Dedicated to Nigeria's socio-political issues
October 3, 2007 - December 2, 2007
ABUJA DECLARATION ON HIV/AIDS, TUBERCULOSIS AND
OTHER RELATED INFECTIOUS DISEASES
April 27, 2001
ABUJA DECLARATION ON HIV/AIDS,
TUBERCULOSIS AND OTHER RELATED INFECTIOUS DISEASES
We, the Heads of State and Government of the Organisation of African Unity (OAU)
met in Abuja, Nigeria from 26-27 April 2001, at a Special Summi tdevoted specifically
to address the exceptional challenges of HIV/AIDS, Tuberculosis and Other Related
Infectious Diseases, at the invitation of H.E. President Olusegun Obasanjo of the
Federal Republic of Nigeria and in accordance with the agreement reached at the
Thirty-Sixth Ordinary Session of our Assembly in Lome, Togo from 10 to 12 July 2000.
2. We gathered in Abuja to undertake a critical review and assessment of
the situation and the consequences of these diseases in Africa, and to
reflect further on new ways and means whereby we, the leaders of our
Continent, can take the lead in strengthening current successful
interventions and developing new and more appropriate policies, practical
strategies, effective implementation mechanisms and concrete monitoring
structures at national, regional and continental levels with a view to
ensuring adequate and effective control of HIV/AIDS, Tuberculosis and
Other Related Infectious Diseases in our Continent.
3. We are deeply concerned about the rapid spread of HIV infection in our
countries and the millions of deaths caused by AIDS, Tuberculosis and
other related infectious diseases throughout the Continent, in spite of
the serious efforts being made by our countries to control these diseases.
Africa is exceptionally afflicted by the HIV/AIDS epidemic. This
generalised epidemic is affecting a wide cross-section of our people, thus
decimating the adult population, the most productive group, and leaving in
its wake millions of orphans, and disrupted family structures.
4. We recognize the role played by poverty, poor nutritional conditions
and underdevelopment in increasing vulnerability. We are concerned about
the millions of African children who have died from AIDS and other
preventable infectious diseases. We are equally concerned about the
particular and severe impact that these diseases have on children and
youth who represent the future of our continent, the plight of millions of
children orphaned by AIDS and the impact on the social system in our
5. We are particularly concerned about the high incidence of mother to
child transmission, especially given the challenges of infant
breastfeeding in the context of HIV infection on the continent.
6. We recognize that special efforts are required to ensure that Africa's
children are protected from these pandemics and their consequences and
that the full and effective participation of young people in prevention
and control programmes is essential to their success.
7. We recognise that biologically, women and girls are particularly
vulnerable to HIV infection. In addition, economic and social
inequalities and traditionally accepted gender roles leave them in a
subordinate position to men.
8. We appreciate the special needs and challenges of the HIV/AIDS
pandemic for the youth that make them vulnerable to infection and adverse
impacts of the epidemic.
9. We recognize that the practice of injectable drug abuse with sharing
of contaminated needles in some African countries is a major concern. The
abuse of alcohol, marijuana and other mind-altering drugs, which is on the
increase among the youth further enhances their vulnerability to HIV
10. We recognize the essential place that education, in its widest sense
has played and will continue to play in the fight against HIV/AIDS in
Africa. Education constitutes the most powerful, cost effective tool for
reaching the largest number of people with information and personal
development strategies that promote long-term behaviour change.
11. We acknowledge that forced migrations due to war, conflicts, natural
disasters and economic factors including unilateral sanctions imposed on
some African countries, lead to an increased vulnerability and the spread
of the disease; we note that special attention should be given to
migrants, mobile populations, refugees and internally displaced persons in
national and regional policies. We also note that special attention
should be given to the problem trafficking in human beings and its impact
12. We are aware that stigma, silence, denial and discrimination against
people living with HIV/AIDS (PLWA) increase the impact of the epidemic and
constitute a major barrier to an effective response to it. We recognize
the importance of greater involvement of People Living with HIV/AIDS.
13. We recognise that the epidemic of HIV/AIDS, Tuberculosis and Other
Related Infectious Diseases constitute not only a major health crisis, but
also an exceptional threat to Africa's development, social cohesion,
political stability, food security as well as the greatest global threat
to the survival and life expectancy of African peoples. These diseases,
which are themselves exacerbated by poverty and conflict situations in our
Continent, also entail a devastating economic burden, through the loss of
human capital, reduced productivity and the diversion of human and
financial resources to care and treatment.
14. We recognize the need to intensify our efforts in all areas of
research such as traditional medicines and vaccine development.
15. We are fully convinced that containing and reversing the HIV/AIDS
epidemic, tuberculosis and other infectious diseases should constitute our
top priority for the first quarter of the 21st Century. We are equally
convinced that tackling these epidemics should constitute an integral part
of our continental Agenda for promoting poverty reduction, sustainable
development and ensuring durable peace and political security and
stability consistent with the Millennium African Recovery Programme.
16. We recognise and commend the efforts by our respective national
Governments, our continental Organisation and its Regional Economic
Communities (RECs), the national and international NGOs, the civil
society, including youth, women, people with disability, religious
organisations, sport organizations, Trade Unions, Employers organizations,
Traditional Health Practitioners, Traditional Rulers, people living with
HIV/AIDS and individuals, who care for, support and sensitise our people
to the threat of HIV/AIDS and the associated opportunistic infections
including Sexually Transmitted Infections (STIs).
17. We acknowledge the support that the international Community,
including the United Nations System, its Specialised Agencies and
programmes, bilateral agencies, private sector and other communities and
stakeholders have provided in raising awareness about and combating the
scourge of HIV/AIDS, Tuberculosis and other related infectious diseases in
18. We further acknowledge that, to successfully implement a
comprehensive and multisectoral approach and campaign to overcome
HIV/AIDS, tuberculosis and other related infectious diseases, there is a
need to secure adequate financial and human resources at national and
19. We recognize the need to establish a sustainable source of income to
fund HIV/AIDS programmes.
20. We recognise the importance of leadership at all levels in the fight
against HIV/AIDS, Tuberculosis and Other Related Infectious Diseases in
our Continent. We, therefore, acknowledge the special importance of the
"African Consensus and Plan of Action: Leadership to overcome HIV/AIDS"
adopted at the African Development Forum 2000 as the outcome of a
wide-ranging process of consultation with all stakeholders.
21. In this regard, we recall and reaffirm our commitment to all relevant
decisions, declarations and resolutions in the area of health and
development and on HIV/AIDS, particularly the "Declaration on HIV/AIDS in
Africa" (July 2000) and the "Decision on the adoption of the International
Partnership against HIV/AIDS".
WE SOLEMNLY DECLARE AS FOLLOWS:
22. We consider AIDS as a State of Emergency in the continent. To this
end, all tariff and economic barriers to access to funding of AIDS-related
activities should be lifted.
23. To place the fight against HIV/AIDS at the forefront and as the
highest priority issue in our respective national development plans. To
that end, WE ARE RESOLVED to consolidate the foundations for the
prevention and control of the scourge of HIV/AIDS, Tuberculosis and Other
Related Infectious Diseases through a comprehensive multisectoral strategy
which involves all appropriate development sectors of our governments as
well as a broad mobilisation of our societies at all levels, including
community level organisations, civil society, NGOs, the private sector,
trade unions, the media, religious organisations, schools, youth
organisations, women organisations, people living with HIV/AIDS
organizations and individuals who care for, support and sensitise our
population to the threat of HIV/AIDS and associated opportunistic
infections and also to protect those not yet infected, particularly the
women, children and youth through appropriate and effective prevention
24. To that effect, WE COMMIT OURSELVES TO TAKE PERSONAL RESPONSIBILITY
AND PROVIDE LEADERSHIP for the activities of the National AIDS
Commissions/Councils. WE THEREFORE RESOLVE to lead from the front the
battle against HIV/AIDS, Tuberculosis and Other Related Infectious
Diseases by personally ensuring that such bodies were properly convened in
mobilizing our societies as a whole and providing focus for unified
national policy-making and programme implementation, ensuring coordination
of all sectors at all levels with a gender perspective and respect for
human rights, particularly to ensure equal rights for people living with
25. WE ALSO COMMIT OURSELVES TO ENSURE that leadership role is exercised
by everyone in his/her area of responsibility in the fight against
HIV/AIDS and other related diseases. WE THEREFORE ENDORSE the "African
Consensus and Plan of Action: Leadership to overcome HIV/AIDS" during the
Second African Development Forum on "AIDS: The Greatest Leadership
Challenge" organised by the United Nations Economic Commission for Africa
(UNECA) in collaboration with the OAU, UNAIDS and ILO (Addis Ababa, 3-7
26. WE COMMIT OURSELVES to take all necessary measures to ensure that the
needed resources are made available from all sources and that they are
efficiently and effectively utilized. In addition, WE PLEDGE to set a
target of allocating at least 15% of our annual budget to the improvement
of the health sector. WE ALSO PLEDGE to make available the necessary
resources for the improvement of the comprehensive multi-sectoral
response, and that an appropriate and adequate portion of this amount is
put at the disposal of the National Commissions/Councils for the fight
against HIV/AIDS, Tuberculosis and Other Related Infectious Diseases.
27. WE REQUEST the OAU Secretariat, in collaboration with ADB, ECA, and
all other partner institutions, especially WHO and UNAIDS, to assist
Member States in formulating a continental-wide policy for an
international assistance strategy for the mobilisation of additional
28. WE CALL UPON Donor countries to complement our resources mobilization
efforts to fight the scourge of HIV/AIDS, Tuberculosis and Other Related
Infectious Diseases. Bearing in mind that Africa cannot, from its weak
resource base, provide the huge financial resources needed. In this
regard, WE URGE those countries to, among others, fulfill the yet to be
met target of 0.7% of their GNP as official Development Assistance (ODA)
to developing countries.
29. We support the creation of a Global AIDS Fund capitalized by the
donor community to the tune of US $5 - 10 billion accessible to all
affected countries to enhance operationalization of Action Plans,
including accessing Anti-retroviral programmes in favour of the
populations of Africa.
30. WE UNDERTAKE to mobilize all the human, material and financial
resources required to provide CARE and SUPPORT and quality treatment to
our populations infected with HIV/AIDS, Tuberculosis and Other Related
Infections, and to organize meetings to evaluate the status of
implementation of the objective of access to care.
31. WE RESOLVE to enact and utilize appropriate legislation and
international trade regulations to ensure the availability of drugs at
affordable prices and technologies for treatment, care and prevention of
HIV/AIDS, Tuberculosis and Other Infectious Diseases. WE ALSO RESOLVE to
take immediate action to use tax exemption and other incentives to reduce
the prices of drugs and all other inputs in health care services for
accelerated improvement of the health of our populations.
32. WE COMMIT OURSELVES to explore and further develop the potential of
traditional medicine and traditional health practitioners in the
prevention, care and management of HIV/AIDS, Tuberculosis and Other
Related Infectious Diseases.
33. WE COMMIT OURSELVES to support the development of effective
affordable, accessible HIV vaccine relevant to Africa. We, therefore,
support "The Africa; AIDS Vaccine Programme"(AAVP), its collaborative
partners, International partners and Institutions committed to the
facilitation of HIV vaccine research and testing in Africa.
34. WE COMMIT OURSELVES to documenting and sharing these successful and
positive experiences with a view to sustaining and scaling them up for
wider coverage; mindful that there are still challenges that confront us,
particularly in the area of infant feeding.
35. WE COMMIT OURSELVES to scaling up the role of education and
information in the fight against HIV/AIDS in recognition of the essential
role education, in its widest sense plays as a cost-effective tool for
reaching the largest number of people.
36. WE COMMIT OURSELVES to the strengthening and development of special
youth programmes to ensure an AIDS-free generation.
37. WE, within the framework and spirit of our Sirte Declaration of 9
September 1999, RENEW THE MANDATE of our brothers, President Bouteflika of
Algeria, President Mbeki of South Africa and President Obasanjo of Nigeria
to continue discussion with our debt creditors, on our behalf, with the
view to securing the total cancellation of Africa's external debt in
favour of increased investment in the social sector.
38. WE ENDORSE the Abuja Declaration on HIV/AIDS, Tuberculosis and Other
Related Infectious Diseases; and WE PLEDGE to promote advocacy at the
national, regional and international levels; and WE ALSO PLEDGE to ensure
massive participation of Heads of State and Government at the United
Nations General Assembly Special Session (UNGASS) on HIV/AIDS slated for
25 - 27 June 2001 so as to ensure that the session comes up with concrete
and urgent decisions for the fight against HIV/AIDS in Africa including
the fight against poverty and deduction of Africa's debt.
39. WE REQUEST the OAU Secretary General, in collaboration with ECA, ADB,
UNAIDS, WHO, UNICEF, UNDP, ILO, UNFPA, FAO, UNESCO, UNIFEM, IOM, UNDCP and
other partners, to follow-up on the implementation of the outcome of this
Summit and submit a report to the Ordinary Sessions of our Assembly.
40. WE MANDATE the Government of the Federal Republic of Nigeria to
submit a report on the outcome of this African Summit on HIV/AIDS,
Tuberculosis and Other Related Infectious Diseases to the next Ordinary
OAU Summit which will be held in Lusaka, Zambia in July 2001.
Abuja, Federal Republic of Nigeria
27 April 2001
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