Conflict

ABSTRACT Aidspan has obtained draft HIV and TB funding requests from six African countries classified by the Global Fund as challenging operating environments (Eritrea, Liberia, Guinea, Central African Republic, South Sudan and Somalia). Civil wars, famines and post-Ebola realities require flexible approaches in these countries. A number of innovative and adaptive interventions are prioritized to respond to the diseases in such difficult circumstances.

ABSTRACT Violent clashes between demonstrators and security forces in Burundi sent tens of thousands of people fleeing both inside and beyond the borders of the central African state. These displacements were only one consequence of the crisis in the capital that stretched the capacity of an already-strapped health system: demonstrating a need for flexibility in resourcing in so-called challenging operating environments.

ABSTRACT Ten years of armed conflict and perpetual insecurity have driven HIV prevalence in Côte d'Ivoire higher -- especially among women in the western zone on the Liberian border. Many of these women were infected as a result of sexual violence perpetuated by one or another of the marauding armed groups that terrorized the region for over a decade; others were infected after turning to prostitution to escape extreme poverty. Since 2012, the Global Fund has supported activities in the west to reach these women.

ABSTRACT The HIV response in the world’s newest nation faces a catalogue of challenges including insecurity and stock management, displacement away from the urban health facilities of people living with HIV and the evacuation from the country of international medical personnel during times of crisis.

ABSTRACT Delays in the signing of Phase 2 for HIV grants in Ukraine could, in the current unstable context, increase the risk of interruption of essential services and compromise some of the progress towards an envisioned handover of Global Fund-supported activities to the public sector by 2017.

ABSTRACT Conflict, prevailing insecurity and wholesale destitution of a vulnerable population in the world’s youngest country could provide instrumental lessons for the Global Fund’s future response and work in fragile states.

ABSTRACT In South Sudan, challenges to program implementation are legion, and only compounded by conflict.