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Debt threatens AIDS fight in Africa

Debt threatens AIDS fight in Africa

High debt levels in many sub-Saharan African countries are preventing adequate funding for important health programmes, such as AIDS, according to a UN report. This puts the goal of ending AIDS by 2030 at risk, the Joint United Nations Programme on HIV/AIDS (UNAIDS) in Geneva said. Sub-Saharan Africa is home to the largest number of people living with HIV in the world, at 25.9 million. There are 39.9 million worldwide.

By “finish,” we mean the 95-95-95 target: that at least 95 percent of people living with HIV know their HIV status, that 95 percent of them get life-saving HIV treatment, and that 95 percent of them get medication that works so well that HIV replication is suppressed and HIV can no longer be transmitted sexually. “When countries are unable to provide effective health care to their populations because of debt payments, global health security is at risk,” said Winnie Byanyima, Executive Director of UNAIDS.

HIV weakens the immune system and makes the body vulnerable to all kinds of diseases. The disease is called AIDS. If detected early and treated with appropriate medications, the life expectancy of infected people is almost normal.

In countries such as Angola, Kenya, Malawi, Rwanda, Uganda and Zambia, more than 50 percent of government revenue is spent on debt financing, according to UNAIDS. In West and Central Africa, HIV spending fell from 0.3 percent of GDP to 0.12 percent between 2017 and 2022. Despite international assistance, only two-thirds of the funds needed have been used.

UNAIDS is calling on countries to close tax loopholes. Lenders should provide debt relief to heavily indebted countries, and donor countries should provide more money to fight HIV and AIDS.

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