Presentation by Dr Philippe Douste-Blazy Chair of UNITAID Special Representative of the UN SG for Innovative Financing for Development
The Millennium Goals : Hope for Humanity 2000 UN Millennium Summit : The General Assembly of the United Nations adopted the Millennium Declaration. 8 Goals linked to 18 quantified targets
The Millennium Goals : Hope for Humanity How the MDGs have changed aid to development: Focus global aid to development action Emphasize the importance of quality Consensus agenda about where action is needed
The Millennium Goals : a hope for Humanity 2000 UN Millennium Summit: the General Assembly of the United Nations adopted the Millennium Declaration. Urgency to free our fellow men, women and children from the abject and dehumanizing conditions of extreme poverty to which more than a billion of them are currently subjected. 8 Goals linked to 18 quantified targets
Progress at mid point In 2005, aid rose to a record $106.8 billion but in real terms, official aid dropped by 5.1%
Percentage of HIV Spending according to type of activity and Region 100% 80% 60% 40% All Other Care and Treatment Prevention 20% 0% *No of countries included: LA: 13, AP: 8, Carib: 3, SSA: 13, EECA: 9, MENA: 3.
Europe as a donor to the Global Fund Pledges and contributions 2002-2010 and beyond Total USD 19.5 billion 10% 4% EU Member States European Commission Other European countries 21% 4% 6% 55% United States Canada, Japan and others Private sector, UNITAID, D2H
Global Fund: HIV/AIDS coverage After 7 Rounds of proposals 133 countries 214 components US$ 3.1 billion (2 years) 0 2,500 5,000 Kilometers US$ 8.6 billion (5 years) 9 Note: HIV/TB, integrated, and HSS components are included. BG/261107/7
Funding for development US$ 2000 2004 2008 2011 2015 10
Innovative Financing for Health UNITAID a lab for innovative financing
Tax received on each ticket by UNITAID (in France) Flight in France or in Europe International flight Economy class First class or business 1 10 Antimalarial treatment for 2 children ex: flight Paris - Berlin 4 40 1 HIV-positive child under treatment for 1 year ex: flight Paris - Dakar An aircraft with 300 passengers on board leaving from Paris will cover the treatment for 1 person with multi drug resistant tuberculosis (approx. 4.000 $) or 60 HIV-positive children for one year Furthermore no economic impact on air traffic
UNITAID: a lab for innovative financing UNITAID September 2006: Official launch of UNITAID in New York with the representatives of the 5 founding countries: Brazil Chile France Norway United-Kingdom
Five founding countries (September 2006) Official signature of the five founding countries when UNITAID was launched, on 19 September 2006, at the United Nations General Assembly, New York
Now UNITAID counts 27 countries From 5 founding countries: Brazil, Chile, France, Norway, UK Now: 27 member countries & the Gates foundation
UNITAID : a lab for innovative financing Over $600 million collected in less than 2 years mainly through air travel tax No economic distortion for the air industry A solidarity movement
UNITAID: a lab for the innovative financing What is innovative about UNITAID? Fills some of the funding gap by targeting niche markets Stable and sustainable Disburses funds rapidly for greater and faster impact Predictable funding Results-oriented
UNITAID: a lab for innovative financing Three times more treatments for children with HIV Three out of four children on therapy for HIV globally treated with UNITAID funds For PMTCT $70 million committed in 17 countries Renutrition programmes Price reductions of up to 60% 70 000 patients supplied with second line ARVs in 20 countries
Ongoing UNITAID programs - HIV/AIDS 35.5 M$ Pediatric ARV: 100,000 new HIV-positive children under adapted ARV treatments in 2007 in 38 countries (40,000 previously treated only, when 660,000 estimated in need). Partner: Clinton Foundation 35.9 M$ 2 nd line ARV: price reduction for 7 products and treatments for 70,000 new patients in 27 countries in 2007. Partner: Clinton Foundation 20.9 M$ Prevention of mother to child transmission: Improve care, reduce prices of diagnostics, 1.2 million pregnant women diagnosed and 340,000 under ARV treatment in 8 countries in 2007-2008. Partners: WHO and UNICEF
UNITAID ongoing actions More than 80 countries already receive UNITAID support HIV / AIDS 51 recipient countries Malaria 22 recipient countries Tuberculosis 58 recipient countries - Pediatric ARV - Second line ARV - PMTCT - ACT - First line TB - Pediatric TB - MDR-TB
51 recipient countries from UNITAID funds against HIV/AIDS AFRO Angola Benin Botswana Burkina Faso Burundi Cameroon Chad DRC Cote d'ivoire Ethiopia Ghana Guinea Kenya Lesotho Liberia Malawi Mali Mozambique Namibia Nigeria Rwanda Senegal Swaziland Tanzania Togo Uganda Zambia Zimbabwe SEARO India WPRO Cambodia China Lao Papua New Guinea Vietnam AMRO Dominican Rep. Guyana Haiti Jamaica OECS (Anguilla, Dominica, St Lucia, Antigua & Barbuda, Grenada, St Christopher & Nevis, British Virgin Islands, Montserrat, St Vincent & Grenadines) EURO Moldova Serbia EMRO Djibouti Morocco Tunisia
UNITAID initiatives have already driven major price reductions (partnering with CHAI) Change in peds ARV prices (AZT FDC vs. individual syrups) US$/patient per year Change in 2 nd -line ARV prices (TDF+3TC) US$/patient per year $$130 $315 50% 50% $66 $159 2006 Q1 2008 2006 Q1 2008 22
Better products at lower price Before: Single dose syrups 16 bottles of syrup monthly 200 $ per patient per year Now (UNITAID-CHAI): Fixed dose combination 3 tablets a day 60 $per patient per year
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