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Letter to Matilda Ernkrans, Minister for International Development Cooperation of Sweden

Jun 2022

Dear Minister Matilda Ernkrans,

Twenty years ago, in an act of global leadership and partnership, the Swedish Government took part to the founding of the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund). Since then, Sweden has been one of the Fund’s most consistent donors. We thank Sweden for its long standing commitment to the fight against AIDS, tuberculosis and malaria. Swedish contributions have especially improved the health and rights of  women, girls and LGBTQI+ populations. Between 2002 and 2020, health programs supported by the Global Fund have saved over 44 million lives across the world. This would never have been possible without the support of countries like Sweden.

In particular, we applaud Sweden’s long-term leadership and commitment to a rights based approach, gender equality, the rights of women, girls and LGBTQI+ persons, and sexual and reproductive health and rights (SRHR). These priorities are  closely aligned with the key priorities of the Global Fund, which spends 60% of its resources on programs specifically targeting women and girls, and close to 33% on programs supporting SRHR. Women and girls continue to be disproportionately affected by ill health as a result of AIDS, tuberculosis and malaria. For example, opportunistic infections resulting from HIV are the leading cause of death of women of reproductive age globally. 

The next three years will be critical to reach our global targets of ending the three diseases as epidemics by 2030. We are at risk of backsliding. In 2020, for the first time in the Global Fund twenty-years history, we have lost ground on SDG target 3.3 and the fight against HIV/AIDS, tuberculosis, and malaria. Testing, treatment, and prevention for HIV declined, and, most tragically, deaths from tuberculosis and malaria have increased.

In the light of this situation, we are deeply concerned about the proposed diversion of Swedish ODA budgets, which includes its contribution to the Global Fund, towards funding in-country costs associated with Ukrainian refugees. We do recognize that is a possibility under the OECD DAC rules, but this decision has far-reaching and devastating consequences, including for the poorest. We appreciate the recent developments where the Swedish government has announced that SEK 1,3 billion out of the initially deducted SEK 9,2 billion will be reallocated to Sida. However, we do remain very concerned that the planned 30% cut for the Global Fund 2022 contribution has not yet been rectified. 

To a large extent the Global Fund supports humanitarian interventions and programmes that target people in the lowest-income countries; areas that were announced to be exempt from the deductions. 74% of the Global Fund’s support goes to sub-Saharan Africa and 30% to countries defined as particularly vulnerable and with a higher burden of disease, paying special attention to key and marginalised populations, including children,  LGBTI+ people, women, and adolescent girls. 

To be able to address the setbacks and get back on track to end AIDS, tuberculosis, and malaria as epidemics by 2030, the Global Fund Investment Case for the seventh replenishment calls for a total of at least US$18 billion in 2023-2025, a 30% increase from the 2019 funding target.

We urge the Swedish Government to continue its strong partnership with the Global Fund to by:

  • Honouring its pledge to the 6th Replenishment by paying in full its 2022 contribution
  • Pledge over SEK 3.7 billion for the 7th Replenishment, to align Sweden with the Global Fund investment case of at least a 30% increase  

An ambitious pledge from Sweden will inspire other government donors to action and contribute to:

  • Save 20 million lives between 2024 and 2026 in the countries supported by the Global Fund.
  • Reduce the death toll across the three diseases to 950,000 in 2026, down from 2.4 million in 2020.
  • Avert more than 450 million new infections or cases in the countries supported by the Global Fund.
  • Catalyse domestic investments of up to US$59 billion through co-financing requirements and technical assistance on health financing.
  • Reduce inequities in health services by addressing gender-related and human rights barriers to access
  • Strengthening systems for health and pandemic preparedness to prevent and respond to future pandemics.
  • Yield a return on investment of 1:31 with every dollar invested in fighting the three diseases resulting in U31 dollars in health gains and economic returns.

We, the Global Fund Advocates Network, and the 245 civil society and community organizations listed below, thank you once again for your commitment to the Global Fund and ending HIV/AIDS, tuberculosis and malaria.

 

Signatories:

Aadhar NAP+ BHAUUDESHIYA Santha  Amravati Lakshya Trust
Action against AIDS Germany Lanka Plus
Adhar Bahuddeshiya Sanstha, Amalner  Lao CCM members 
Adhar Bahuuddeshiya sanstha Amalner jalgaon Lensa Sukabumi
Africa Japan Forum Lhak-Sam, Bhutan Network of People Living with HIV and AIDS (BNP+)
Agra Positive People Welfare society, AGRA LHL International
Aids Healthcare Foundation (AHF) LHL International Tuberculosis Foundation
AIDS-Fondet (Danish AIDS Foundation) Life Care Society for Underprivileged (HP) 
AKTA Lighthouse Social Enterprise
Allahabad network for people living with HIV /AIDS society LKKNU Kalsel
APCASO LKPBNU
Ashar Alo Society Love Life Society
Asia Pacific Coalition on Male Sexual Health (APCOM) Malaria No More Japan
Asia Pacific Network of People Living with HIV (APN+) MAMATA
Asia Pacific Network of Sex Workers (APNSW) Mau Positive Network of People living with HIV/AIDS Society
Asia Pacific Transgender Network MDG Achieving Organization
Associação Coalizão da Juventude Moçambicana Medan Plus
Association des Victorieux de la Tuberculose Ultra-Resistante (AVTUR-RDC) Men’s Health Social Service (MHSS)
Association for Prevention of Septic Abortion, Bangladesh (BAPSA) Mithuru Mithuro Movement  
Association For Promotion Sustainable Development Moradabad Network Positive Welfare Society
Association Of People Living With HIV (APLHIV)-Pakistan Nalgonda Youth positive society people living HIV/AIDS (NYPS+)
Association of People living with HIV/AIDS (APL+)  NAPUD [Network of Asian People who Use Drugs]
Australian Federation of AIDS Organisations Nari Matree ( NM )
Aye Myanmar Assoication (AMA) NATAB
Azamgarh positive network of people living with HIV/AIDS Society  NathConsulting
BAMANEH National Anti Tuberculosis Association of Bangladesh (NATAB)
Banaras Network for Positive People Living with HIV/AIDS Society National coalition of people living with HIV in India- NCPI+
Bandhu Social Welfare Society (Bandhu) National Coalition of PLHIV in India (NCPI+)
BAPSA National Transgender Network Sri Lanka
BENGAL NETWORK OF PEOPLE LIVING WITH HIV/AIDS Network for chennai People Living with HIV/AIDS (NCP+)
BGMEA  TB Control Project Network for Positive People in Trichy (NPT+)
Bhilwara Network for people living with HIV/ AIDS sansthan Network of Aurangabad By People Living with HIV
Bihar Network For People Living  With HIV/AIDS Society Network of Hingoli by people living with HIV Hingoli 
Bikaner Network for Peoples Living With HIV Sansthan(BNP+) Network of Kolhapur by People living with HIV/AIDS
BKMEA TB Control Project Network of Maharashtra by People Living with HIV/AIDS (NMP+)
Blossom trust Network Of Parbhani Distrct By People Living With HIV/AIDS 
Blue Diamond Society Network of PLHIV(NOP+),
Blue Star Hanoi CBO Network of Solapur by people living with HIV AIDS, Solapur
Blue Star Thai Nguyen CBO Nishkriti
BONELA (The Botswana Network on Ethics law HIV AIDS) Pali Marwar Network for People Living with HIV – Sansthan Pali
BRAC Paneer Hiv positive women network trust
Cam Pha Blue Sea Paribar Kallayan Samity (PKS)
Cambodia People living with HIV Network (CPN+) Perambalur District Network For HIV Positive People (PDNP+)
Cambodian Women for Peace and Development Perkumpulan Keluarga Berencana Indonesia (PKBI)
Caritas PSE Perkumpulan Pemberantasan Tuberkulosa Indonesia (PPTI)
Center for Supporting Community Development Initiatives (SCDI)  PETIK
Churu Network for People Living With HIV/AIDS Sansthan PIME SISTERS KHULNA
Coimbatore Network for Positive People (CNP+) Pinoy Plus Advocacy Pilipinas, Inc.
Community Health and Inclusion Association (CHIAs) PLACE TOKYO 
Community Social Development Foundation  PNG National Key Population Advocacy Consortium
Concerned Women for Family Development  (CWFD). Positive Action Foundation Philippines Inc. (PAFPI)
Council of People Living with HIV AIDS of Kerala (CPK+) Positive Malaysian Treatment Access & Advocacy Group (MTAAG+)
Cuddalore District HIV Positive Society (CDS +) POSITIVE WOMEN SOCIETY NETWORK
Damien Foundation Positive Young Women Voices
Delhi Users’ Network Pratapgarh network for people living with HIV/AIDS 
Deoria network for people living with AIDS Society Prayas Network of Positive People Welfare Society (PNPP)
Dhaka Ahsania Mission (DAM) Princess of Africa Foundation
Dharmapuri District HIV Positive Welfare Society (DDPWS+) PT Foundation
Dindigul District HIV Positive Society (DDS+) Pudukkottai District HIV Positive people Welfare Society (PDPS+)
Diversity And Solidarity Trust Sri Lanka  Puthuvai Cluny Social Service Trust
Dream Weaver Organization Queer Voices of Bhutan
Drug Users Network (DUNE) Rajarata Gami Pahana
Dzidzo SafePad Initiative Rajmala Welfare Society, India’s Diverse Chamber
Equal Asia Foundation  RDRS Bangladesh
Estrela+ Timor Leste Resource Integration Centre (RIC)
FALCOH Foundation Results Australia
Fatayat NU Results Canada
Female Plus Saburai Support Group
FKPB Batang SAF-TESO
Friends Frangipani Inc-PNG Sanjeevan Bahu-udeshiya Samaj Seva Sanstha, Nagpur
Friends-International (FI) Sarthi Kalyankari Sanstha Bhandara (NBP+)
Frontline AIDS Saviya Development Foundation
Gaya Patriot Bekasi Siddharth Nagar welfare for people living with HIV/AIDS Society Basti
Geeta Mahila uthan ssmiti SPEK-HAM
GFAN Africa Spirit Paramacitta
Ghana Coalition of NGOs in Malaria Srikandi Perintis Mandiri
Global Coalition of TB Advocates  Stop TB Canada
Global Health Advocates Stop TB Partnership Japan
Global Health Italian Network STOPAIDS
Good Health Community Programmes Strategic Alliance for Research and Development 
Gujarat state network of people living with HIV AIDS GSNP  Strategic Poverty Alleviation Systems-SPAS
Guruprasad Strumphet Alliance Network (SPAN)
Hadoti Network for People Living With HIV/AIDS Samiti Kota Subrang Society
Hai Duong Belief CBO Tamilnad Network of Positive People 
Harm Reduction International Tamilnadu Positive Women Network (TPWN+)
Hathras positive peoples welfare society TB Community Representative
Health Action Coordinating Committee Thanjavur district network of positive people TDNP+
Health and Development Alliance (HEAD) The Leprosy Mission International-Bangladesh (TLMI-B)
Health Care Community of Positive Peoples, Ambajogai The Reformed Drug and Substance Abuse Initiative ( REDSAI)
HEED Bangladesh The Sun Kien Giang
Home Coming TICAD NGO Liaison Group
Home4Youth Association  Tilottama Voluntary Women’s Organization
Human and Natural Resose Development Foundation  Tiruvannamalai District HIV Positive Society (TDHPS+)
Humraz Male Health Society Trisuli Plus
IAKMI Sulawesi Tenggara Trisuli Plus 
IDUCARE UTPS
Igat Hope Inc. Uttar Pradesh Welfare for People Living with HIV/AIDS Society
Image Social Welfare Organization Uttarkahand Association for Positive People living with HIV and AIDS
Impact santé Afrique Venasa Transgender Network 
India Working Group for Health Advocacy Victory Plus Yogyakarta
India Working Group on Health Advocacy  Vietnam Community Network to Fight Tuberculosis (VCTB)
Indian Drug Users Forum (IDUF) Vietnam Network of People living with HIV (VNP+)
indigenous women for health and equality Vietnam Platform for Supporting Vulnerable Populations 
Indonesia AIDS Coalition Virudhunagar District HIV Ullor Nala Sangam
INSET Vision makers
International Youth Council-Yemen (IYCY) WACI Health
Jabalpur Network of people Living with HIV/ AIDS Society Wahana Cita Indonesia
Japan Advocacy Network for Drug Policy Wasaib Sanwaro
Jaunpur Network for HIV positive People Living with AIDS Society Women4GlobalFund
JCIE/Friends of the Global Fund, Japan (FGFJ)  Wonosobo Youth Center
JIP (Jaringan Indonesia Positif) World Mission Prayer League (LAMB hospital)
Kalinga Network for People Living With HIV/AIDS (KNP+) Odisha World Mission Prayer League (LAMB Hospital) 
Kelompok Kerja Bina Sehat WOTE YOUTH DEVELOPMENT PROJECTS
Khawaja Sira Society Y-Chapter
Khmer HIV/AIDS NGO Alliance (KHANA) Yash Foundation
Khulna Mukti Seba Sangstha (KMSS) Yayasan Indonesia Hijau (YIH)
Kindness Coallition YKMNU Jawa Tengah
Korean Advocates for Global Health Young Out Here Sri Lanka Trust 
KP Mahakam Plus Kaltim Youth for Health Center NGO
KP Yayasan Pontianak Plus Youth LEAD
krishnagiri district living with HIV/AIDS Welfare society (KDAS+) Youth Voices Count, Inc.
KUBORESHA-AFRICA LIMITED Zimbabwe Community Competence Trust
Kushinagar welfare for people living with AIDS Society 

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