Candidate Questions for the 2019 European Parliament Election 2019: Global Health and Support for the Global Fund
This questionnaire is a measure of candidate support of policies which put the achievement of Sustainable Development Goal 3 “Ensure healthy lives and promote wellbeing for all at all ages“ at the centre of EU action at home and internationally, grounded in the right to health and leaving no one behind. It also asks for candidates support of the 6th Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund).
1. Financial contribution to the Global Fund
The Investment case for the Global Fund to Fight AIDS, Tuberculosis and Malaria clearly shows how we are off-track to meeting the Global Plans for the 3 diseases and expresses the urgent need to mobilize at least US$ 14 billion. In order to get back on track to achieve the sustainable development goals (SDG) to end AIDS, TB and malaria by 2030, advocates are calling on donors to increase their overall contributions to the Global Fund by at least 20%. The European Commission supported the Global Fund during the last replenishment period (2017-2019) with € 475 million: this represented a significant 27% increase over the previous period.

Need more information?
 The Global Fund Investment Case: www.theglobalfund.org/en/stepupthefight
 The Global Fund Results Report: https://bit.ly/2QlrTSB
 Get Back on Track Report: http://www.globalfundadvocatesnetwork.org/campaign/get-back-on-track/

Would you, as an elected European Parliamentarian, support an increase investment of at least 20% by the European Commission for the Global Fund? *
2. Access to medicines in Europe
High prices in many middle-income countries (MICs) of the EECA region affect the availability of and the access to affordable quality medicines, notably antiretroviral drugs. National laws do not always allow direct public procurement via competitive tenders. Monopolies of pharma companies lead in some EU countries to enormous price differences. For instance, Poland and Latvia respectively pay 20 and 19 times as much for an HIV drug (Abacavir) than Georgia that can make use of the GFATM Pooled Procurement Mechanism.

For many countries, another barrier to affordable quality assured medicines is the WTO – TRIPS agreement.
The fact that on the occasion of association agreements negotiations with low-middle income countries (LMICs) the EU tries to limit conditions regarding the use of TRIPS flexibilities Conclusion: National laws have to be adapted to allow for public procurement of medicines via competitive tenders. The EU has to safeguard the access of MICs and LMICs to affordable quality assured generic medicines.

Need more information?
 The Importance of Tendering: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132432/
 Patents and Intellectual Property: https://msfaccess.org/patents-and-intellectual-property

Do you support public procurement of medicines via competitive tenders? *
How could you, could the EU – Parliament and the Commission influence national legislation to open the door for the procurement of indispensable drugs via competitive tenders?
Your answer
How can the EU Parliament, the EC and the EU member states contribute to a revision of the TRIPS agreement to avoid in the future negative effects for many countries to provide their populations with the drugs and treatments needed?
Your answer
3. Mechanisms at the European level to address stigma, discrimination and human rights violations
HIV is growing in many EECA countries with an overall regional increase in infections of 30 % since 2010. However, stigma and discrimination alongside significant legal and cultural norms within healthcare systems continue to act as barriers to accessing prevention, care and treatment throughout the EECA region. Key populations are kept away from HIV prevention services. Some countries in Europe deny the needs of people living with HIV and human rights violations take place. Furthermore, HIV-Programs are often not based on scientific evidence, and punitive laws against groups affected by HIV and TB are in place, leading to stigma and discrimination. Decriminalization of drug use is also an important measure as it leads to low rates of HIV infection as was proofed in Portugal and in the Czech Republic among people who inject drugs. To achieve the SDG 2030 targets and end HIV/AIDS, TB and malaria, we have to put an end to criminalization and stigmatisation.

Need more information?
 GFAN TB Key Population Report - https://bit.ly/2OIvMQg
 Brief on HIV Stigmatization in EU - https://bit.ly/2SQwXTL

Do you support decriminalization of drug use and ending stigmatisation in the healthcare system of groups affected by HIV and TB? *
What do you deem necessary to undertake to accomplish the goal to achieve the SDG 2030 targets and to end stigma and discrimination?
Your answer
Which will be your personal contribution as an elected European Parliamentarian to end criminalisation and stigmatisation in Western Europe and the EECA region?
Your answer
Does it require structural provisions within the EU - Parliament, it’s committees and the EU - Commission to avoid criminalisation and stigmatisation of at-risk groups? Which could that be?
Your answer
4. The EU financial transaction tax to support global development and global health
While some EU member states like Sweden and Ireland are unlikely to support the measure, 10 countries support the implementation of Financial Transaction Tax (FTT). The Global Fund Investment case recently estimated that just over $100 billion is needed to reach the HIV/AIDS, TB and Malaria Global Plans and their mid-term targets on the path towards the 2030 SDG's: The Investment Case also envisages - even alongside a projected 46% increase in domestic resources for the 3 diseases - an 18 billion shortfall in the resources needed. The FTT could be the means to close the financing gap, which we face and to bridge the 20 % shortfall of what is needed to reach the 2020 midterm and attain the 2030 targets to end HIV/AIDS, TB and malaria as epidemics for good. The vast majority of the Members of the European Parliament are in favour of the FTT, but a unanimous endorsement of the EU – governments is required.

Need more information?
 The Global Fund Investment Case: www.theglobalfund.org/en/stepupthefight
 Get Back on Track Report: http://www.globalfundadvocatesnetwork.org/campaign/get-back-on-track/

Would you as an elected European Parliamentarian support the idea to support global development, including global health with income generated by the FTT? *
If yes, what are in your perspective the best arguments to advocate for the FTT?
Your answer
What will you as an elected European Parliamentarian undertake to champion the FTT and reduce the reservations among EU – governments?
Your answer
5. The position of the Global Fund within the SDG III framework and the value of unilateral global health approaches
Currently, there is a lot happening within the global health architecture. The WHO recently established a Global Action Plan to reach the SDG III targets of the United Nations and we all have to speed up our efforts to achieve these ambitious goals. Politicians and global health experts are asking for more and stronger multilateral efforts in order to achieve the SDGs. However, at the same time we experience growing tendencies that challenge global agreements and solidarity favouring unilateral instead of multilateral approaches.

Need more information?
 WHO Sustainable Development Goals: https://www.who.int/sdg/en/
 The Global Fund Results Report: https://bit.ly/2QlrTSB

Would you as a European Parliamentarian support a stronger mandate for multilateral global health entities, including, the WHO, the Global Fund, UNAIDS and GAVI? *
How would you position the Global Fund within the SDG III framework and a new global health architecture?
Your answer
6. Information About You
Information you provide will be shared with GFAN member organizations in the country in which you are running for MEP.
Name: *
Your answer
Political Party: *
Your answer
Country: *
Your answer
Contact information:
Your answer
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