Annie Lennox: Governments must be held to their promise to combat HIV/Aids

Published on Monday 30 November 2009 21:55

I FIRST met Zackie Achmat at a rather formal dinner being held in honour of Nelson Mandela under the canvas of a grand marquee tent, with elaborately laid-out table arrangements, the ladies sashaying around in evening gowns and the gentlemen dressed in evening suits.

One person stood out from the assembled gathering, wearing a black T-shirt, with "HIV positive" strikingly emblazoned in contrasting white lettering across his chest.

It was Zackie… of course. In South Africa, and in international HIV activist circles, his name is somewhat legendary. His campaign to secure treatment for people living with HIV and Aids has taken him to court and led him, publicly and personally, to refuse antiretroviral (ARV) medicine until it was made available to all those who needed it in his country.

Needless to say, he won his case. His work as founder of the Treatment Action Campaign (TAC) has made a massive difference to the 5.2 million people living with HIV in South Africa today.

Our chance encounter is the reason why I became a TAC campaigner and supporter. In 2003, inspired by Zackie and the work of TAC, I launched the Sing campaign to support women and children who are infected or affected by the virus.

Later, I became an Oxfam global ambassador to support their work calling for governments to deliver the $10 billion (6bn) a year that is needed for universal HIV and Aids prevention work, treatment and care.

In the past few years we have seen vast improvements. Infection rates are falling, and better access to medication has helped to cut deaths by 10 per cent over the past five years.

In Zambia, 50 times more people are receiving medication compared with six years ago, thanks to free distribution of antiretrovirals.

In neighbouring Malawi, the government provides ARVs to three-quarters of those who need them. But progress has not been fast enough.

Across the world two million people died of AIDS-related caused last year, and fewer than half the 9.5 million people in need of ARVs receive them.

The hardest thing to bear is that these are not inevitable statistics; they are the result of the rich failing to keep its promises to the poor.

With the new year a mere month away, the 2010 deadline set for universal Aids treatment by world leaders when they agreed the Millennium Development Goals will be missed. But quick action will reduce the human cost of these broken promises.

Additional investment is needed in public health services in developing countries and in the Global Fund to Fight Aids, Tuberculosis and Malaria, which has a proven record for saving lives.

With wealthy countries' budgets under pressure as a result of the economic crisis, it now may not seem the most promising time to be asking for more resources. But the money found for bank bailouts shows what can be done in response to a crisis. Two million (mainly avoidable) deaths a year is certainly that.

More could also be done to make existing money go further. Governments should pressurise their domestic drug companies to sign up to a patent pool for HIV medicines that would accelerate the development and bring down the cost of new treatments.

It will take political bravery to make the case for extra investment and take on the vested interests of pharmaceutical companies. But Zackie's courage and that of many more exemplary activists like him demand it.

&#149 Annie Lennox is an Oxfam global ambassador.