Faced with an acute crisis of resources for investment in AIDS prevention, a final UN report said it was a concern because "if the world does not invest now, we have to pay several times more in the future."
According to a new report, AIDS at 30: at the crossroads of the United Nations, published by the Joint United Nations Programme on HIV / AIDS (UNAIDS) investments in the response to HIV in countries with low and middle income increased almost 10 times between 2001 and 2009, from 1.6 to 15900 million U.S. dollars. However, in 2010, international resources for HIV has decreased. Many low-income countries remain heavily dependent on external funding. In 56 countries, international donors at least 70 percent of resources on HIV.
A 2011 investment framework proposed by UNAIDS and its partners found that an investment of at least 22 billion dollars are needed for 2015, $ 6 billion more than what is available United States today. When these investments are directed to a set of priority programs that depend on the type of the epidemic in the country, the impact is greater. It is estimated that the return on this investment would be 12 million new HIV infections and 7.4 million AIDS deaths averted in 2020. The number of new infections is reduced by about 2.5 million in 2009 to around 1 million in 2015.
On the positive side, about 6.6 million people on ART in low income and at the end of 2010, an increase of almost 22 times since 2001. A record 1.4 million people began life-saving treatment in 2010, more than any previous year. The report says at least 420 000 children were receiving ART by the end of 2010, more than 50 percent increase since 2008, when 275,000 children were in attendance.
In recent years considerable progress has been made in preventing new HIV infections among children in a growing number of pregnant women with HIV has reached antiretroviral prophylaxis during pregnancy, childbirth and lactation. The number of children infected with HIV in 2009 was 26 percent compared to 2001, the report said.
Despite increased access to antiretroviral therapy, a treatment gap remains significant. In late 2010, 9 million people were eligible for treatment is denied access. Access to treatment for children is lower than for adults only 28 percent of eligible children were receiving antiretroviral therapy in 2009, compared with 36 percent coverage for people of all ages.
Although the number of new HIV infections has fallen globally, the total of HIV infections remains high, around 7000 per day. An overall reduction of new infections with HIV hides regional differences.
The overall rate of new HIV infections has fallen by almost 25 percent between 2001 and 2009. In India the rate of new HIV infections has fallen by more than 50 percent, and South Africa over 35 per cent, both countries most affected by HIV to their continents.