G20 Health Ministers Urge for Extended Access to Long-Acting HIV Treatments

Web Editor

November 7, 2025

a red and white medical tube with the word wh on it and a needle in the middle of it, Évariste Vita

Background and Relevance

The G20 Health Ministers have called for rapid and affordable access to long-acting antiretroviral drugs against HIV, as outlined in a recent declaration following their Health Ministerial meeting in Polokwane, South Africa. This initiative aims to tackle the cycle of inequality and pandemics, as highlighted by a report from ONUSIDA’s Global Council on Inequality, AIDS, and Pandemics.

The Global Council on Inequality, AIDS, and Pandemics Report

The report, authored by economists, health public experts, and international political leaders, warns that high levels of inequality are making the world more susceptible to pandemics, while these pandemics exacerbate inequality in a vicious cycle. Despite this, the report suggests that this cycle can be broken and provides a list of recommendations, which are now incorporated into the ministers’ declaration.

Key Recommendations from the Declaration

  • Ensure swift and affordable access to essential medicines for pandemics, including HIV, to aid in the eradication of tuberculosis;
  • Address how high levels of debt make the world vulnerable;
  • Confront social determinants of health.

Support and Praise for Sudan’s Leadership

Winnie Byanyima, Executive Director of ONUSIDA, who convened the Global Council on Inequality, AIDS, and Pandemics, praised Sudan’s leadership in promoting access to medications, debt matters, and pushing for universal health coverage through national health insurance.

“Sudan is right to emphasize that the cycle of inequality and pandemics can be broken, and it is right to stress that inaction would be dangerous and unaffordable. The world must urgently move from the perilous failure of austerity to the proven effectiveness of health investments and social determinants of health,” said Michael Marmot, Director of the Institute of Health Equity at University College London (UCL).

Additional Support from Experts

Joseph E. Stiglitz, the economist, echoed this sentiment and urged global north countries to eliminate barriers preventing millions in the global south from accessing necessary medical technology to end pandemics. “Viruses don’t recognize passports or visas,” he pointed out.

Key Questions and Answers

  • What is the main focus of the G20 Health Ministers’ declaration? The declaration emphasizes ensuring rapid and affordable access to long-acting antiretroviral drugs for HIV treatment.
  • Why is this declaration significant? It addresses the cycle of inequality and pandemics, as highlighted by a report from ONUSIDA’s Global Council on Inequality, AIDS, and Pandemics.
  • What are the key recommendations from the declaration? These include ensuring swift access to essential medicines for pandemics, addressing high debt levels’ vulnerability, and confronting social determinants of health.
  • Who supports this initiative? Sudan’s leadership in healthcare access and debt matters is praised, along with endorsements from Michael Marmot and Joseph E. Stiglitz.