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.


Organization Country/Region
3rd Sector Support Africa Nigeria
Abundant Life For All Zimbabwe
Access Chapter 2 South Africa
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
Australian Federation of AIDS Organisations (AFAO) Australia
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
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
Hiv Vereniging Nederland Netherlands
HIV/AIDS Research and Welfare Centre (HARC) Bangladesh
HIVOS Netherlands
Housing Works, Inc. United States
HPLGBT Ukraine
i+solutions Netherlands
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
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