INTRODUCTION AND SUMMARY
1. At the 24th Meeting of the UNAIDS Programme Coordinating Board, the board requested that the UNAIDS secretariat and cosponsors "report at the 25th Programme Coordinating Board Meeting on the anticipated impact that the financial crisis will have on countries' ability to meet their universal access targets and to include recommendations and mitigation strategies."
2. This report responds to that request. Its objectives are to summarize what we know about the actual and expected impacts of the global economic downturn on AIDS programmes, sketch out possible mitigation strategies, and recommend actions that can be taken by various stakeholders to implement those strategies.
3. Among the key issues we address in this report are the following: a) Has the global economic downturn had an effect on the funding for HIV activities and on their coverage and reach? b) If so, how severe has this effect been, which countries and programmes (prevention, treatment, orphans and vulnerable children, legal and social services) have been most adversely impacted? c) What further negative effects are anticipated in the coming months? d) What has been done, and could be done in the future, to counter these negative effects so that AIDS programmes can drive toward their universal access goals and bring their important intended benefits? e) What can the various actors - especially developing country governments, civil society organizations, and external partners - do to put in place measures that will mitigate the adverse effects of the global economic downturn on AIDS programmes?
4. While some general statements about the global economic crisis and AIDS can be made, the findings and recommendations in this report must be nuanced, as each country's economic and HIV situation has uniquely changed in the past year, depending on the country's relationship with the global economy. Furthermore, each country's AIDS epidemic and its response (mix of interventions and institutions, level and composition of funding from domestic and external sources, etc.) is unique. Policy-makers and implementing organizations need to taken into account these differences in considering the adoption of mitigation strategies proposed and actions recommended by this report.download
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