| Addressby
Milly Katana, CHGA Commissioner
14 October 04
Addis Ababa, Ethiopia
Mr
Executive Secretary,
Distinguished Guests,
Ladies and Gentlemen,
Let
me first say how delighted I am by this opportunity to address you
today, on an issue that has touched the lives of each and every
one of us, and which poses the biggest challenge to Africa today:
HIV /AIDS.
Unlike
the many other development problems facing Africa, the HIV I AIDS
epidemic is unique. It kills people in the prime of their lives,
restructuring our populations, and destroying skills that
are much needed for the development of our continent. The HIV I
AIDS epidemic is both an immediate crisis and a long-term developmental
challenge, which demands innovative policy responses. Specific
challenges to be addressed include state capacity (in sectors such
as education, health, the armed forces, etc.), the gender impacts
of the epidemic, the challenge of empowering young people, and maintaining
the livelihoods of the poor and vulnerable.
How
do we respond to these challenges? The advent of effective and affordable
anti- retroviral therapy - ART -, combined with substantially increased
international funds for providing treatment and care, presents a
new opportunity for responding to the epidemic. Today, prolonging
the lives of millions of people living with my and AIDS is not only
a moral imperative but also an important practical and necessary
response to the governance problems entailed by the epidemic.
As
the funding for ART grows, an array of new challenges presents itself.
How is the capacity in health systems to be built up? What modalities
are to be employed to ensure the most effective stewardship of resources?
How are competing demands on limited funds to be reconciled in line
with best practices for development partnership? How are treatment
regimes to be made sustainable? Meanwhile, it is essential that
a focus on prevention is also maintained.
The
epidemic is an exceptional situation, which demands an exceptional
response.
CHGA
Under
the Chairmanship of the Executive Secretary of the Economic Commission
for Africa (ECA), Mr K. Y Amoako, the Commission on HIV/AIDS
and Governance in Africa represents the first occasion on which
the continent most affected by HIV/AIDS is leading an effort to
examine the epidemic in all its aspects and likely future implications.
The
mandate, and also the challenge for the Commission is to provide
the data, clarify the nature of the choices facing African governments
today, and help consolidate the design and " implementation
of policies and programmes that can help contain the pandemic in
order to support development and foster good governance.
Research
and analysis being carried out by a number of research partners
will help us to understand both how the epidemic unfolds on the
continent, and also what we can do to address it. But we also have
another mandate. CHGA is designed to be an 'advocacy commission.'
This means that CHGA will go beyond a technical exercise in research
and analysis, and will also engage with policymakers and other stakeholders
during its lifetime.
The
Commission's work is guided by twenty individuals, African and non-African,
drawn from different backgrounds and institutions. We are united
by a profound and common concern that it is imperative to respond
to the HN / AIDS epidemic rapidly, effectively and at scale.
Our
commitment is marked by a spirit of activism, seeking to engage
with a wide range of stakeholders at all levels during the lifetime
of the Commission and thereby to spur action. The Commission will
present a final report in June 2005. However, it breaks new ground
among international commissions in that its members have committed
themselves to presenting views and decisions to key policymakers
without delay. Already, in the middle of our work, we are discussing
how to approach African leaders and development partners, about
ensuring that HIV / AIDS epidemic and its impacts are fully accommodated
for within the fiscal, macro-economic and development partnership
frameworks; those currently in place as well as those which may
be formulated in the future.
We
call upon this forum to work with us and renew the commitment to
meeting what may be the greatest; challenge that our continent has
faced to date.
Thank
you.
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