UNAIDS: The First 10 Years

Côte d’IvoireSubstantial financial resources are available through the U.S. President’s EmergencyPlan for AIDS Relief (PEPFAR) and the Global Fund (and potentially the WorldBank’s Multi-Country HIV/AIDS Programme for Africa [MAP]), greatly assistingthe country in its efforts to achieve universal access to prevention, treatment and care.With continued support from the UN system, bilateral donors and its own nationalresources, the country has, in theory, the means to continue and scale up its efforts.However, beyond the unstable political situation, the most important challenges infighting the epidemic are related to the lack of harmonization and coordination,causing, for example, shortages of antiretrovirals, in spite of both PEPFAR and GlobalFund money. These deficiencies have also postponed the disbursement of money forPhase 2 of the Global Fund proposal. The lack of coordination comes at a cost.103