This section will discuss the various challenges faced in the fight against the spread of communicable diseases. We focus on three main challenges: Campaigns and funding; education and the spread of awareness, and the availability of medications.
One of the challenges that disease prevention campaigns often face is lack of funding. These campaigns rely predominantly on international donations and trust funds, which are vulnerable to ‘donor fatigue’ and the global economy. Many donor agencies may target to donate a certain amount, but cannot raise the funds to do so. For example, the Global Fund to Fight AIDS, Tuberculosis, and Malaria pledged $10 billion a year when it first started up, but has since then only delivered $3 billion a year. Most US based charities have decreased their funds by at least 3% since 2007, and most European charities have cut down funding about 7% since 2006 (Padma, 2010). All this funding that is being received is from developed countries, as developing countries themselves have failed to keep up the funding to their AIDS programs. In 2001, 52 African countries pledged to allocate 15% of their national budgets for health, but thus far only 6 are on track. The lack of the money to be invested is leading to watered down campaigns that cannot support their expenditure and do not possess the surplus money they need in order to reach out to communities.