Published by MSMGF (The Global Forum on MSM & HIV), this review synthesizes good practices and proposes a series of strategic actions for the Global Fund in efforts to expand and enhance meaningful community engagement in all phases of its grants.
Diseases like HIV, tuberculosis (TB), and malaria disproportionately affect certain groups as a result of social and economic inequities that persist worldwide. These groups are often criminalized and experience human rights abuses, seriously compromising their access to health services. HIV disproportionately affects men who have sex with men, transgender people, sex workers, and people who use drugs, whereas TB can affect miners and healthcare workers. Communities that are disproportionately affected by diseases should be invited and supported to actively engage with Global Fund processes.
Greater investment in community responses is needed to end AIDS. UNAIDS suggests that investments in community mobilization should increase threefold to 3%, and spending on social enablers should reach 8% of total expenditure by 2020. However, a recent survey showed that 40% of organizations tasked with implementing community activities reported a funding decrease since 2013. Two thirds expected flat or declining funding in the future. PEPFAR reduced its investments in community-based care, treatment and support by 12.6% from 2013 to 2014. The Global Fund’s Technical Review Panel has expressed concern that the majority of concept notes are not including funding requests for the community systems strengthening module at all. An investment case for community responses is needed to motivate the necessary levels of funding.
To make the investment case, a review of the peer-reviewed and grey literature was conducted and complem...
The Equitable Access Initiative (EAI) was launched in early 2015 by the heads of multilateral organizations engaged in global health: GAVI, the Global Fund, UNAIDS, UNDP, UNFPA, UNICEF, UNITAID, the World Bank and WHO. The purpose was to consider alternatives to GNI as a framework to assess countries’ need for external financial support for health. Currently, the convening organizations use GNI in different ways to determine key policies, including eligibility and co-financing policies.
A high level panel was established with co-chairs Pascal Lamy, former head of the World Trade Organisation, and Donald Kaberuka, former head of the African Development Bank. At the first EAI Expert Panel Meeting in February 2015, Panel members and the nine convening organisations were in agreement that the World Bank’s GNI per capita country classification system, designed for World Bank lending decisions, was being used far more broadly in hea...
Publisher: ICASO & International HIV/AIDS Alliance
In February 2016, a second round of regional concept notes were submitted to the Global Fund. In this paper, ICASO and the International HIV/AIDS Alliance present the findings of six case studies of regional concept note (RCN) development experiences in Asia, West Africa, the Middle East and North Africa (MENA), Latin America and the Caribbean, and Eastern Europe and Central Asia (EECA).
Since its inception in 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has played a critical role in mobilizing and securing resources to invest in programs that serve key and vulnerable populations.
Key and vulnerable populations are present in all continents, despite continuing official denial of their sheer existence in some regions and countries. Science has taught us that addressing their needs is not only a human rights obligation but also a requirement from an epidemiological and public health point of view. Ending the epidemics will not be possible if we do not increase service coverage among these groups. This requires engagement, empowerment, and mobilization of communities, which is where networks and organizations of key and vulnerable populations are the most effective leaders, and vital Global Fund partners.
This briefing paper, sponsored by the Global Fund Advocates Network (GFAN)...
The Global Fund’s Strategy for 2017-2022: “Investing to End Epidemics” aims to focus on the countries with the highest burden of HIV, TB and malaria and with the least ability to pay for these programs. It also aims to focus on key and vulnerable populations disproportionately affected by the three diseases. The allocation methodology aims to increase impact by directing a greater portion of the funding to these people and places.
To do this, the Global Fund invests in countries, regions, and other strategic initiatives. It has a specific policy which helps guide decisions on how money should be divided up by countries and diseases.