domestic financing

ABSTRACT A new analysis by Aidspan shows that domestic contributions by low- and lower-middle income countries to their HIV, TB and malaria responses accounted for around one third or less of their funding to tackle these diseases over the 2015-2017 period. The analysis also quantifies the projected gaps in overall funding for the 2018-2020 period - 24% for HIV, 49% for TB, and 44% for malaria - unless domestic and international commitments increase.

ABSTRACT The social and economic consequences of the COVID-19 pandemic have had a devastating impact on the global HIV response. Shrinking economies have undermined the ability of countries (and individuals) to finance their HIV responses as resources are channeled to COVID-19. Widening gender, education, and economic inequalities brought on by the pandemic have increased HIV-related vulnerabilities. Countries and global partners need to rethink and re-strategize the HIV response to offset the loss of gains made due to the pandemic, and jumpstart efforts to get the AIDS response back on track to meet the 2030 goals.

ABSTRACT The world has made progress in the fight against the HIV epidemic during the last decade. However, this progress is under threat as a result of dwindling financial resources and a growing epidemic in some regions. Recent global statistics of the HIV epidemic show that the world is unlikely to end the AIDS epidemic by 2030. However, discussions at the 20th International Conference on AIDS and Sexually Transmitted Infections in Africa underscored the need for countries to build on the achievements so far by raising more HIV resources domestically, stepping up HIV prevention efforts, and putting the communities at the centre of the response.

ABSTRACT Global Fund Executive Director Peter Sands called for increased domestic investments to fight AIDS, TB, and malaria during the recently concluded 20th International Conference on AIDS and Sexually Transmitted Infections in Africa (ICASA) held in Kigali, Rwanda. The call comes after a successful replenishment in which the Global Fund raised $14 billion for its 2020-2022 funding cycle, and on the cusp of the Fund’s December announcement of country allocations. Sands urged countries to raise additional domestic resources, and to spend enough of these resources on health, particularly on the right programs and for populations that are most in need.

ABSTRACT At the September 2019 annual retreat of the Global Fund Implementer Voting Group in Dakar, Senegal, the group’s ten constituencies, including governments and communities- and civil-society delegations, discussed areas that had been identified as priorities for 2017-2019. These included how to improve the Implementer Group’s effectiveness, absorptive capacity, sustainability and transition, and human rights and gender equality. The retreat also included participants from the Secretariat, including the Global Fund’s Executive Director for some sessions.

ABSTRACT A new analysis by Aidspan found that in ‘high-impact’ Asian countries, domestic contributions to the HIV, TB and malaria responses remain low, particularly for malaria. Domestic resources accounted for 64% of the total available funding for HIV, 55% for TB and 46% for malaria, in the 2015-2017 implementation period. The share of domestic resources rose, in the 2018-2020 period, to 81% for HIV, 63% for TB and 65% for malaria. Despite this increase, the countries still face huge gaps in funding in the current 2018-2020 period.

ABSTRACT At the Global Fund’s Pre-Replenishment meeting in New Delhi, in February 2019, the India Health Fund launched the nationwide ‘Quest for Innovations towards Eliminating Tuberculosis', in partnership with the Global Fund, Tata Trusts, and India’s national TB program, among others. The fund, launched in 2016, was designed to stimulate and motivate domestic innovative financing in order to fund innovations in TB and malaria programming. Its work to create a “pipeline of innovations” currently focuses on ten projects, involving diagnostics, adherence, increasing case notifications, and open source drug development, among others.

ABSTRACT The preparatory meeting for the Global Fund’s Sixth Replenishment, on 7–8 February 2019 in Delhi, India, is the first such meeting to be held in an implementing country. Indian CSOs are calling on India to double its spending on health and to increase its contribution to the Global Fund.

ABSTRACT With every replenishment comes a greater push toward domestic financing, says Aidspan Executive Director Ida Hakizinka in this commentary. The Global Fund has set a $14 billion target for its next three-year funding cycle. The Fund projects that domestic resources will contribute another $46 billion, an increase of 48% over the current cycle. Although we recognize that domestic funding has increased in recent years, Hakizinka says, the available funds are not enough to meet the needs laid out in the countries’ strategic plans. She adds that the upcoming Addis-Ababa and New Delhi meetings have the potential to influence the domestic financing trajectory.

ABSTRACT The Global Fund’s Executive Director spelled out plainly, in different sessions at the International AIDS Conference in Amsterdam, the need for the governments of implementing countries, and the private sector, to step up their contributions to the HIV response – and towards reaching UHC. He also advocated for an increase in global health’s share of development assistance.