It can be no coincidence that such countries are largely middle
income countries. The majority of people living with HIV now
live in middle income countries where development assistance is
largely being reduced. More and more countries are making the
transition to middle income but poverty and inequality remain,
particularly when it comes to marginalised and vulnerable
groups. For the first time last year domestic funding surpassed
the contributions of international donors and governments are
taking on greater financial responsibility for their national
health and HIV responses. But to really break the back of the
epidemic once and for all, investment choices need to be made
based on where they will have the most impact and deliver the
greatest value for money. According to UNAIDS, in 49 countries
with available data HIV prevalence was 22 times higher in people
who use drugs than in the general population but 92% of spending
on HIV programmes for people who inject drugs comes from
international donors. Availa