HIV and AIDS
The German contribution to the global response to the challenge of HIV
Germany is one of the world’s largest donors in the global response to HIV. Financial resources made available by Germany are deployed under bilateral development cooperation and through multilateral organisations and funds. In the field of bilateral development cooperation, Germany has agreed on the priority area of "Health, Family Planning, HIV/AIDS" with 16 counterpart countries and two regions.
Aside from these direct measures, other programmes within German development cooperation are helping to halt the HIV epidemic. The fight against HIV and AIDS – like the fight against poverty – is an overarching goal of German development policy. The German government’s efforts are based on four fundamental principles:
Protecting human rights,
Mainstreaming HIV as a cross-cutting issue,
Capacity development, and
Promoting gender equality.
The most important goals of Germany’s commitment in this field are to reduce new infections, to strengthen health care and therapy, and to enable people living with HIV and their families to live a life in dignity. The aim is to alleviate the social and economic impact of HIV and AIDS.
Germany works closely with international organisations in the fight against HIV and AIDS. Germany contributes significant amounts of funding to the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM).
For many years, Germany has also supported the European Union and the World Bank in the fight against HIV. Germany also cooperates with numerous UN organisations in this area: the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Children’s Fund (UNICEF), the United Nations Development Programme (UNDP) and the United Nations Population Fund (UNFPA).
An important aim of German development policy is to coordinate and harmonise the efforts of donors and cooperation partners in the fight against HIV and AIDS. The German government supports the "Three Ones" initiative, which was designed by UNAIDS and prepared jointly with the GFATM and the World Bank. It has three objectives: firstly, an agreed and coordinated national framework for preparing action plans; secondly, a national, multisectoral HIV coordinating authority with a broad-based multisectoral mandate; thirdly, an agreed country-level monitoring and evaluation system (monitoring and evaluation).
Work is also ongoing within German development cooperation to enhance networking between the various German actors, with a view to achieving greater synergies in HIV control.
The German programmes to fight HIV in developing countries focus on five major areas:
Cooperation and coordination among the various actors involved in combating the epidemic
Strengthening health care and therapy
Creating a climate of solidarity and non-discrimination
Monitoring and quality control of all measures.
The mainstreaming approach has a key role to play in all this, because
HIV measures are integrated and make use of synergies (HIV measures are linked to measures to promote sexual and reproductive health; efforts to fight HIV are coupled to strengthening health systems and promoting safe blood transfusions; multilateral and bilateral development cooperation funds are used in such a way as to generate a combined effect; private sector involvement in Africa in terms of health promotion and fighting HIV is promoted through regional organisations and workplace programmes);
account is taken of gender inequalities in the planning, implementation and evaluation of HIV measures;
harm reduction approaches are promoted as an effective means of HIV prevention in injecting drug users;
the social consequences of HIV and AIDS are reduced by providing support to poor households and AIDS orphans and other vulnerable children.
Involving target groups and civil society forms an important basis of this work.
- Joint United Nations Programme on HIV/AIDS (UNAIDS)
- Global Fund to Fight AIDS, Tuberculosis and Malaria
- World Health Organization
- United Nations Children's Fund (UNICEF)
- United Nations Population Fund (UNFPA)
- United Nations Development Programme (UNDP)
- BMZ web portal: Healthy DEvelopments – Germany's commitment to health and social protection