Costs of action Trends show increased financial resources for HIV/AIDS. Globally, total international donor disbursement to affected countries for HIV/ AIDS programmes grew significantly from US$ 297 million in 1996 to US$1.8 billion in 2002. In the same period, national governmental and NGO spending in affected countries exceeded US$ 500 million. In terms of geographic distribution, in both 1999 and 2000, the largest share of international donor assistance for HIV/AIDS was destined for sub-Saharan Africa, with the Asian and Pacific region ranking second. Spending on HIV/AIDS has been increasing in absolute terms. Between 1996 and 2002, spending on HIV/AIDS from all sources is estimated to have increased from US$ 500 million to approximately US$ 3 billion.
Resource need and availability As the HIV/AIDS pandemic grows, available funding is not matching the needs of countries in its path. Significant new resources are required to address the HIV/AIDS pandemic in low- and middleincome countries. By 2007, prevention costs would represent 39 per cent of total funding needs, ARV therapy-funding requirements would increase to 25 per cent, and treatment for opportunistic infections would be 8 per cent of total funding. It is estimated that, in 2005, US$10.5 billion, and in 2007, US$ 15 billion would be needed annually to expand the global HIV/AIDS response to a point at which the spread of the pandemic could be reversed and its impact significantly diminished. By 2007, low- and middle-income countries in the ESCAP region would need US$ 7 billion, that is, almost one-half of the total resource requirements. Such a funding level would require a dramatic increase in global resources for HIV/AIDS.
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Saving our future: multiministerial action guide