Amid the sober economic discussions at
the just-concluded World Economic Forum summit of business, economic, and
health leaders in Davos, Switzerland, a current $5-billion shortfall in
financing the worldwide campaign against AIDS, tuberculosis and malaria poses a
daunting challenge to donors and to recipients in developing countries.
So far, the message that world business and health planners have drawn
from the conference is that despite the bleak outlook, the benefits of backing
the global fund far outweigh the economic consequences of not tackling these
debilitating afflictions. Joanne Carter
is executive director of the Results Education Fund, a Washington, DC-based
grass roots anti-poverty group. She says that the message she has
been hearing from sources at Davos is still supportive of meeting these
obligations.
"Not
only does it continue to be important to keep these commitments, but it
actually becomes more important in the face of what poor individuals are facing
and what national governments are facing in the face of these economic
crises. So it was definitely a somber
Davos, but there was a pretty clear message that came out of this, that we have
to maintain these health commitments and we have to maintain these commitments
on fighting poverty," she said.
The
$5-billion gap between money available to the Global Fund to Fight AIDS,
Tuberculosis, and Malaria and commitments made to needy countries does not
represent a failure of donors to come up with needed funds. On the contrary, Carter says, it points out
the success of the fund in making momentous progress in reversing the spread of
the diseases.
"The
Global Fund to Fight AIDS,TB, and Malaria, which is facing this $5-billion
financing gap for 2009 and 2010, is a product of the fund's success in many
ways because in fact, a number of years ago, the donors had said that if
countries could actually reach the level of demand, the Global Fund's own
board, which includes donor countries and developing countries, and in fact the
G-8 and Germany, all committed to actually providing the financing that was
needed if demand was there. And so what's
happened is we've seen a scale up of demand, but the Global Fund will need
about $8-billion. It only has about
$3-billion in the bank from donors.
That's where the gap is," she noted.
As
for the cost-effectiveness of pursuing the health crusade, compared to other
governmental, security, administrative, or antipoverty priorities, Carter says
the medical campaign has demonstrated remarkable gains everywhere it has
operated.
"I
think it could be argued that the Global Fund is the most innovative,
far-reaching, results-driven health financing mechanism that we've got,
providing two-thirds of the external financing for TB and malaria, a quarter
for AIDS. Not only does it continue to be really important to fund these health
programs in the context of this financial crisis. It actually becomes more important because we
know that one of the biggest economic drags on poor people is health
problems. So if we don't actually have
these resources to supplement what countries are able to do, what you're going
to see is a kind of double or triple impact of this economic crisis on poor
people and on national economic productivity," she cautions.
While many customary business
attendees shied away either from appearing or from offering up daring,
enterprising new proposals at this year's toned-down Davos summit, Carter
contends that governments and international agencies are continuing to make a
difference by committing infusions of billions of dollars toward caring for
societies' priorities. She notes US
President Barack Obama's pledge to honor spending level goals of the Global
Fund, and says she is optimistic that governments will see fit to continue
financing badly needed health and anti-poverty programs.