In 2001, UNAIDS estimated that more than 40 million people were infected with the HIV-AIDS virus, of which 27 million live in sub-Saharan Africa. The spread of the disease in Africa is undermining years of development progress. In some southern African countries, one adult in three is infected and life expectancy is declining from over 60 to a projected 45 years. Africa now has over 11 million HIV-AIDS orphans.
In countries where the Government has promoted strong and effective prevention and education campaigns, HIV-AIDS rates have declined. Uganda, for example, has seen its HIV-AIDS rate decline from over 20% of the adult population to less than 10%. The UN Secretary General has identified strong political leadership as the single most important contribution to the fight against the disease.
In January 2000, Ireland Aid published a HIV-AIDS strategy and integrated the fight against the disease into all of its development activities. The priority issues in the HIV-AIDS programme include: pressing for strong political leadership in Africa to deal with prevention, education and treatment; calling for increased international funding as the crisis demands a global response; supporting the right of poor countries to have access to life-saving medicines at affordable prices; acting in partnership with NGOs, particularly in the care of children orphaned by the HIV-AIDS epidemic; supporting the international search for a HIV-AIDS vaccine.
In response to the spread of the epidemic and its impact on development, Ireland Aid is further strengthening its response to the HIV-AIDS crisis. In June 2001, at the UN Special Session on HIV-AIDS, the Taoiseach gave a commitment that Ireland would spend an additional €34 million per annum on the fight against HIV-AIDS. In 2002, Ireland Aid will spend an estimated €50 million on HIV-AIDS programmes, up from €19 million in 2001. Ireland has announced that it will contribute €10 million in 2002 to the Global Fund to fight HIV-AIDS, malaria and TB. Ireland actively participated in the international effort to establish the fund.