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HIV and AIDS

The German contribution to containing the worldwide spread of HIV and AIDS


Tanzanian girl who is living with AIDS; on the right of the picture is a red AIDS bow.

Germany is one of the largest contributors when it comes to containing the spread of HIV. In 2011 alone, Germany made just under 700 million euros of devel­op­ment funding available to the health sector. A large share of that money went to measures linked to fighting 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 15 partner coun­tries and two regions. In addition, health-related measures are supported in some 20 coun­tries.

Aside from these direct measures, many other programmes within German de­vel­op­ment co­op­er­a­tion are helping to halt the HIV epidemic. The commitment to fight HIV and AIDS – like the struggle against pov­er­ty – is an overarching goal of German de­vel­op­ment policy. All de­vel­op­ment co­op­er­a­tion measures take account of the issue.

Germany’s commitment at in­ter­national level

Germany works closely with in­ter­national organisations when it comes to containing the HIV epidemic. 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’s and the World Bank’s pro­grammes to fight the HIV epidemic. 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) and the United Nations Population Fund (UNFPA).

Coordination and harmonisation

An im­por­tant aim of German de­vel­op­ment policy is to achieve better co­ordi­na­tion and harmonisation of the efforts of donors and co­op­er­a­tion partners when it comes to containing HIV. The German gov­ern­ment supports the "Three Ones" initiative, which was designed by UNAIDS and prepared jointly with the Global Fund and the World Bank. It has three objectives:

  1. an agreed national framework on the basis of which the activities of all partners can be coordinated;
  2. a national, cross-sectoral HIV coordinating authority; and
  3. an agreed coun­try-level monitoring and evaluation system (monitoring and evaluation).

Work is also ongoing within German de­vel­op­ment co­op­er­a­tion to increase the level of networking between the various German actors, with a view to in­creas­ing the effectiveness of individual HIV measures.

German programmes to contain HIV

German programmes to contain HIV in de­vel­op­ing coun­tries focus on five major areas:

  • Co­op­er­a­tion and coordination among the various actors involved in containing the epidemic
  • Prevention
  • Strengthening health care and therapy
  • Creating a climate of solidarity and non-discrimination
  • Monitoring and quality control of all measures.

The aim is to ensure that measures to contain HIV are integrated across sectors. Involving target groups and civil society is one im­por­tant means of doing that. That means

  • HIV measures are integrated into other de­vel­op­ment programmes. For instance, they can be combined with measures to promote sexual and reproductive health, to strengthen health systems and to promote the safety of blood transfusions. Multilateral and bilateral de­vel­op­ment co­op­er­a­tion funds are used in such a way as to generate a combined effect. Private sector involvement in the field of health promotion is promoted through regional organisations and workplace programmes;
  • Account is taken of gender inequalities in the planning, implementation and evaluation of HIV measures;
  • The social consequences of HIV and AIDS are reduced by providing support to poor households and AIDS orphans and other vulnerable children.

Links to sub-sections

Political dialogue: Cooperation and coordination among the various actors

Prevention: Developing sustainable strategies

Health care services: Improving therapy

Preventing social exclusion: Creating a climate of solidarity

Quality control: Monitoring the effectiveness of the response

Mainstreaming work on containing the spread of HIV in sub-Saharan Africa

Service-Links

BMZ glossary

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