JAKARTA, Indonesia – The Global Fund is expanding action on gender equality and emphasising the importance of saving the lives of women and girls through increased high-impact, gender-responsive investments to tackle HIV, TB and malaria.
As it observes International Women’s Day, 8 March, the Global Fund cited the health needs of women and girls as a central part of gender equality work that is essential to have significant impact on responses to AIDS, tuberculosis and malaria.
Evidence clearly shows that gender inequalities make women and young girls more vulnerable to acquiring the diseases, and to access care and other services. The latter is particularly true for key affected women, including women living with the diseases and those who are sex workers, who use drugs and who are transgender.
Discussions on gender equality were highlighted at a Board Meeting of the Global Fund that concluded today. Board delegations were briefed on the new Action Plan of the Global Fund Gender Equality Strategy. Women and men from diverse communities in India, Indonesia, Malawi, Myanmar and Zimbabwe spoke of their experiences with the Global Fund and urged leaders to translate words into action.
Over 50 representatives from donor governments, technical agencies and affected women met to determine strategy on concrete steps toward gender equality and to target the world’s health investments towards the populations who need them most.
“We are making progress towards the defeat of these diseases, and greater involvement of women will be key,” said Dr. Nafsiah Mboi, Chair of the Board of the Global Fund and a long-standing gender advocate. “This is an important challenge for all of us. It will require a collective effort from all our partners.”
Women and girls are disproportionately affected by HIV. Gender inequalities increase vulnerability to HIV through violence, including rape. So do unequal power dynamics between women and men, and unequal access to education and economic opportunity. These factors make HIV rates especially high among girls and young women in many countries.
TB is a leading infectious cause of death among women in low and middle-income countries, and can impact fertility as well as create major care and treatment challenges for women and girls. Most malaria cases strike children under five and pregnant women are also particularly vulnerable, because their immunity to the disease is diminished by pregnancy.
In many societies, women do not enjoy the same rights, opportunities and access to services as men. The Global Fund is committed to ensuring its grants support equal and equitable access to prevention, treatment, care and support for all those who need it most, including women and girls in all their diversity. Women’s rights are human rights, making gender equality a cross-cutting concern for all of the Global Fund.
“We have to do more on gender equality,” said Mark Dybul, Executive Director of the Global Fund. “There are many aspects to this work, and one of them is putting women and girls at the center of our health interventions.”
The Global Fund encourages frank, open discussion about gender equality, gender-based violence and sexual and reproductive health rights wherever appropriate. Its new funding model opens a number of opportunities and entry points for strengthened gender equality and for engagement of women affected by the diseases to ensure they are fully involved in dialogues and delivering programs.
Ms Wendy McCarthy AO, Chair of the Pacific Friends of the Global Fund responds:
It was very pleasing to attend the recent Global Fund meeting and observe that the workshop on gender was oversubscribed. There is a sense that gender has to be center frame and it was wonderful to see the role modelling offered without comment when the Chair and Vice Chair of the Global Fund are female.
Women and girls are disproportionately affected by HIV and their world unravels very quickly. Gender inequalities increase vulnerability to HIV through violence, including rape. So do unequal power dynamics between women and men, and unequal access to education and economic opportunity. These factors make HIV rates especially high among girls and young women in many countries.
At this meeting there was a concerted effort to change these dynamics.
Global Fund News Flash: Issue 38
John Rae is a documentary and commercial photographer who has worked with the Global Fund since 2002 and delivered some of our most memorable images. Over the years, John has visited over 45 countries to document efforts to defeat AIDS, TB and malaria. We asked John to pick a memorable photo and tell us the story behind it. He picked this one, from 2008, and gave this account:
I was in Ciudad del Este, Paraguay, a town defined by its hyperactive cross-border trading with Brazil. Its prisons are full of traders, fixers, and others who have put their toes well over a few legal lines. Prisons are incredibly good incubators of TB because conditions tend to be crowed, dirty, and wet. If you are locked in a crowded cell, it is difficult to protect yourself from infection. I was there to document a successful Global Fund sponsored program that fights the spread of TB at the Ciudad del Este regional prison.
Upon entering, I had to give up my wallet, cell phone, passport, and everything else in my pockets. I met the head of the Stop TB program, Juan Carlos, a handsome ex-inmate who is tall, all muscle, with a scar that runs from behind his left ear to under his chin. His job was to enter cell blocks to check on inmates, look for signs of TB, educate inmates about TB, and to dispense medication. When I asked if I could follow him on his rounds, he looked skeptical. Juan Carlos went deep into the prison – further than any guards would go. I was warned that the guards could not guarantee my safety. With a deep breath I said, “OK, let’s go.” Juan Carlos and I put on white smocks to differentiate ourselves from the prisoners, who wore street clothes.
We walked through a series of gates that puts us beyond the reach of the guards. They followed us part of the way but soon we were on our own. I asked Juan Carlos if he ever had any trouble. He replied that sometimes he gets mugged. But didn’t we leave all our valuables at the guard station? The inmates wear street clothes so anything we are wearing is valuable. Have they taken your shoes? He replies, “Yes.” His shirt? “Yes.” His pants? “Yes.” His underwear? I hold my breath… “Yes.” So, Juan Carlos, what do you do then? He says “I put on a big smile and walk back out.”
But the walk-through was inspiring, not scary. Juan Carlos is a hero to the inmates. They understood that he literally had their life in his hands, as he risked his own. He was greeted with hugs and hoots in many cell blocks. As he spoke to inmates about how they are and whether anyone is coughing, I saw his concern. He checked a couple of guys with TB to see if they were adhering to treatment. I spent two hours walking through the prison. We could have done it in about half the time but Juan Carlos stopped to talk to anyone who needed his attention.
To learn more about John Rae visit: www.raephoto.com
Most HIV-positive people who are on antiretroviral treatment have a near zero chance of transmitting the virus to others during unprotected sex, a European study has found.
In a finding that could dramatically change the lives of HIV-positive people and public health policies in Australia, a study of 282 gay men on treatment with undetectable levels of the virus in their blood, found that none of them transmitted it to their partners through unprotected sex over one year.
While a previous 2010 study of mainly heterosexual couples showed that having an undetectable viral load reduced the risk of transmitting the virus to an HIV-negative partner by 96 per cent, this is the first study to look at the risk in gay men, who make up about 80 per cent of the HIV-positive population in Australia.
HIV experts said that although the latest data presented from the PARTNER study at a US conference this week suggested an ”extremely low and possibly zero risk” of transmission among people with undetectable levels of the virus, it was too early to tell people that they could abandon condoms.
However, they said the study boosted hopes that a strategy of ”treatment as prevention” could play a major role in stemming the spread of HIV in Australia in coming decades and should prompt the federal government to explore more home-based testing so people know their status and can be treated earlier.
Professor Andrew Grulich, of the Kirby Institute, said that while some Australian states including NSW and Victoria had already introduced more rapid HIV testing to encourage people to know their HIV status, Australia should follow the US and allow tests to be sold over the counter in pharmacies for home-based use.
”I think home-based testing absolutely has a place in the testing response in Australia because treatment as prevention critically depends on people with HIV being diagnosed as early as possible, so they know they are infected and can take action to reduce their infectivity before they have any unsafe sex with anybody they could pass it on to,” he said.
Head of infectious diseases at the Alfred Hospital in Melbourne, Professor Sharon Lewin, said a ”treatment as prevention” strategy was promising because about 90 per cent of people on antiretroviral treatment have undetectable levels of the virus in their blood when they have tests, usually at six monthly intervals.
But she said limiting the spread of the virus was complex because about 8000 of the 33,000 people living with HIV in Australia do not know they are infected.
”It’s thought that about 50 per cent of new infections come from people who don’t know they are infected,” Professor Lewin said.
Furthermore, she said only about half of the 25,000 people who know they are HIV positive are receiving antiretroviral treatment for a range of reasons, including a historical requirement for people to show a certain amount of immune system damage to receive subsidised treatment.President of the National Association of People Living with HIV and AIDS Robert Mitchell welcomed the results of the PARTNER study which will continue to examine the risk of transmission among heterosexual and homosexual couples until 2017.
”These results provide further evidence of the powerful impact that HIV treatment has on preventing HIV transmission. It is important that every effort is made to alert people with HIV and their doctors to these latest findings, particularly as this study is the first of its kind to include a significant number of gay couples,” he said.
7 March 2014 News Release
JAKARTA, Indonesia – The Board of the Global Fund approved strategic, financial and operational components of a new approach to funding that offers more predictability, more flexibility, more inclusive country dialogue and a greater impact to defeat AIDS, TB and malaria.
At a meeting that concluded today, the Board approved final elements of the new funding model, opening the way for its full implementation to begin this month. Following a decision in November 2011 to “evolve the funding model,” the Board, its Committees and Global Fund staff have spent more than two years devising, refining and preparing a transition to the new funding model, coordinating closely with partners on each step.
“We are moving forward with a model that will enable our partners to reach more people with the information and services they need,” said Dr. Nafsiah Mboi, Chair of the Board of the Global Fund. “Working with partners, we are supporting the most effective methods to defeat AIDS, TB and malaria.”
The Board approved an updated comprehensive funding policy and an initial allocation of $10.2 billion for grants during 2014-2016. Ten percent, or close to US$1 billion, will go to “incentive” funding, to encourage ambitious plans.
With a more strategic approach based on national plans, the new funding model will support countries in planning how to control these epidemics and to provide care and treatment to people affected by them, including strengthening of health systems. The new funding model relies on strong country dialogue to bring partners together to best decide how to maximize impact, and to look at how all available resources can serve a country’s objectives.
Available funding for health interventions does not meet the full demand in many countries. The Global Fund encourages ambitious national strategic plans to defeat HIV, TB and malaria, and is aware that focusing on maximum impact can in the future achieve more than seems possible today. To enable long-term sustainability, the Global Fund is encouraging greater investment and long-term financing in countries all over the world.
The Board also approved a revised disclosure policy for the Office of the Inspector General, building further upon a policy of a high degree of transparency. The revised policy calls for publicly releasing all reports the Office of the Inspector General, including those on internal operations at the Global Fund.
For more information please contact:
The Global Fund
Head of Communications
Andrew Wilkie MP joined anti-poverty campaigners at Parliament House this week to support the end to one of the world’s deadliest and oldest diseases – tuberculosis.
Volunteers and staff from RESULTS International (Australia) met with the Independent Member for Denison to discuss several issues including ending the scourge of tuberculosis and improving education in the Asia-Pacific.
RESULTS works closely with federal parliamentarians and their constituents to generate the public and political will to end extreme poverty.
Anti-poverty advocates Maree Nutt, Camilla Ryberg, Sarah Kirk, and Gina Olivieri went into bat for The Global Fund to Fights AIDS, TB & Malaria, asking Mr Wilkie to call on the Abbott Government to make a donation of just $200 million to the lifesaving financial institution.
Over a million people die from tuberculosis each year worldwide, more than half of these deaths occur right on Australia’s doorstep.
Mr Wilkie has been a long-time supporter of the grassroots organisation since 2010 and makes his office and resources available whenever they visit Canberra to champion their causes.
The campaigners also asked Mr Wilkie to write to Treasurer Joe Hockey and Foreign Affairs Minister Julie Bishop to get the Government to commit to effective and cost-efficient nutrition and education programs that will build economic resilience in the Asia-Pacific.
Globally, there are still 57 million children not in primary school, with the Asia-Pacific accounting for over half of all the world’s illiterate adults.
Mr Wilkie MP said: “I welcome RESULTS and their campaigning for more Government action to improve our region’s health and prosperity. If the Foreign Affairs Minister wants better value for our aid dollars, she needs to commit to developing a nutrition and education strategy for our foreign aid program and to support the Global Fund even more.
“A more prosperous region means a more prosperous Australia,” Mr Wilkie added.
Maree Nutt, CEO of RESULTS, said: “We are very grateful for Mr Wilkie’s support in the fight against TB and education. With recent cuts to the foreign aid budget we need every MP and Senator in our corner to win this battle.
“Investing in credible organisations like the Global Fund and developing smart, cost-effective strategies to improve education standards, will not only save hundreds of thousands of lives, but it will save us millions of dollars,” Ms Nutt added.
RESULTS staff and volunteers will meet with 18 MPs and Senators in just two days.
Global Health News
Pacific Friends of the Global Fund to Fight AIDS, Tuberculosis and Malaria is a high-level advocacy organisation which seeks to mobilise regional awareness of the serious threat posed by HIV & AIDS, tuberculosis and malaria to societies and economies in the Pacific. In pursuing its goals Pacific Friends has a specific interest in highlighting the need to protect the rights of women and children in the Pacific.