The health commitments made by the G8 in 2005 were ambitious. The G8 committed to provide universal access to HIV/AIDS treatment, prevention and care; to fully scale up efforts to fight TB; to reach 85% of those in need of malaria prevention and treatment; to fulfill the financing needs to eradicate polio; and to build health systems so as to fulfill basic child and maternal health access. The G8 also committed to meet the financing needs of the Global Fund to Fight AIDS, Tuberculosis and Malaria. Unfortunately there are no comparable data available to track all of these commitments across donors, and DATA has therefore not been able to establish 'on/off track' assessments for each donor. It has instead evaluated progress using available data, which reveal that on the whole progress has been made in the efforts to fight infectious diseases, but that less progress has been made in building efficient health systems that can address basic child and maternal health needs, amongst other basic needs.
There has been notable progress in the fight against HIV/AIDS, malaria and polio.
22.5mnAmount of Africans living with AIDS.
However, progress in the fight against tuberculosis (TB) and in the effort to build functioning health systems to improve child and maternal health has been much slower. Despite its impact on HIV/AIDS and the toll it takes on individuals, TB continues to be significantly underfunded. The Stop TB Global Plan called for $1,25 billion to be spent in Africa in 2007, but only $436 million was available. As resources to fight specific diseases are scaled up, funding for health systems as a percentage of total health sector spending has declined in the past three years. Although there have been small increases in absolute funding for health systems, these increases have not kept pace with increases for infectious diseases.
Providing an overall assessment of progress is difficult because of the collective nature of the goals, but the G8 is broadly not meeting a proportionate share of the needs in funding for these health goals. Delivering on the health commitments will require a sustained scale-up to fight HIV/AIDS, meaningful individual commitments to fight malaria and TB and overall increased commitments to resource the Global Fund. Further, to ensure the success of these targeted investments and to make progress in improving child and maternal health, donors must turn their attention in 2008 to he underlying need in Africa for functioning health systems, including training and retaining health-care workers across the continent.