovative public-private partnership, the Global Fund to Fight
AIDS, TB, and Malaria. UN Secretary General Kofi Annan, who was awarded
the Nobel Peace Prize, proposed the Fund's creation.
The Fund will balance its resources by giving due priority to areas
with the greatest burden of disease, while strengthening efforts in
areas with growing epidemics. It will provide grants to public, private,
and nongovernmental programs in support of technically sound and cost-effective
programs, for the prevention, treatment, care and support of the infected
and directly affected. The Fund will also provide resources for the
purchase of medications and other products to prevent and treat the
three diseases.
So far, rich governments and a few corporations have pledged $ 1.9
billion to the Global Fund. Campaigners have rallied together over
230 civic organizations in the US and around the world calling on
the US government to donate its fair share to the Fund, and campaigners
in the Great Britain and other countries are staging similar actions.
During 2002, country programs will receive resources via the Fund.
Stayed tuned for more information about these newly funded programs.
To help get even more resources to where they're most needed visit
our Take
Action section.
Treat the People
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Ipsukilo Community School, Zambia. |
95% of people infected with HIV/AIDS have no access to affordable
medication to treat the HIV infection. But, innovative programs in
a number of impoverished countries have been successfully providing
treatment with what are known as "antiretrovirals"
and saving people's lives. Antiretrovirals are medicines that kill
the virus itself and which, in wealthier nations, have turned AIDS
from something that is always fatal to a manageable illness. For instance,
patients have been successfully treated in projects in Haiti, Senegal,
and Côte dIvoire. And, since 1997 Brazil has had a successful
program of AIDS treatment.
The benefits of these programs have included not only the extension
of patients lives, including the parents of would-be orphans,
but also more successful prevention campaigns. These programs have
proven that the medicines can be administered effectively where the
health care systems are weak.
Campaigning Success
But, despite these positive examples, so much more needs to be done
to secure reliable access to medications. With drug prices being the
main obstacle, activists have campaigned so that market competition
from generic versions of these drugs could start bringing down the
prices of the medications. And, recently, this campaign won a number
of concessions.
For instance, at last year's meeting of the World Trade Organization
in Doha, Qatar, African governments and others, backed by AIDS activists,
successfully bargained for the right to allow local pharmaceutical
manufacturers to produce generic versions of patented drugs for the
local market in order to protect public health. This was a hard-won
victory that required coordinated campaign pressure and media tactics.
Now, negotiations are underway to determine whether some countries
might also be permitted to import patented drugs made by generic producers
in other countries. In this way, a country such as Uganda that does
not have the capacity to manufacture its own AIDS medications might
be permitted to purchase them from producers of cheaper, generic medicines
in Brazil.
This success at Doha was real, but it's all threatened by Fast Track
legislation in the US read more in our Take
Action section!
Drop the Debt
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Members of the Straight Talk Club, City
View High School, in Kampala, Uganda. |
Since many countries have begun receiving debt relief, many of the
poorest African countries have been able to devote more resources
to the fight against AIDS. For example, Malawi received an initial
cut in debt service of 30%, or $28 million. These funds financed the
purchase of critical drugs for hospitals and health centers, hiring
extra staff and support in primary health centers, and training new
nurses.
Uganda has also made progress, having been able to increase spending
on primary healthcare by 270 percent as a result of debt relief. $1.3
million of Uganda's debt relief money has been specifically earmarked
for their national HIV/AIDS plan. This amount will be matched by an
additional $1.3 million of government revenue, and supported by $2.4
million of overseas development assistance.
Cameroon has put its $114 million cut in debt service to good use.
With an HIV rate that by the end of 1999 was approaching eight percent,
Cameroon chose to spend part of that savings to fund several emergency
actions in their comprehensive national strategic HIV/AIDS plan, including
promoting behavior change, making voluntary testing and counseling
widely available, preventing HIV transmission from pregnant women
to their babies, and supporting a 100% condom use campaign.
Campaigning Success
Growing pressure from debt campaign groups, under the Jubilee 2000
umbrella, forced the creditors to admit that the debt relief initiative
started in 1996 was failing to deliver. Countries hopelessly mired
in old loans, many taken on by dictatorships, were still paying out
many times in debt payments what they were able to spending on providing
health care and education.
Following intensifying campaign pressure, in January 1999, Chancellor
Schroeder of Germany, announced that `radical and bold' steps were
needed on debt relief, prompting other G7 creditors to support calls
for an `enhanced' Initiative. This was launched at the Cologne G7
Summit, as 50,000 people formed human chains in Germany to call for
the `chains of debt' to be broken. Campaigners also succeeded in pressuring
a number of the wealthiest nations, like the US and Britain, to cancel
all debts owed them by some of the most impoverished nations.
With these successes the historic Jubilee campaign has leveraged $34
billion in debt cancellation for impoverished nations. Campaigners
in the US achieved a hard-won victory when they persuaded the United
States Congress to provide more than $700 million to fulfill the US
commitment to international debt relief.
Yet, we have not gone far enough. Only 25 of the poorest countries
will see their debts reduced. The debt relief provided to date will
reduce overall debt burdens by only one third on average. Many countries
have yet to see the debt relief promised as they struggle to implement
World Bank and IMF economic austerity measures in order to get the
money. Read more in our Take
Action section!
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