Washington, U.S.A. — Donor nation funding in 2011 for HIV in low- and middle-income countries returned to prior levels after a drop in 2010, but has been roughly flat since the recession hit world economies in 2008, according to an annual funding analysis from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

The study found that donor governments disbursed US$7.6 billion in 2011 for the AIDS response in low- and middle-income countries. Overall donor government support for AIDS has been flat since 2008, which marked the end of rapid increases in donor disbursements of more than six-fold over the 2002 to 2008 period.

“International investments still account for two thirds of funding for HIV in Africa, the continent most affected by the epidemic,” said Paul De Lay, Deputy Executive Director, Programme at UNAIDS. “Although more and more countries are increasing domestic investments for HIV, investments from donor governments remain an essential resource.”

“The benefits of early detection and treatment have never been more clear, but countries have never been more challenged to provide needed resources. This is a critical time to keep the focus on the HIV epidemic,” said Drew Altman, Kaiser Family Foundation President and CEO.

The two largest donor governments –the United States and United Kingdom – reported funding increases. The United States, the largest donor nation, reported a US$785 million increase in disbursements over 2010, but only returned to 2009 levels after reporting a delay in disbursements as the reason for last year’s decline. Australia, Canada, Denmark, France, Germany, Norway and Sweden maintained or slightly increased their support, while Ireland, Italy, Japan and the Netherlands decreased funding.

In 2011, the United States accounted for more than half (59.2%) of total donor government disbursements, followed by the United Kingdom (12.8%), France (5.4%), the Netherlands (4.2%), Germany (4.0%) and Denmark (2.5%).

When considering what constitutes a donor’s “fair share” – which this report assesses by looking at donor resources standardized by the size of government economies – Denmark provided the highest amount of resources for AIDS in 2011, followed by the United Kingdom, the Netherlands, Ireland and Sweden. The United States was sixth.

According to the latest estimates from UNAIDS, 34.2 million (31.8 million to 35.9 million) people were living with HIV at the end of 2011. Nearly 35 million have died from AIDS-related causes since AIDS was first reported 31 years ago.

The new report provides that latest data available on donor funding based on data provided by governments, and were collected and analyzed by researchers as part of a collaborative effort between the Kaiser Family Foundation and UNAIDS.

The full analysis is available online at http://www.kff.org/hivaids/7347.cfm.

Image Courtesy of  le Korrigan

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