Rising debt in Kenya, Rwanda, other sub-Saharan African countries costing lives — UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) has released a report on how debt crisis is jeopardising progress aimed at ending AIDS in Sub-Saharan African countries including Uganda, Rwanda, and Kenya.

According to UNAIDS, Sub-Saharan African countries account for a significant majority of people living with HIV globally – 25.9 million people of the nearly 40 million total.

“If debt payments and stifled budgets are unaddressed in the next three to five years, countries will be under-resourced to fund their HIV responses.”

Further data reveals that “the region’s success in having reduced new HIV infections by 56 per cent since 2010 will not be sustained if fiscal space is constrained.”

Paying back sovereign debt now exceeds half of government revenue in Angola, Kenya, Malawi, Rwanda, Uganda, and Zambia.

UNAIDS said that even after debt relief measures, Zambia will still be handing over two-thirds of its budget for debt servicing between 2024 and 2026.

Winnie Byanyima, UNAIDS Executive Director, said that “public debt needs to be urgently reduced and domestic resource mobilisation strengthened to enable the fiscal space to fully fund the global HIV response and end AIDS.”

Byanyima noted that global health security is put at risk when countries are unable to meet healthcare needs due to debt payments.

This has been evident in Western and Central Africa as there has been a noticeable decline in HIV response spending since 2017.

A news release based on the report reveals that Western and Central Africa will need to mobilise 4.18 billion dollars to fully fund the HIV response in 2024.

“This will climb to 7.9 billion dollars by 2030 unless efforts are scaled up today to stop new HIV infections.”

It was noted that 20.8 billion dollars was allocated for the HIV response in 2022 in low and middle-income countries through different donations, but it was not enough to effectively finance the HIV response.

To fully respond to HIV needs in 2024, Eastern and Southern Africa needs 12 billion dollars , which will rise to 17 billion dollars by 2030 unless new HIV infections decline.

The UNAIDS report says sub-Saharan African countries need to strengthen their tax systems and see an increase in financial donations to garner more domestic resources to effectively respond to their “pandemics.”

UNAIDS chief, Byanyima said, “World leaders cannot let a resource crunch derail global progress to end AIDS as a public health threat by 2030.”