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UPDATED: Mon Feb 18 16:59:04 2002

Dr Gro Harlem Brundtland        
Director-General
World Health Organization

Abuja, Nigeria
26 April 2001

 

African Summit on HIV/AIDS, tuberculosis and other related infectious diseases - Scaling up effective responses

President Obasanjo,

OAU Chair President Eyadema,

Heads of State and Government,

UN Secretary-General Kofi Annan,

OAU Secretary-General Salim Salim,

Ex-Presidents Clinton and Rawlings,

Honourable Ministers,

Ladies and Gentlemen,

We have the means to prevent the human and development crisis that is caused by HIV, TB and other infectious diseases - but they are not accessible to the millions of women, children and men in Africa who need them.

In his call to action the Secretary-General has reminded us that we must all do more to bridge the gap between those who have, and those who have not. He warned us of the dire consequences if the right action is not taken.

Put simply, we have to scale up effective action. All of us - the governments, the international community and all of us in UNAIDS - accept that we must do better - together.

The resources needed dwarf what can be made available within the context of most African countries' GNPs. There is a stark and evident need to mobilize massive external resources and to make them available, quickly. As the Secretary-General said, our efforts will build on the determination of governments to increase their own commitments.

We have solid evidence of what works - gained from country experience since the epidemic started. Many successful projects already provide services for prevention, testing, care, treatment and support. But many of them are small.

Scaling up is vital, but it is no simple task. Implementation needs care and skill. There is no alternative to creative and effective partnerships to make it happen.

The World Health Organization is scaling up its efforts to respond, through technical support, through mobilizing additional resources and through responding to Member States' requests for better access to care and medication. Our actions are based on the best evidence, encouraging joint working, emphasizing the need to secure results quickly.

We are focusing, relentlessly, on better health outcomes. They are key to the fate of our peoples and the health of our economies.

Knowing your HIV status has meaning if you are able to access effective care for the infection. There is no dichotomy between prevention and treatment. There has to be hope. Accessible care leads to a real prospect of a longer life: people with HIV are powerful partners in prevention and partners for development.

To be able to prevent, to care, or to treat calls for functioning health systems.

If young people are to reduce their risk of HIV, they must be able to access preventive services and treatment for sexually-transmitted infections. Health systems are essential for the prevention of mother-to-child transmission, for improving access to voluntary counselling and testing, for effective care and treatment for people living with HIV.

Offering effective care to people at risk of ill health also leads to hope. It leads to reassurance that tomorrow brings less suffering, and a greater chance to earn and to learn.

We are working to improve the delivery of services for people affected by HIV - strengthening human capacity, and accessing effective, low-cost medicines and other commodities.

We need to confront reality, together, and focus on health systems that respond effectively and equitably to people's priority health needs.

Colleagues,

We come together at a time of powerful African leadership for human development and for equitable globalization.

Mr President: you are a vivid example of this leadership. I have witnessed this personally - when you have engaged me in your vision for the people of your great country; when you launched the campaign to Roll Back Malaria at the Summit meeting here, a year ago today; when you presented your plan for Africa's recovery with Presidents Mbeki, Mkapa and Wade earlier this year, in Switzerland.

Leadership is being shown by the Organization for African Unity - championing Africa and her people in political settings, securing unity of purpose and action, and focusing on real change - the outcomes that reflect people's development.

Heads of State are establishing the vision and leading the movement for change, for a world that treats its people, and uses its resources, in a fairer and more equitable manner. You are changing the nature of discourse between Africa and the rest of the world.

Colleagues,

This potent leadership from Africa provides a context within which we can all work as one, turning hope and intentions into reality - into good health outcomes for all, into better lives and livelihoods, and into a promising future for Africa, and for our world.

Thank you.

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