France Takes an Active Part in the Fight Against HIV
Marisol Touraine, the new Minister of Health and Social Affairs in the French cabinet, previously served in the National Assembly, where she was a member of the social affairs committee and was vice president of the Socialist group in charge of Social Security, Health and Retirement. She has also served as the President of the Departmental Government of Indre-et-Loire (Touraine, Loire Valley).
Marisol Touraine became involved in politics because she was always interested in public debate and wanted to make her own contribution. After her studies, she first worked on international and defense issues. She believes that having a Chilean mother fueled her interest in understanding the world and other cultures.
Ms. Touraine is a graduate of the Ecole Normale Supérieure and the Institute des Sciences Politiques and holds an advanced degree in Social Sciences and Economics.
Her blog: http://www.marisoltouraine.fr
Geneviève Fioraso has been appointed Minister for Higher Education and Research in the French government of Jean-Marc Ayrault on May, 16, 2012. She was previously a Member of the French Parliament, representing the first district of Isère since June 2007. In the National Assembly (lower House of Parliament), she was a member of the Committee on Economic Affairs, Environment and Territory, and a member of the Parliamentary Office for Scientific and Technological Assessment (OPECST) . Since 2008, she has been deputy mayor for the Economy, Universities and Research in the City Council of Grenoble. During her previous term, she was deputy assistant for the Economy, Innovation, Trade and Craft, and First Vice-President of Metro - the greater urban authority of Grenoble - in charge of economic development.
Since 2003, she has been the CEO of S.E.M. Minatec Entreprises (public-private venture, entrusted with the marketing of high-tech Minatec facility for nanotechnologies). Prior to her election to the French Assembly, Ms Fioraso served as a senior marketing manager at France Telecom and as director of the Agence Régionale du Numérique, a regional agency set up by the digital network of cities of the Rhône-Alpes region. She holds two masters degrees in English and Economics, and worked as an English teacher in Amiens.
Her blog: http://www.genevieve-fioraso.fr/
France, one of the most affected countries in Western Europe, has devoted its energy to research since the very start of the pandemic. In May 1983, a French team isolated the HIV1 virus, the human immunodeficiency virus; in November 1985, the same team isolated HIV2 and developed a screening test. Similarly, since 1985, France has been involved in supporting the countries hit hardest by the pandemic: from 1987 to 1997, more than 100 million euros have been earmarked for these programmes funded through French Cooperation (in projects and technical assistance). The amounts France devotes annually to the fight against AIDS have increased considerably, moving from 95 million euros in 2003 to 180 million in 2005, to stand at more than 360 million euros in 2009.
In its annual report published in November 2009, UNAIDSestimates that there are 33.4 million people in the world living with HIV (human immunodeficiency virus), including 1 million children.
There were 2.7 million new infections in 2007 and the HIV epidemic continues to be a major threat to global health. The number of adults and children with access to antiretroviral treatment moved from one-third in December 2007 to 42% in December 2008, which represents slightly more than 4 million individuals. In 66 low- or middle-income countries, the number of health establishments providing HIV screening and counselling services “posted growth of 35%”, states the report.
France’s multilateral commitment
In view of this pandemic that requires considerable financial mobilization and coordination of everyone’s efforts, France has opted to give priority to multilateral international cooperation, first with the Global Fund to Fight AIDS, Malaria and Tuberculosis (GFFAMT) to which it dedicates more and more resources.
Since its creation, the Global Fund has received financial commitments of 20.9 billion dollars through 2010. It has already committed a total of 18.4 billion dollars, supporting 572 programmes in 140 countries. The Fund’s financing accounts for 23% of the financing for the fight against HIV/AIDS (the other lenders are the President’s Emergency Plan for AIDS Relief -PEPFAR- and the World Bank).
In addition, in September 2006, France created the IDPF with five partners (Brazil, Norway, etc.). This International Drug Purchase Facility is funded by the International Solidarity Levy (tax on air plane tickets), created by the law of 30 December 2005. In 2008, the IDPF’s budget stood at 350 million dollars and could reach 500 million in 2009. Action totalling more than 450 million dollars have already been undertaken since the initiative was launched.
France has also continued to support UNAIDS (more than 1.3 million euros in 2008) and has made four experts available at the head office and this structure’s Africa office, with funding from the Ministry of Foreign Affairs (MAE). Finally, France is financing nine experts at the WHO in Africa, with the objective of building the Organization’s capacities to support countries in implementing projects financed by the Global Fund.
France’s bilateral commitment
In 2008, bilateral aid in the area of health totalled approximately 197 million euros, all resources combined. Of this sum, 45.2 million euros were earmarked for the fight against AIDS.
The ESTHER public interest group (GIP) (Ensemble pour une Solidarité Thérapeutique Hospitalière en Réseau / Network for Therapeutic Solidarity in Hospitals) is France’s public operator for technical assistance in the fight against HIV and its co-infections. It was created in 2002 to take care of people infected with the AIDS virus. Active in 18 countries, it coordinates the activities of 52 French hospital teams, operating at 146 sites.
The objective of this GIP is to build local capacities in the fight against HIV and infectious diseases in developing countries. In 2009, it was allocated an 8 million euro grant divided equally between the MAE and the Ministry of Health.
France’s commitment in terms of civil society
In France, associations fighting AIDS played a decisive role in recognizing patients’ rights. Today, a good
number of them conduct projects to fight AIDS and international advocacy actions.
Aware of the importance of the actions of French NGOs in supporting civil societies in developing countries,
the MAE has set up regular mechanisms working and cooperating with NGOs.
The Interministerial Committee for International Cooperation and Development created the platform
for cooperation and exchanges on the fight against AIDS in developing countries on 11 December 2002. Indeed, given the scope and diversity of France’s commitments in the fight against AIDS, the need to offer a framework for consultation and exchange for all of the public and private players acting in developing countries has become apparent. In 2010, this platform should evolve into a flexible alliance of players, opening up more operational possibilities.
The ELSA platform brings together six French NGOs (AIDES, Planning Familial, Sidaction, Sida Info Service, Solidarité Sida and CRIPS), which support their counterparts in developing countries, in order to build their
capacities to implement expanded access programmes for antiretroviral treatments. This platform is funded by the MAE in partnership with associations and makes it possible to run a network of 85 associations in the priority solidarity zone.
"The AIDS initiative" of the MAE’s mission for relations with civil society, in collaboration with the AFD (French Development Agency) was designed to refocus the MAE’s resources on targeted subjects, aiming to provide organizational and institutional support to non-governmental organizations in developing countries
as well as advocacy support by developing a “human rights” approach. Methods have been defined together with NGOs. The Ministry has devoted about 6 million euros over three years (2007-2010) to this initiative, practically doubling the funds earmarked for NGOs in the fight against AIDS.