The Global Fund to fight AIDS, Tuberculosis and Malaria

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The Global Fund to fight AIDS, Tuberculosis and
Malaria
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Global resources available to address HIV/AIDS

• UNAIDS estimates we need about US10 billion per
  year by 2005, then US15 billion per year by 2007
• Resources come from World Bank, Clinton
  Foundation, Bush Initiative, Global Fund and
  other bilateral and multilateral support.
• 20-30 comes from domestic (personal, state,
  business) sources the rest from donor assistance
• Abuja Declaration commits African countries to
  earmark 15 to health spending

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Background

• The Global Fund is an international, independent
  public-private partnership designed to attract
  and manage significant new sums of money to
  finance the fight against AIDS, tuberculosis and
  malaria
• Only developing countries can apply for funding
• Countries are required to set up multi-sectoral
  country coordinating mechanisms where communities
  must be represented

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Global Fund

• Independent, public/private partnerships
• The Fund does not fall under the UN umbrella. It
  has autonomy and is structured to conduct its
  affairs in a business-like and transparent
  fashion.
• Country driven, centrally accountable
• The Fund defers to countries to design proposals
  based on local needs, but holds these to central
  standards of best practice and accountability.
• Results based disbursement
• Recipients must meet their milestones for the
  funds to keep flowing.
• Fund Structure
• The board is comprised of 18 voting members
  representing public donors, the private sector,
  recipient countries and civil society. The World
  Bank, WHO and UNAIDS are non-voting members

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Approval Rounds
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Distribution By Region
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By disease
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By Type for Activity
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By Recipient
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Global Fund Required Revenue

• New resources are needed and should not come from
  existing commitments to international development
  assistance.
• 1.7 billion is needed for 2004, of which only 1.5
  has been pledged
• Needs for 2005 will total 3.6 billion based on a
  significant demand on resources for renewals and
  new proposal rounds
• The Goal
• Donor Governments will cover 95.
• Private Foundations and corporations will cover
  5, including major philanthropic foundations and
  cash donations by private for-profit companies
• Individuals will cover less than 1

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Equitable Contribution (2002-4)
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Shortcomings and Risks

• Country Coordinating Mechanisms (CCMs) function
  poorly in some settings
• Disbursement has been slow both by the
  Secretariat and Principle Recipients
• Could lose momentumRound 4 underfunded

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Challenges

• Funding
• Measurement of results
• Vote for Communities
• In-kind contributions

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Fund the Fund campaign

• Created in 2003, the Fund the Fund campaign is
  aimed at civil society organizations including
  non-governmental, community-based, people living
  with the diseases, faith-based and trade unions
  to promote their advocacy for increased
  investment in the Global Fund
• It calls on nations to commit to annual
  contributions to the Global Fund based on the
  Equitable Contributions Framework (ECF) Each
  countrys contribution is based on that countrys
  gross domestic product (GDP)
• Canada should contribute US55 million in 2004
  but has committed only US25 million
• In 2005 based on the ECF Canada should commit
  US75 million but so far has pledged US50 million

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For more information

• Canadian Fund the Fund Campaign
• http//ca.groups.yahoo.com/group/fundthefundcanada
  /
• International Fund the Fund Campaign
• www.fundthefund.org