Italy and the future challenges in Global Health The role of NGOs in Global Health Rome, 5 th March 2015 Osservatorio Italiano sull Azione Italian Network against AIDS www.osservatorioaids.org Stefania Burbo
Osservatorio AIDS - since 2002 13 Italian and international NGOs aimed at contributing to the fight against HIV/AIDS and improving health in Southern countries Actionaid AIDOS AMREF Health Africa CCM CESTAS CESVI COOPI COSPE ISCOS Medici con l Africa CUAMM Medicus Mundi Italia WeWorld World Friends
Projects implemented by network members in Southern countries (mainly in Sub-Saharan Africa) - by typology Antiretroviral Therapy (ART) Prevention Mother-To-Child Transmission (PMTCT) Voluntary Counselling and Testing (VCT) Orphans and vulnerable children care (OVC) Health education Health Centre support Home-based care Training Financial support
Our activities in Italy monitoring and analysis of data on the different thematic areas related to HIV/AIDS and poverty diseases policy positioning on key themes, events and processes: health MDGs, Post 2015 Development Agenda, Global Fund, G7/G20 Summits networking with civil society s coalitions to implement strategies for effective advocacy (GCAP Italy, GFAN, Action for Global Health, CSOs fighting HIV in Italy) advocating national and international institutions on the fight against HIV/AIDS and on global health in Southern countries
Our Action Plan for 2015-2017 Implementation of activities aimed at contributing to a higher Italy s focus in the fight against epidemics and global health: Advocacy; policy&analysis; communication; networking at national and international level
Italy and development cooperation/global health Since 2012 Italy started re-engaging in development cooperation/global health by: - Increasing ODA - Committing 100m for 2014-16 at the 4 th Global Fund replenishment conference held in 2013 - Disbursing the 30m due to the GF in 2014 and signing a MoU for technical cooperation with the Global Fund - Committing additional 100m to GAVI for 2016-2020 - Approving a new law for development cooperation in August 2014
Italy and development cooperation/global health In the Economic and Financial Document 2014 Italy re-affirmed its commitment to pursue gradual alignment to international standards for cooperation in development 2013: 0.14% 2014 : 0.16% (estimate) Objective for the next years: 2015: 0.21-0.24% 2016: 0.23-0.27% ODA/GNI ratio 2017: 0.28-0.31% Source: http://www.mef.gov.it/en/doc-finanza-pubblica/def/2014-2014/documenti/def_section_i_italyxs_stability_programme_xon_linex.pdf
Italy and development cooperation/global health That offers a great opportunity to increase investments in global health and to ensure a long-term support to the GF, increasing Italy s contribution going forward
Italy: Health ODA January 2015 Report: http://www.actionforglobalhealth.eu/our-work/financing-for-health/oda-for-health/italy.html
From 2009 Italy did not contribute to the Global Fund, which was the most important multilateral channel used by Italy to vehiculate health ODA.
Italy s health ODA forecasts We will probably see an increase in Italian health ODA from 2014; in fact, in 2014 Italy disbursed 30m to the Global Fund as part of a 3 year (2014-16) pledge for 100m. In January 2015, at the GAVI replenishment, Italy added 100m to the already pledged 265m, bringing the Italian pledge to GAVI for the period 2016-2020 up to 365m.
Financing the fight against epidemics In 2013-35 million people were living with HIV; 11.7 were receiving ART in low-middle income countries (36%) - 9 million people were affected by TB; 1,5 million died from it - 120 million people were affected by malaria; 584 000 died from it Source: WHO
Financing the fight against epidemics According to UNAIDS increasing the fight against HIV/AIDS in the next 5 years is key to put an end to the epidemic in 15 years. On the contrary, it will spread fast again.
Financing the fight against epidemics 11 European Governments are discussing the Financial Transaction Tax (FTT). The European Commission has estimated that the EU FTT would generate up to $34 billion per year. 10% of these proceeds would enable to stop the transmission of the epidemics.
Financing development We call for a FTT to: meet social needs in Europe fight poverty and fund Global Public Goods such as Health, Education and the fight against Climate Change
ITALY AND GLOBAL HEALTH: NEXT STEPS Alongside the new financial commitment, a strengthened action in the field, together with other stakeholders (NGOs, universities, hospitals) will be key to increase the support to global health, particularly in the following areas: Health Systems Strengthening Maternal, newborn, child and adolescent health Gender equality
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