AIDS response is fully funded and efficiently implemented based on reliable strategic information

Fast-tracking and sustaining national AIDS responses requires sufficient and stable funding. Considering broader trends in development assistance and the transition of many countries from low- to middle-income status, analyses indicate that increasing domestic financing of HIV activities will be essential to long-term sustainability of national responses.

However, the funding gap for HIV responses is widening, with stark gaps in lower middle-income and upper middle-income countries. At the end of 2020, US$ 21.5 billion (in constant 2019 United States dollars) was available for the HIV response in low- and middle-income countries, about 61% of it from domestic sources. Several funding commitments by donors for HIV were cancelled or drastically reduced in 2021. Some countries have made significant efforts to boost domestic AIDS financing, but most are unable or unwilling to allocate funding at the levels needed.

Inefficiencies, including failure to allocate limited resources to the most effective interventions or to focus resources strategically by location or population, diminish the impact of HIV investments and allow inequalities to persist. Declines in tax revenues and higher fiscal deficit levels add to already unsustainable levels of debt in over 30 low-income countries. COVID-19 has compounded financial stress and is leaving high-burden countries dangerously unprepared for tackling current and future pandemics. Resources dedicated to rebuilding health and social systems through the COVID-19 recovery present opportunities for strengthening HIV responses. Total HIV investments of US$ 29 billion per year will be needed by 2025 to implement the Global AIDS Strategy and get on-track to end AIDS as a public health threat by 2030.

In 2021, the Joint Programme supported countries to improve sustainability through the mobilization of domestic resources, service integration and financing for prevention, and to address COVID-19 impacts, including direct support for greater evidence-informed focus for impact of Global Fund grants in over 77 countries. It also focussed on improving impact, efficiency and equity in the use of resources through data-driven, targeted approaches and effective community responses and leveraged big data, artificial intelligence and technology to increase impact with available resources.

Find more details in the SRA report.

Outputs 2016-2021

7.1AIDS response sustainability, efficiency, effectiveness and transitions strengthened
7.2Technological, service delivery and e-health innovations fostered


OUTPUT INDICATOR Targets and Milestones 2021 Progress
Percentage of countries with a HIV sustainability plan developed

2021: 70%

2019: 60%

2017: 50%

36% [17/47]

Percentage of countries with up-to-date HIV Investment cases (or similar assessing allocative efficiency) that is being used.

2021: 80%

2019: 70%

2017: 60%

54% [47/87]

Percentage of countries with scale-up of new and emerging technologies or service delivery models.

2021: 60%

2019: 50%

2017: 40%

46% [40/87]

Data source: 2021 JPMS country reports.