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Overseas Aid: Disease Control

Volume 470: debated on Thursday 10 January 2008

To ask the Secretary of State for International Development how much of his Department's bilateral spending is directed towards (a) tuberculosis and (b) tuberculosis/HIV; whether the UK's strategy on HIV and AIDS for 2008 to 2012 will include a specific target on tuberculosis/HIV co-infection reduction; and what steps he plans to take to support an integrated response to tuberculosis and HIV in other countries. (177743)

DFID bilateral expenditure on HIV and AIDS activities in 2006-07 was £348 million and bilateral expenditure targeting communicable disease control, including tuberculosis, was £79 million. There is additional DFID spending on poverty reduction budget support and health system strengthening which help address all major causes of ill health, including TB and HIV. We are unable to systematically capture the amount spent on HIV/TB collaborative activities.

The UK's updated strategy on HIV and AIDS will include addressing TB/HIV co-infection. DFID strongly supports an integrated response to TB and HIV. We support this through a range of different channels including our support to international organisations and partnerships, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health Organisation, UNAIDS, the Stop TB Partnership and funding research into HIV/TB co-infection.

To ask the Secretary of State for International Development what steps he plans to take to facilitate the Global Fund to fight AIDS, tuberculosis and malaria reaching its target size of US$ 8 billion by 2010. (177744)

At the Global Fund Executive Board in April 2007, members acknowledged that the size of the fund would increase, dependent on high quality demand from countries and improved performance of the fund itself. Three scenarios of future demand had been prepared by the Secretariat, the highest one assuming that demand would rise more than fourfold by 2010, and that $8 billion per annum would be needed to support these new proposals and continue with existing programmes (representing $18 billion for the period 2008-10). The G8 noted the projected demands and pledged to work with the other donors to replenish the fund, and to provide long-term predictable funding based on ambitious but realistic demand driven targets.

Donor pledges and Secretariat projections now total $9.7 billion for the period 2008-10. This is a highly significant increase in resources, which allows the fund to support a substantial expansion of all ongoing programmes, and all of the new proposals which have been recommended by the Technical Review Panel, while still leaving over $750 million available for future proposals. Thus all the high quality demand for financing the current round of proposals has been met.

But the UK's own pledge goes beyond this. The UK has made an unprecedented long-term commitment over the eight years up to 2015, of up to £1 billion. Within this framework we announced a commitment of £360 million over the three year replenishment period, of which £30 million is subject to demand and results. This 20 per cent. increase in our commitment means that we have maintained our share of the total replenishment at about 7.5 per cent. In addition, we also pledged a further £640 million from 2011-15, providing the global fund is receiving good quality demand, continues to perform well and is demonstrating sustainable impact.