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Civil Society and Community Open Letter to the G20

Nov 2022

You can download the letter here.


To the leaders assembled in Bali, 

The global fight against HIV/AIDS, tuberculosis and malaria, is at a turning point. The world has set itself the ambitious target, enshrined in the Sustainable Development Goals, of ending the three diseases as epidemics by 2030. We have made tremendous progress. In the twenty years since its creation in 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) has supported programs that have saved over 50 million lives and gotten us ever closer to our 2030 targets. This would not have been possible without the commitment of the donors of the Group of Twenty, who have contributed the large majority of the funds that made these advances possible.

COVID-19 has also put at the forefront the leadership of the G20 in pandemic response, and the Global Fund and its implementing partners were able, when the pandemic hit, to pivot rapidly and provide services to support the G20’s objectives. Indonesia built onto the work of the Italian G20 Presidency by fostering collaboration within the group in key areas, including the establishment of the Pandemic Prevention, Preparedness and Response Financial Intermediary Fund (PPPR FIF). The PPPR FIF is creating new opportunities for investment in pandemic preparedness, and will be able to channel more funding to entities which, like the Global Fund, have been pillars of the response to COVID-19 and have a long record of investment for impact.

The Global Fund new strategy includes an evolving objective on pandemic prevention, preparedness and response, and a Feb 2021 analysis in the Lancet showed that over a third of the Global Fund’s investments support global health security. As a key partner and implementing agency of the ACT-A, the Global Fund led the way in securing close to an additional $5 billion in funds for its COVID-19 Response Mechanism. These funds were used to support countries acquire and utilize COVID-19 diagnostics and other tools, and greatly contributed to the level of support, access to diagnostics and treatments and broader surveillance they had during the pandemic.

The response to tuberculosis was especially heavily disrupted by COVID-19, because of a range of factors including overlap in symptoms and control tools. The G20 Ministry of Health meeting in late October, in view of that fact, reiterated once again the need to increase funding to fight tuberculosis among its six key actions. The Global Fund accounts for 70-80% of all external financing for tuberculosis program, making it the largest external funder for the disease, and needs to be given the means to support country to get back on track towards the 2030 target.

Disruptions caused by COVID-19 affected malaria and HIV/AIDS programs as well. Because of the disruptions caused by the COVID-19 pandemic, we lost ground in 2020, for the first time since the creation of the Global Fund. Testing, treatment, and prevention for HIV declined, and, most tragically, deaths from tuberculosis and malaria have increased. In 2021, the disease trajectory of most countries improved as Global Fund program were able to adapt to the pandemic; and yet in many places we still have to make up for the progress lost, as shown in the Global Fund 2022 Results Report.

On September 21st 2022, the United States hosted in New York the Pledging Conference for the 7th Replenishment. The Global Fund raised $14.25 billion, an unprecedented amount, but one that falls short of both need and expectations. It is simply not enough for the Sustainable Development Goal targets to be met, and for the Global Fund’s new strategy to be fully implemented. Many of the 20 million lives, that could be saved if the target of $18 billion had been reached, are once again at risk. Until we reach that target, our work is not done.

The Pledging Conference was marked by ambitious, decisive pledges who met – or far, far exceeded, as of the Republic of Korea – the target of a 30% increase from the 6th Replenishment pledges. As representatives of civil society and affected communities, we are immensely thankful. Other countries, marking their rising influence on the world stage and commitment to achieving collective development targets, made their first pledges to the Global Fund. Indonesia, befitting its role as President of the G20, rose to the occasion and became one of these first time donors.

Indonesia was the only first time donor among the G20 in 2022. Of concern, both China and India, who had pledged in 2019, did not return, signaling an apparent lack of interest in collective leadership in the fight against HIV/AIDS, tuberculosis and malaria. Now, the world is about to turn its attention to the nations of the G20 meeting in Bali on November 15th & 16th, with health high onto the agenda. It is time to remedy the missed opportunities of New York and put us back on track.

As representatives of affected communities and committed health advocates, we ask:

  • That the United Kingdom and Italy, who announced that commitment would be forthcoming, pledge early enough to ensure that their funds can be included in the Global Fund country allocations.
  • That India and China reclaim their role as leading nations in Global Health and commit to pledge, and increase their pledges in line with the rest of the G20.
  • That Argentina, Brazil, Mexico and Turkey, who have not been/become regular contributors to the Global Fund use the platform of the G20 meeting to make ambitious first pledges.

Signed by the civil society and community organizations listed below:

Organization

Country

Africa Japan Forum

Japan

Aid Organization

Bangladesh

Aids Healthcare Foundation (AHF)

Global

AIDS-Fondet (The Danish AIDS Foundation)

Danemark

Association For Promotion Sustainable Development

India

BAHAM Foundation

Pakistan

Bengal Network Of People Living With HIV/AIDS

West Bengal

Botswana Network of AIDS Service Organizations

Botswana

Coalition of women living with HIV and AIDS

Malawi

Community Health Empowerment Forum

Eswarini

Disability Peoples Forum Uganda

UGANDA

Empowered At Dusk Women’s Association

Uganda

Girls Advocacy Network-Ghana

Ghana, West Africa

Global Fund Advocates Network

Global

Global Health Italian Network

Italy

Good Health Community Programmes

Kenya

Grassroots Development & Empowerment Foundation

Nigeria

HivNorway

Norway

Hope for Future Generations

Ghana

Impact santé Afrique

Africa

India Working Group for Health Advocacy

India

Indian Drug Users’ Forum

India

Indonesian Harm Reduction Network

Indonesia

Innovations for Development (I4DEV)

Uganda

IPPF

India

IWG

India

Karitas Sani Madani Foundation

Indonesia

KNCV Tuberculosis Foundation

Global

Kuboresha-Africa Limited

Uganda

LHL International Tuberculosis Foundation

Norway

National coalition of people living with HIV in India

India

NCPI+

India

Network of TB Champions

Kenya

Network of TB Champions kenya

Kenya

PATH

India

Princess of Africa Foundation

Africa

R2H Action – Right to Health

United States

Results Australia

Australia

RWS – India’s diverse Chamber

India

Senderos Asociación Mutual

Colombia

Spiritia

Indonesia

STOPAIDS

United Kingdom

Tanzania Health Promotion Support

Tanzania

Telugu Network of people Living with HIV/AIDS (TNP+)

Andhra Pradesh, India

Touch by TB

New Delhi

Voluntary Health Association of Tripura

India

Volunteer work with Gujarat State Netwrok of People Living with HIV/AIDS (GSNP+)

India

Zankli Research Center

North Central Nigeria

Zankli Research Centre Nigeria

Nigeria

ZCCT

Zimbabwe

Zvandiri

Zimbabwe

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