Transcript Global fund

The Global Fund to fight
AIDS, Tuberculosis and
Malaria
International HIV/AIDS Toolkit
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
International HIV/AIDS Toolkit
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
International HIV/AIDS Toolkit
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
Rounds
Round 1
36
Approved
Amounts
565 million
Round 2
73
866 million
Round 3
61
623 million
Total
Countries
*121
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2,045 million
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%
International HIV/AIDS Toolkit
Equitable Contribution (2002-4)
Source of funds
% world
GDP
Eq. Co.
($5,945m)
Pledged
2002-4
Shortfall
2002-4
France
4%
248
294 m.
None
Germany
6%
356
50 m.
306
Italy
3%
207
200 m.
7
UK
4%
267
168 m.
99
Point Seven Group
3%
193
249 m.
None
United States
33%
1,933
825 m.
1,108
Canada
2%
129
75 m.
54
Japan
14%
807
200 m
607
(Denmark, Ireland, Netherlands,
Norway, Sweden)
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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 momentum—Round 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 nongovernmental, 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 country’s contribution is based
on that country’s gross domestic product (GDP)
• Canada should contribute US$55 million in 2004 but
has committed only US$25 million
• In 2005 based on the ECF Canada should commit
US$75 million but so far has pledged US$50 million
International HIV/AIDS Toolkit
For more information
• Canadian Fund the Fund Campaign
– http://ca.groups.yahoo.com/group/fundthef
undcanada/
• International Fund the Fund Campaign
– www.fundthefund.org
International HIV/AIDS Toolkit