Edmonton Journal

Battling global disease is a feminist fight

Canada is leading by example,

- write Chitra Ramaswami and Randy Rudolph. Chitra Ramaswami and Randy Rudolph are partners with Results Canada, Calgary, a worldwide movement of ordinary citizens who take action in the fight against poverty.

The prime minister’s recent announceme­nt of a close to 16-per-cent increase in support for the Global Fund is good news for Canada and the world. Canada has pledged $930.4 million over the next three years. The funds will help save 16 million lives, cut the mortality rate from HIV, TB and malaria in half, and build stronger health systems by 2023.

In this increasing­ly divided world, one thing that can still bring nations together is the common threat posed by killer diseases.

The Global Fund to Fight AIDS, TB and Malaria is an inspiring model of such internatio­nal co-operation. It was founded in 2002 to combine the resources of government­s, civil society groups, and technical agencies, with a mission to fund and implement new ways to tackle the three biggest and longest-running disease epidemics.

Today, the partnershi­p is active in more than 100 countries and operates on many fronts, from detecting and treating tuberculos­is and preventing mother-to-child transmissi­on of HIV to distributi­ng mosquito nets.

Since the inception of the Global Fund, 27 million lives have been saved. The fight is far from over, however. AIDS, TB and malaria together continue to kill close to three million people every year. Drug-resistant strains of TB have proliferat­ed, and drug resistance to antiretrov­iral drugs and malaria medication­s has emerged. Malaria has resurged, and HIV rates among adolescent­s has increased. A thousand young women and girls are newly infected with HIV every day.

Despite this growing need, funding for key programs has plateaued. The world is not on track to achieve the target that was set as part of sustainabl­e developmen­t goals to end these epidemics by 2030.

For its sixth replenishm­ent cycle, the Global Fund has asked for renewed funding of US$14 billion in order to step up the fight over the next three years.

Canada has responded generously to the call. In doing so, it has stood by its proclaimed feminist internatio­nal assistance policy. Women and girls suffer disproport­ionately in the three great epidemics. As targets of gender-based violence and sexual exploitati­on, they have higher rates of HIV infection.

As primary caregivers in the household, they also bear the financial and emotional burdens of disease. The Global Fund directly addresses the social and cultural causes of women’s suffering, including the lack of sexual and reproducti­ve health rights. If it realizes its requested level of funding, it will not just save lives.

Along with every life saved there will be untold stories of other lives transforme­d.

The need to save lives is paramount, but there are also compelling economic reasons to support the Global Fund.

Losses due to AIDS, TB and malaria are astronomic­al. They include $7.2 billion a year in lost earnings due to AIDS, $12 billion a year in direct and indirect costs of malaria in Africa alone, and projected costs of TB amounting to $1 trillion over the next 15 years.

As a model of lean efficiency and transparen­cy, the Global Fund is one of the most reliable instrument­s available for investing in global health. Every $1 invested in the Global Fund returns $19 in health gains and economic benefits.

The countries that stand to gain the most include our important allies and trading partners. We have a stake in reducing health costs and increasing prosperity worldwide through a fully funded Global Fund.

At Women Deliver, the world’s largest conference on gender equality, held in Vancouver in June, Prime Minister Justin Trudeau received a standing ovation from the 7,000 delegates present in appreciati­on for his feminism and his promise to fund women’s health and rights globally. A strong investment in the Global Fund is a bold and important step for Canada to fulfil this promise.

Following Canada’s announceme­nt, during the G7 Summit in France, global leaders from Germany, Italy and the EU announced similar increases in funding.

We should not underestim­ate Canada’s ability to lead by example as a caring and compassion­ate democracy.

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