Advances in science in the last two decades have led to tremendous progress against HIV. Breakthroughs in HIV treatment and prevention research have allowed the HIV community to halt and begin to reverse spread of the HIV epidemic. Biomedical approaches such as rapid and user-friendly HIV tests and affordable and effective antiretroviral treatment for people living with HIV have changed the landscape of the HIV response. Other impactful prevention tools have included voluntary medical male circumcision, male and female condoms, and oral pre-exposure prophylaxis (PrEP), among others.

All the same, the fight against HIV is far from won. HIV prevention efforts across the world have all but stagnated. According to UNAIDS, 2.1 million people became newly infected with HIV around the world in 2015. To end HIV as an epidemic by 2030, the world will need to do more, deploying traditional tools while developing new tools to accelerate the fight against the disease.

Research and development around new tools to help bolster HIV response is fundamental. It is why a new initiative called the Coalition to Accelerate and Support Prevention Research (CASPR) is exciting. Funded by USAID, and supported by PEPFAR, the coalition seeks to strengthen Africa-focused and led HIV biomedical prevention research, implementation and advocacy. The fact that the coalition is Africa focused is also fundamental because Africa has been left behind in many research and development issues.

The CASPR network, led by AVAC, brings together several Africa-based partners—including the Research institute of the University of the Witwatersrand (WRHI), WACI Health, HIV/AIDS Vaccine Ethics Group (HAVEG), the New HIV Vaccine and Microbicide Advocacy Society (NHVMAS) and the Advocacy for Prevention of HIV and AIDS (APHA)– to accelerate HIV prevention research in Africa. These groups along with partners with longstanding engagement in the region, including IAVI, FHI 360, Avenir Health, and Internews, will work collaboratively to build a network  dedicated to advancing advocacy, policy, regulatory, community engagement and communications efforts that help accelerate biomedical HIV prevention research.

This initiative will support Africa to make its contribution in HIV prevention research, in areas such  vaccine development. This is much needed. Africa can play its role, not only advocating for great use of the tools available to defeating HIV but also in contributing to creation of new tools to end the disease as an epidemic.

CASPR seeks to support an Africa-centered network dedicated to advancing biomedical HIV prevention research through a robust network of strategic partnerships and an interconnected array of activities such as linking prevention research advocacy to campaigns for increased domestic financing for health; establishing an African HIV Media Network; expanding the Good Participatory Practice framework; and increasing coordination between research partners, governments and civil society.

WACI Health reflects on the major developments in global health in 2016.

1. In May 2016, WHO recommended a shorter treatment for multi-drug resistant TB, which not only reduces the length of treatment by half for many patients but also cuts costs by at least 50 percent.  Full story

2. In September, the World Health Organization certified Sri Lanka as a malaria-free nation. Full story

3. In September, the Global Fund raised close to US$13 billion to accelerate the response to HIV, TB and malaria as well as build resilient and sustainable systems for health. Full story

4. In October, the world launched the first child-friendly TB medicines. The new formulations will increase children’s adherence to the drugs as they are easier for children to take. Full story

5. In November, trials for a new HIV vaccine started in South Africa. Full story

6. In December, a new Ebola vaccine was found to give 100 percent protection against the disease. Full story

In our advocacy work over the last year, our partnership has accumulated a list of accomplishments and as a result propelled our vision of advocating for improved health for all in Africa. Below is a select few of those 2016 highlights.

High-Level Meeting in New York: CISPHA co-hosted a pan-African civil society meeting ahead of the United Nations High Level Meeting on HIV, playing a significant role in urging partners to commit to improved financing of the Aids response by ensuring that the Global Fund is funded strongly. The outcome document from the meeting became a critical reference text for both the Africa Union member states and donor governments. The deliberations are captured in this blog by GFAN Africa.

Kenya Contribution to Global Fund: Together with KANCO, WACI Health and the Kenyan civil society organizations we worked to engage Kenya Ministry of Health officials, including Cabinet Secretary for Health Dr. Cleopa Mailu and Acting Director of Medical Services Dr. Jackson Kioko. These leaders committed to advocate for an increased Kenyan pledge to the Global Fund replenishment. The objective came to fruition with a pledge of US$ 5 million by Kenya during the pledging conference in Montreal, Canada 16-17, September 2016.

Vaccines: In commemoration of the 2016 World AIDS Vaccine Day, WACI Health co-convened civil society representatives from the eastern and southern Africa region to renew, strength and accelerate civil society action on investments and innovation in AIDS Vaccine Research and Development, among other New Prevention Technologies. This meeting came up with a call to action, boldly calling upon African governments to accelerate HIV R&D investments

A great thing happened in Africa civil society circles in 2009 with the formation of CISPHA – the Civil Society Platform for Health in Africa. In seven short years, the group has covered a lot of ground, uniting many civil society organizations working in global health in Africa, demanding a space at the table, and articulating issues that nudge governments and other authorities to do more for the health of the people of the continent.

With remarkable experience forged in the trenches of global health advocacy, CISPHA has spent the last year firmly focused on the Sustainable Development Goals (SDGs) launched in New York in September 2015.

The framing of the SDGs was greatly successful in its eloquent capturing of the fact that all issues of development are interconnected.  While CISPHA has chosen to focus its work on SDG3 – ensure healthy lives and promote well-being for all at all ages – it recognizes that to attain that goal there are many other fundamental factors covered in other SDGs that must come to play. Issues of poverty, education, gender equality, human rights, climate change, among others. As such, CISPHA seeks to build broader and richer partnerships for development.

In 2016, CISPHA focused much of its energy on GFAN Africa in supporting the replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria – a partnership that has saved more than 20 million lives in the last 15 years of its operations. CISPHA regards the Global Fund as one of the most successful partnerships for development.

In 2016, the Global Fund held its replenishment to raise US$ 13 billion to accelerate the fight against HIV, tuberculosis and malaria and to build resilient and sustainable systems for health. A strong Fifth Replenishment for the Global Fund’s was one of CISPHA’s top objectives in 2016. The network lobbied and advocated for more support for the fight against HIV, tuberculosis and malaria, reminding governments of the impressive gains made against these diseases because of the work of the Global Fund partnership. It was time to accelerate that progress and end these diseases for good. CISPHA also mapped out reasons why the gains were fragile and why the world could not stop investing in the Global Fund.

It was exciting when we gathered in Montreal in September — in a meeting hosted by Prime Minister Justin Trudeau of Canada to see partners raise US$ 12.91 billion for the Global Fund. The amount raised — nearly meeting the US$ 13 billion goal — was the biggest commitment of funds to fight diseases in history. It was a remarkable feat especially in a time of many competing global priorities.

The African civil societies were especially gratified by the fact that for the first time African countries were front and center in galvanizing the world to invest more in the Global Fund. Beyond calling on the world to commit more resources to the Global Fund, African countries also made strong pledges themselves. Benin, Côte d’Ivoire, Kenya, Namibia, Nigeria, Senegal, South Africa, Togo, and Zimbabwe, Zambia, South Africa each made their contributions. The money raised will save 8 million lives, avert 300 million infections – most of them in Africa – and help build resilient and sustainable systems for health.

For CISPHA, which has committed itself to calling on Africa to invest more in the health of its people, this was a remarkable achievement. Nevertheless, we are not there yet. CISPHA now calls on African governments to commit more of their annual expenditures to health as demanded by Africa Scorecard on Domestic Financing for Health launched in July this year.

For now, CISPHA is thankful for the remarkable achievement in raising funds for the Global Fund, now expected to go beyond the US$ 13 billion. Above all, CISPHA is tremendously thankful for the strong showing of African countries in the Replenishment. For every, civil society group or partner that advocated to make this possible we thank you. We are looking forward to more such successes in 2017 and beyond.

In 2016 – after close to 20 years as World Aids Campaign International (WACI) – we rebranded, streamlining our mandate and renaming our organization WACI Health. As an Africa regional advocacy organization, WACI Health has taken a firm focus on ending life-threatening illnesses and improving health for all on the African continent. We aim to build broad collaborations that can galvanize sufficient political will to enhance and guarantee health equity, foster human rights and promote gender equality.

Our approach is three-pronged:

• Policy and advocacy
• Capacity strengthening for civil society, for stronger engagement in global health
• Civil society mobilization

Our footprints

In 1997, we began as World AIDS Campaign (WAC) with an aim to raise public awareness on the global Aids response, working amongst diverse civil society organizations. We led in the planning and observance of the International World Aids Day. Four years later, we became an independent non-governmental organisation based in the Netherlands.

In 2008, we undertook a strategic shift that led to the registration of World Aids Campaign International (WACI) in South Africa. Over the years, our scope of work has also increased from a HIV and Aids portfolio to an all-inclusive health advocacy package for Africa, with a broader, approach to inclusive health needs of people.

In 2016, we rebranded to WACI Health. Wearing this new hat, we have stayed true to our traditional role of responding to HIV and Aids even as we embrace a broader health development agenda.

About us

WACI Health is an Africa regional advocacy organization committed to creating political will to end life-threatening epidemics and improve health for all in Africa.

Our History

We started out as World AIDS Campaign (WAC) in 1997, to focus on raising public awareness on specific issues on the global AIDS response. This was achieved by working to support and strengthen campaigning on HIV accountability among diverse civil society constituencies worldwide.

WACI was also tasked to lead the planning and observance of the International World Aids Day. In 2004, became an independent NGO based in the Netherlands.

In 2008, the organization undertook a strategic shift that would lead to the registration of World Aids Campaign International  (WACI) in South Africa. Over the following (4) years, WACI would see a range of institutional and leadership transitions. From a global organization, founded and headquartered in Europe, working in various geographical regions, including: Europe, Africa, Asia, Middle East and North Africa, to an organization that is today based and focused on Africa addressing not only HIV but also broader issues in health.

The organization’s deliberate shift to focus on Africa was guided by the need to be more conscientious, more innovative and even more accountable and streamlined in our approaches as we continued to ensure that the organization maintained her pivotal role in the global AIDS response, while continually embracing and incorporating the broader health development agenda into her work.

After seven (7) years as World AIDS Campaign International, the organization is now referred to as ‘WACI Health’.

Vision

Health for all in Africa

Mission

WACI Health exists to champion the end of life-threatening epidemics and health for all in Africa by influencing political priorities through an effective, evidence-driven Pan-African civil society voice and action.

Our Strategic Approach

In our transition from World AIDS Campaign International to WACI Health, we remain committed to responding vigorously to epidemics such as AIDS, TB and malaria as well as associated causes of death. In addition, the shifting field of global health calls us to support long-term investments in health and explore the interconnectedness of major infectious diseases and conditions that continue to kill many across the world. At the core of our strategy is a deliberate intention to broadly contribute to health equity, human rights and gender equality.

Our approach is based on our theory of change, which is made up of three core strategies:

1. Policy and advocacy: Policy watch and analysis for strategic input and accountability at global, regional and national levels. Through political advocacy, we will seek to influence perceptions, views and decisions of those in positions of power. We will continually seek to achieve improved tools for data analysis and evidence for advocacy.
2. Civil society Capacity Strengthening: Strengthening capacity of Civil Society to engage as strong advocates for health in Africa. We will support realization of appropriate civil society capacity for utilization of tools, and knowledge to apply evidence in advocacy. We will seek to strengthen civil society and community organizing for health advocacy.

• Civil society mobilization: Building a civil society movement in Africa in order to raise a critical mass of people whose voices and action will be core to ending the epidemics and improving health for all in Africa. We envisage a movement that will broadly contribute to health equity, human rights and gender equality.

The theory of change is dynamic and interactive, with all of the strategies working together to impact 3 areas of Global Health work, which broadly point to our strategic goals.

1. Resources for health: We will focus on urging national governments and international agencies to step up their investments in health through transparent investments.
2. Research and Development: We will focus on supporting health research and development with an aim to see that its application and delivery results to access to health products, technologies, innovations and better health for the people most in need.

• Civic Engagement: We will strive to support stronger civil society and community voice and action. We see this strengthening/empowerment not only as a process in health advocacy but also an end in itself where empowerment contributes to sustainability beyond specific processes.

GENEVA – African countries increased investments in the Global Fund as global health partners seek to galvanize all sources of funding to end AIDS, tuberculosis and malaria as epidemics, and to build resilient and sustainable systems for health.

Benin, Côte d’Ivoire, Kenya, Namibia, Nigeria, Senegal, South Africa, Togo, and Zimbabwe each made contributions to the Global Fund’s Fifth Replenishment, hosted by Prime Minister Justin Trudeau of Canada in Montreal on 16-17 September. Altogether, the conference secured pledges of more than $12.9 billion from partners across the world.

Pledges by African countries to the Global Fund are aligned with a far more significant increase of domestic investment in health by African countries – US$10.9 billion committed for 2015-17. For the first time, Africa is now mobilizing more domestic funding for health than foreign funding in the sector.

Specific pledges to the Global Fund signal commitment beyond any specific country, toward a global approach to ending the epidemics.

President Faure Gnassingbé of Togo, making his nation’s first contribution to the Global Fund of US$1 million, said Togo will play its part in the fight against epidemics to end them for good.

President Macky Sall of Senegal said: “In an interconnected and interdependent world, diseases know no borders.” He added: “New impetus is needed to continue support to the countries affected by diseases. These countries should also invest more in the health sector so we can end these diseases for good.”

President Alassane Ouattara of Cote d’Ivoire also pledged US$1 million to the Global Fund, and spoke about the importance of focusing investments in programs that specifically address the disproportionate effects on women and girls.

President Uhuru Kenyatta of Kenya, when he announced a pledge of US$5 million just prior to the Replenishment Conference, said his country was contributing the funds in the spirit of solidarity and shared responsibility in the fight against diseases.

“The funds, which will be invested in prevention and treatment of diseases and in building health systems, will save lives and create more inclusive and thriving communities,” President Kenyatta said.

Mark Dybul, Executive Director of the Global Fund, said more investments in health by African countries have helped build remarkable momentum against HIV, tuberculosis and malaria – some of Africa’s most devastating diseases.

“African leaders have made investing in health a top priority,” Dr. Dybul said. “They are strong partners in a global movement that is determined to expand access to health services to everyone, leaving no one behind.”

The Replenishment Conference raised nearly $1 billion more than the previous pledging session in 2013, and benefitted from participation by leaders from countries all over the world, including heads of state of Senegal, Côte d’Ivoire and Togo and the prime ministers of Mali and Guinea.

The amount raised will save 8 million lives, avert 300 million infections, and help build resilient and sustainable systems for health. The conference is the beginning of a three-year replenishment period, and the Global Fund will work to gain further contributions in the coming months and years, with strong advocacy by civil society and partners worldwide.

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For more information, please contact:

ERNEST WAITITU
Editorial Specialist
Mobile: +41 079 541 0656
E-mail: ernest.waititu@theglobalfund.org