A report launched today at the Special
Summit of the African Union on HIV/AIDS, Tuberculosis and Malaria highlights
increased, targeted health spending as an essential foundation to greater
economic growth and development in Africa. The report, Abuja +12:
Shaping the future of health in Africa, published by the
African Union (AU) and the Joint United Nations Programme on HIV/AIDS (UNAIDS),
reviews progress made since the AU’s 2001 Abuja Declaration—in which leaders
pledged to mobilize domestic and international resources for health and remove
barriers to the AIDS response—highlights remaining gaps, and prioritizes next
steps.
“Africa’s health and our prosperity
are inextricably linked. 2001 was a turning point for Africa as African
countries committed to take greater responsibility for the health and wellbeing
of their citizens,” said Dr Mustapha Sidiki Kaloko, AU Commissioner for Social
Affairs. “Since then, we have invested greater resources and efforts to address
AIDS, TB and malaria which has produced exceptional results. We urge all AU
member states to commemorate Abuja+12 with a renewed commitment to prioritize
health and achieve their commitments and targets by 2015.”
The new report highlights five main
recommendations for a healthier Africa: unifying leadership, generating
innovative financing, making smarter investments in health, strengthening human
resources and ensuring no one is left behind. Together, these recommendations
aim to leverage health as a force for economic growth and social progress
across Africa.
The report also highlights recent
successes in the HIV, TB and malaria responses in Africa, including substantial
reductions in the number of new HIV and TB infections and deaths from malaria.
There is now much broader access to antiretroviral and TB medications and use
of malaria control strategies such as insecticide-treated bed nets and indoor
residual spraying are becoming more widespread.
“Twelve years ago, African leaders
pledged to unite in addressing the health crises which were devastating the
continent—and succeeded in making historic progress,” said Michel SidibĂ©,
Executive Director of UNAIDS. “A renewed and bold commitment here in Abuja is
essential as drawing from experiences in the AIDS response, we know that smart
investments will save lives, create jobs, reinvigorate communities and further
boost economic growth in Africa.”
The report cites a number of
approaches pioneered as part of the AIDS response that can help improve returns
on health investments. These include using investment frameworks to prioritize
spending on the most cost-effective interventions; focusing efforts on people
most in need; and reducing front-line health care costs by shifting tasks, where
appropriate, from physicians to nurses, community health workers or other
health practitioners. On strengthening health governance in Africa, the report
notes that the principles that have been fundamental to the success of the AIDS
response can be leveraged for the post-2015 agenda to advance coordination,
innovation and commitment.
A central element of the 2001 Abuja
Declaration was the commitment to allocate at least 15% of public expenditures
to health by 2015. Over the last five years, health spending in Africa has
risen by about 10% annually. However, spending is still nowhere near where it
needs to be—just six AU member states (Liberia, Madagascar, Malawi, Rwanda,
Togo, and Zambia) have achieved the 15% Abuja target, and an additional US$ 31
billion is required to close the funding gap.
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