Advocates’ message to the Global Fund: we need an ambitious 5th replenishment target!
Below is an open letter sent on 15 October 2015 to the Board and Executive Director of the Global Fund. Signed by more than 270 civil society organisations from all over the world, it calls on the Global Fund to commit to an ambitious funding request for the 5th Replenishment to accelerate the end of the epidemics by 2030.
Mark Dybul responded soon after the letter was received, saying:
Thanks very much. We appreciate the commitment of all those who signed to an ambitious global effort to end the epidemics and, in particular, your support of the global fund. The office of board affairs will share your letter with the board leadership and request approval to share it with the board and constituencies as you have suggested.
The full letter and signatories are below.
Subject: Funding target of the 5th Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria
The launch of the Global Fund’s 5th Replenishment comes at a critical moment as civil society challenges world leaders to deliver on their commitment to accelerate the end of the HIV, TB, and malaria epidemics by 2030. The Global Fund’s 5th Replenishment is a test of global commitments to delivering on the new Sustainable Development Goals and a test of the global commitment to ensure powerful new scientific evidence benefits millions of people waiting in line for high impact prevention and treatment services.
We will not reach our shared goal without ambitious program expansion, innovation of service delivery approaches, including scale-up of community-based service delivery, and raising funds from donors and all actors.
The good news is that we can double the impact and the speed of scale-up without doubling the resources required. There are major benefits to be had by re-aligning programs to the best science and focusing on efficiencies. But we must be clear: this alone will not be sufficient to end the AIDS, TB and malaria crises for communities around the world.
We need bold funding increases, without which we will not see the rapid acceleration in life-saving service delivery needed or implementation of new standards of care in treatment and prevention of the three diseases. The era of rapid scale-up using only existing resources is coming to an end; programs are already facing difficult choices. In order to increase the pace of scale up there needs to be more funds.
In 2013, the Global Fund conducted a needs assessment for the 4th Replenishment that resulted in a Replenishment funding target of US$15 billion. This number was based in part on resource needs estimates for HIV, TB, and malaria, which are now seriously out of date.
For example, UNAIDS resource needs estimates for ‘Fast-Track – Ending the AIDS epidemic by 2030‘ call for an additional US$8-12 billion extra a year to meet 2020 and 2030 targets, half of which must come from donors. This is an investment that is expected to produce benefits of more than US$3.2 trillion.
Similarly, recent costing estimates for the ‘Global Plan to Stop TB‘ indicated that an additional investment is needed of US$21 billion over 2015-2020. Investments in accelerated TB control are estimated to have a social return of between US$16-82 per dollar invested, with the highest benefit-cost ratios for the poorest globally.
Meeting the 2030 global malaria targets will generate more than US$4 trillion of additional economic output between 2016-2030. But to set us on course to achieve reduction targets, malaria investments will need to more than double from current levels to US$6.4 billion per year by 2020 and triple by 2030.
These resource needs and gaps must be addressed by domestic funding, bilateral funding and the Global Fund. The Global Fund has traditionally funded 20% of the international contribution to the HIV/AIDS response, 80% of the TB response and 50% of the malaria response.
Given the need for increased investments as estimated by the Global Fund’s partners, and if we take “ending the epidemics” seriously as our joint mission, collectively we must aim for a higher global Replenishment outcome than the US$15 billion for 2014-2016.
The stakes could not be higher – this Replenishment will determine whether or not we will miss the global target of ending the three epidemics by 2030. We, the undersigned organizations, are therefore calling on the Global Fund Board and the Executive Director to commit to an ambitious funding request for the 5th Replenishment that is evidence-based and generated by the motivation needed to end the diseases.
Signatories
| Organization | Country/Region |
| 3rd Sector Support Africa | Nigeria |
| Abundant Life For All | Zimbabwe |
| Access Chapter 2 | South Africa |
| ACORD | Kenya |
| ACT!2015 | Zimbabwe |
| Action for Children in Conflict | Kenya |
| ActionAid Lesotho | Lesotho |
| ActionAid Nepal | Nepal |
| ActionAid Tanzania | Tanzania |
| Actwid Kongadzem | Cameroon |
| Africaid Zvandiri | Zimbabwe |
| African Men for Sexual Health and Rights [AMSHeR] | South Africa |
| African Population and Health Research Center | Kenya |
| African Services Committee | USA |
| African Sex Workers Alliance (ASWA) | Kenya |
| AID FOR AIDS International | USA |
| AIDS and Rights Alliance for Southern Africa (ARASA) | Namibia |
| AIDS Counselling Trust (ACT) | Zimbabwe |
| Aids Fonds | Netherlands |
| AIDS Healthcare Foundation (AHF) Africa Bureau | Uganda |
| AIDS Healthcare Foundation (AHF) Asia Bureau | India |
| AIDS Healthcare Foundation (AHF) Latin America Bureau | Mexico |
| AIDS Healthcare Foundation (AHF) Nepal | Nepal |
| AIDS-Fondet/The Danish AIDS Foundation | Denmark |
| Aidspan | Kenya |
| AIESEC | Senegal |
| Aksion Plus | Albania |
| Alcondoms Cameroun | Cameroon |
| All-Ukrainian League «Legalife» | Ukraine |
| Alternative Santé | Cameroon |
| Ambssadors of Change | Kenya |
| amfAR, The Foundation for AIDS Research | USA |
| Amitiel Welfare Society | Pakistan |
| ARAP Rubis | France |
| AS – Center For The Empowerment Youth Of People Who Are Living With HIV and AIDS | Serbia |
| Asia Pacific Alliance for Sexual and Reproductive Health and Rights (APA) | Thailand |
| Asia Pacific Coalition on Male Sexual Health (APCOM) | Thailand |
| Asia Pacific Council of AIDS Service Organisations (APCASO) | Malaysia |
| Asia Pacific Network of People living with HIV (APN+) | Thailand |
| Asia Pacific Network of Sex Workers (APNSW) | Thailand |
| Asia Pacific Transgender Network | Thailand |
| Asian Network of People who Use Drugs (ANPUD) | Thailand |
| Asociación Civil Ángel Azul | Peru |
| Association HERA XXI | Georgia |
| Association of Substitution Treatment Advocates of Ukraine | Ukraine |
| Association Tunisienne De Prévention Positive | Tunisia |
| ATHENA | Global |
| Australian Federation of AIDS Organisations (AFAO) | Australia |
| AVAC | USA |
| Bapuji Center for AIDS Research & Education (BCARE) | India |
| Bar Hostess Empowerment & Support Programme (BHESP) | Kenya |
| Batsiranai | Zimbabwe |
| Bay Area Sex Worker Advocacy Network (BAYSWAN) | USA |
| Bolivian Network of People Living with HIV | Bolivia |
| Canadian HIV/AIDS Legal Network | Canada |
| CARE Barbados | Barbados |
| Caribbean Harm Reduction Coalition | Saint Lucia |
| Caribbean Regional Network of People Living With HIV (CRN+) | Trinidad and Tobago |
| Caribbean Sex Work Coalition | Guyana |
| Caribbean Vulnerable Communities Coalition (CVC) | Caribbean |
| Caritas Ukraine | Ukraine |
| Centre for Popular Education and Human Rights Ghana | Ghana |
| Cherangany Community AIDS Programme Organization (CCAPO) | Kenya |
| Child Concern Consortium | Tanzania |
| Clear Vision | Zimbabwe |
| Coalition of Asia-Pacific Regional Networks on HIV/AIDS | Thailand |
| Coalition of Women and Girls Livinng with HIV and AIDS (COWLHA) | Malawi |
| Coalition of Zambian Women Living with HIV and AIDS | Zambia |
| Coalition Malienne pour une Gouvernance Inclusive et un Développement Durable | Mali |
| Coalition Plus | France |
| Collectif des Femmes de Strasbourg-Saint-Denis | France |
| Communication for Social Change Ghana | Ghana |
| Communities’ Initiatives for Holistic Social Advancement (CHISA) | Malawi |
| Community Initiative for TB, HIV and Malaria | Zambia |
| Community Working Group on Health (CWGH) | Zimbabwe |
| Coping Centre for People Living with HIV/AIDS (COCEPWA) | Zimbabwe |
| Copperbelt Health Education Prject | Zambia |
| Delhi Network of Positive People (DNP+) | India |
| Developed Country NGO Delegation to the Global Fund Board | Global |
| Development Aid from People to People Zimbabwe (DAPP) | Zimbabwe |
| Dignitas International | Canada |
| Disability Rights Promotion International Regional Center for Europe | Serbia |
| Double Positive Foundation | Suriname |
| Dream Weaver Organization | Ghana |
| Dristi Nepal | Nepal |
| Eastern Africa National Networks of AIDS Service Organizations (EANNASO) | Tanzania |
| Ecumenical Advocacy Alliance | Switzerland |
| EMPACT Africa | USA |
| Eurasian Coalition on Male Health (ECOM) | Estonia |
| Eurasian Harm Reduction Network (EHRN) | Lithuania |
| Eurasian Network of People who Use Drugs | Lithuania (Secretariat) |
| Evidence Based Solutions (Pty) Ltd | South Africa |
| Family AIDS Caring Trust (FACT) | Zimbabwe |
| Family Planning Association of Trinidad and Tobago | Trinidad and Tobago |
| Federation of Sexual and Gender Minorities | Nepal |
| Femmes Unies pour la Paix dans la Région des Grands Lacs | Burundi |
| Fórum ONGs TB do Rio de Janeiro | Brazil |
| Friends of the Global Fund Europe | France |
| Fundación Huésped | Argentina |
| GESTOS- HIV, Communication and Gender | Brazil |
| Ghana Alliance for Men’s Sexual Health and Rights (GHAMSHeR) | Ghana |
| Ghana Network of Persons Living with HIV and AIDS | Ghana |
| Global Coalition of TB Activists | Global |
| Global Network of People living with HIV (GNP+) | Netherlands |
| Global Network of Sex Work Projects (NSWP) | United Kingdom |
| Global Network of Young People Living with HIV (Y+) | Netherlands |
| Global Youth Coalition on HIV/AIDS | USA |
| Good Health Educators Initiative | Nigeria |
| Grandmothers Advocacy Network | Canada |
| Grassroots Movement for Health and Development (GMHD) | Malawi |
| Guyana Sex Work Coalition | Guyana |
| Haus of Khameleon | Fiji |
| Health & Social Development Foundation (HESED) | Bulgaria |
| Health Digest Foundation | Ghana |
| Health Journalists Network in Uganda (HEJNU) | Uganda |
| HealthGAP | USA |
| Hiv Vereniging Nederland | Netherlands |
| HIV/AIDS Research and Welfare Centre (HARC) | Bangladesh |
| HIVOS | Netherlands |
| Housing Works, Inc. | United States |
| HPLGBT | Ukraine |
| i+solutions | Netherlands |
| IAVI | USA |
| ICASO | Canada |
| INA (Māori, Indigenous and South Pacific) HIV/AIDS Foundation | New Zealand |
| Indian Drug Users’ Forum | India |
| Instituto de Salud y Derechos Humanos | Peru |
| International Civil Society Support | Netherlands |
| Interagency Coalition on AIDS and Development (ICAD) | Canada |
| International Committee on the Rights of Sex Workers in Europe (ICRSE) | Netherlands |
| International Community of Women Living with HIV Eastern Africa | Uganda |
| International HIV/AIDS Alliance | United Kingdom |
| International HIV/AIDS Alliance South Africa | South Africa |
| International HIV/AIDS Alliance Ukraine | Ukraine |
| International Network of People who Use Drugs (INPUD) | United Kingdom |
| International Treatment Preparedness Coalition (ITPC) | Global |
| International Treatment Preparedness Coalition (ITPC) Central Africa | Cameroon |
| International Treatment Preparedness Coalition (ITPC) East Africa | Kenya |
| International Treatment Preparedness Coalition (ITPC) Latin American and Caribbean | Guatemala |
| International Treatment Preparedness Coalition (ITPC) MENA | Morocco |
| International Treatment Preparedness Coalition (ITPC) South Asia | India |
| International Treatment Preparedness Coalition (ITPC) West Africa | Ivory Coast |
| Ithemba Projects | Zimbabwe |
| Jagriti Mahila Mahasangh | Nepal |
| Jaringan Pelangi Malaysia (myISEAN) | Malaysia |
| Jointed Hands Welfare Organization | Zimbabwe |
| Junior Chamber International | Madagascar |
| Kenya AIDS NGOs Consortium (KANCO) | Kenya |
| Kenya Legal and Ethical Issues Network on HIV & AIDS (KELIN) | Kenya |
| Kenya NGOs Alliance Against Malaria | Kenya |
| Kenya Red Cross Society | Kenya |
| Kenya Treatment Access Movement (KETAM) | Kenya |
| Kibaoni Peer Educators | Kenya |
| Kibera Visionary Women Self Help Group | Kenya |
| KNCV Tuberculosis Foundation | Netherlands |
| Lean on Me Foundation | Kenya |
| Lee’s Rig Hub | USA |
| LEPRA Society | India |
| Life Support Group (GIV) | Brazil |
| Loving Hand | Zimbabwe |
| LVCT Health | Kenya |
| Maggie’s: Toronto Sex Workers Action Project | Canada |
| Malaria Consortium | United Kingdom |
| Maritime Life Precious Foundation | Ghana |
| M-Coalition | Lebanon |
| Médecins Sans Frontières (MSF) Access Campaign | Global |
| Médecins Sans Frontières (MSF) Zimbabwe | Zimbabwe |
| Medzoe Santé Plus | Gabon |
| My Age Zimbabwe | Zimbabwe |
| Myanmar Positive Group (MPG) | Myanmar |
| National Empowerment Network of People Living with HIV/AIDS in Kenya | Kenya |
| National Federation of Women Living With HIV and AIDS | Nepal |
| Naya Goreto | Nepal |
| Network of Guyanese Living with and Affected by HIV/AIDS (G+) | Guyana |
| Network of People Living with HIV/AIDS in Kenya (NEPHAK) | Kenya |
| NGO Delegation to the UNITAID Board | Switzerland |
| Nigeria Sex Workers Association (Precious Jewels) | Nigeria |
| Observatory Tuberculosis Brazil | Brazil |
| One to One Children’s Fund | United Kingdom |
| Operation Snatch | Canada |
| Osservatorio Italiano sull’Azione Globale contro l’AIDS | Italy |
| Pacific Friends of the Global Fund | Australia |
| Padare/Enkundleni/Men’s Forum on Gender | Zimbabwe |
| Pan African Positive Women’s Coalition (PAPWC) Zimbabwe Chapter, Southern Africa and Indian Ocean Islands | Zimbabwe |
| Pangaea Global AIDS | USA |
| Parceria Brasileira Contra a Tuberculose – Stop TB Brasil | Brasil |
| Partners on Health Resources | Nigereia |
| Partnership for Supply Chain Management (PFSCM) | netherlands |
| Pasefika LGBTQI Support Services | New Zealand |
| Passion and Concern for Women Welfare initiative (PACOWWEI) | Nigeria |
| People In Need Agency Uganda | Uganda |
| Persaudaraan Korban Napza Indonesia (PKNI) | Indonesia |
| Pertubuhan Advokasi Masyarakat Terpinggir (PAMT) | Malaysia |
| PION Prostitutes interest organization in Norway | Norway |
| Population Services Kenya | Kenya |
| Positive Attitude Positive Action | Georgia |
| Positive Vibes Trust | Namibia |
| Positive Women’s Network | South Africa |
| Preventive Care International | Uganda |
| Principle of Life | Nepal |
| PT Foundation | Malaysia |
| Rafiki Girls Centre | Zimbabwe |
| Red Umbrella Fund | Netherlands |
| Redemption Research for Health and Educational Development Society (RRHEDS) | India |
| Renewed Initiative against Diseases and Poverty (RENAGAIDS) | Nigeria |
| Réseau Solidarité pour les Droits des Travailleuses du Sexe au Burundi | Burundi |
| Restless Development | United Kingdom |
| RESULTS Canada | Canada |
| RESULTS UK | United Kingdom |
| Robert Carr Fund | Jamaica |
| Safehaven Development Initiative (SDI) | Nigeria |
| Salamander Trust | United Kingdom |
| Salud por Derecho | Spain |
| Sampada Gramin Mahila Sanstha (SANGRAM) | India |
| SCARJOV-Associação de Reintegração dos Jovens e Crianças na Vida Social | Angola |
| Sex Workers Outreach Project Philadelphia (SWOP-Philly) | USA |
| Sex Workers Rights Advocacy Network (SWAN) | Hungary |
| Smile Africa | Kenya |
| Society for Positive Atmosphere and Related Support to HIV and AIDS in Nepal (SPARSHA) | Nepal |
| Society of Women And AIDS in Botswana (SWAABO) | Botswana |
| Solidarité Sida | France |
| SOLTHIS | France |
| South African National AIDS Council (SANAC) Civil Society Forum (CSF) | South Africa |
| STAR-STAR | Macedonia |
| Stichting Double Positive | Suriname |
| Stichting HIV Monitoring | Netherlands |
| Stop AIDS Alliance | Global |
| STOP AIDS NOW! | Netherlands |
| STOPAIDS | United Kingdom |
| STRASS, Syndicat du Travail Sexuel | France |
| Support for Integrated Health Care Initiative | Uganda |
| Supreme Council of Kenya Muslims (SUPKEM) | Kenya |
| Tabaka Artisan Centre Youth Group | Kenya |
| Tanzania Council for Social Development (TACOSODE) | Tanzania |
| Tanzania Network of Women Living with HIV | Tanzania |
| Tanzanian Network of People who Use Drugs (TaNPUD) | Tanzania |
| Tebelopele Voluntary Counseling and Testing Centre | Botswana |
| Tehran Positive Club | Iran |
| Thai AIDS Treatment Action Group (TTAG) | Thailand |
| The Fenway Institute | USA |
| The Global Forum on MSM and HIV (MSMGF) | USA |
| The Lotus Identity | Zambia |
| The Pink Butterfly Trust | Zimbabwe |
| Tonata PLHIV Network | Namibia |
| Treasureland Health Builders Initiative | Nigeria |
| Treatment Action Group | USA |
| Triple X Solidarity Society | Canada |
| Udyama | India |
| Uganda Network of AIDS Service Organisations (UNASO) | Uganda |
| Voice of Hope Trust | Namibia |
| VSO Swaziland | Swaziland |
| Warembo Forum | Tanzania |
| White Dove Community Care Inc. | Philippines |
| Widows Fountain of Life | Zimbabwe |
| Woman of Power Initiative | Nigeria |
| Women4GlobalFund | Zimbabwe |
| Women’s Harm Reduction International Network (WHRIN) | United Kingdom |
| Women’s Organisation Network for Human Rights Advocacy (WONETHA) | Uganda |
| Women’s Rights and Health Project (WRAHP) | Nigeria |
| World AIDS Campaign International | South Africa |
| World Foundation for Medical Research and Prevention | USA |
| Wote Youth Development Projects | Kenya |
| Young Professional Development Society Nepal (YPDSN) | Nepal |
| Youth and Children Rights shield (YOCRIS) | malawi |
| Youth Coalition for Sexual and Reproductive Rights | Colombia |
| Youth Engage | Zimbabwe |
| Youth Ethics Reform Organization | Tanzania |
| Youth Stop AIDS | United Kingdom |
| Youth Vision | Nepal |
| Youth Voices Count | Thailand |
| Youths In Action | Zimbabwe |
| Zimbabwe AIDS Network | Zimbabwe |
| Zimbabwe HIV and AIDS Activists Union (ZHAAU) | Zimbabwe |
| Zimbabwe National Family Planning Council (ZNFPC) | Zimbabwe |