Global Fund Raises $14 Billion at 6th Replenishment in Lyon, France

Global Fund Advocates Network expresses appreciation for increased funding that will save lives and have impact but cautions that investments still fall short of getting back on track towards the Sustainable Development Goals (SDGs).

October 11th2019 – On behalf of the 650 members of the  Global Fund Advocates Network (GFAN), we appreciate the tremendous work to achieve $14 billion raised to fight the three diseases over the coming three-year period at the Sixth Replenishment of the Global Fund to Fight HIV, Tuberculosis and Malaria (Global Fund), hosted by the Government of France in Lyon yesterday. While we have not seen a published breakdown of the pledges and we hope to soon, we recognise that it is the single largest amount raised by the Global Fund or any global health institution to date. The replenishment amount is impressive given the difficult global context and the significant increases from many donors are a testament to their recognition of just how much impact the Global Fund has had to date.

We are awed and incredibly proud of this collective achievement but our work to raise resources is not done. Money matters and we do not have enough to firmly get us back on track to end the three epidemics by 2030. We must build on the impressive commitments made in Lyon and raise more to get back on track.

The Global Fund’s Investment Case was clear that reaching $14 billion was the minimum needed to meet the Global Fund’s strategy targets but no more. 

The data from GFAN’sGet Back on Track Report in July 2018, clearly showed at least $4 billion more is needed – a total of $18 billion in this Replenishment – to fully fund the Global Fund and fulfil its contribution to the Global Plans. By failing to rise above the $14 billion minimum threshold in Lyon to meet global needs, we risk missing important opportunities to ensure that we stay on track to end the three diseases, achieve universal healthcare coverage (UHC) and ultimately, meet the 2030 SDGs (particularly on health for all and leaving no one behind). 

Money matters: while efficiencies and innovation are goals to be constantly pursued, we will not halve new HIV infections or increase or find the missing 36% of people infected with TB through efficiencies, and innovation alone will not help low income countries eliminate malaria. 

Of course, the Global Plans and the Global Fund targets do not rely solely on the replenishment outcome. We also note that the “at least $14 billion dollars” ask is intrinsically linked to raising a further minimum of $46 billion dollars through domestic resource mobilization (DRM). While the recent Results Report shows that the Global Fund’s DRM projections are on track, these global numbers mask significant regional and country specific disparities: many countries will be unlikely to increase their domestic spending, which will put them further off-track. More careful monitoring of the quantity and quality of domestic investments, on a country-by-country basis, is needed to truly assess the impact of domestic resources across the Global Fund portfolio. Additionally, we note that real and sustained domestic resource mobilization requires meaningful – and funded – communities and civil society engagement in prioritizing interventions and determining pathways to success and impact.

As communities and civil society, we have worked alongside the Global Fund Secretariat, its partners and allies, and its donors to raise the profile of the Global Fund in both donor and implementing countries; to raise awareness about its incredible impact and life-saving achievements; and to ask all Global Fund donors to step up the fight to raise at least $14billion at the 2019 Replenishment.

As the total replenishment amount has been announced, it is clear that government, private-sector, foundation, and individual efforts have culminated in an impressive result that will save millions of lives and stand as a testament to our collective desire to invest in healthy communities. The resources pledged by donors to the Global Fund today will need to be complemented by implementing countries allocating significant additional domestic resources for health. The vast majority of funds for health are already from domestic sources and it is encouraging that many implementing country leaders have made significant commitments towards that end in the lead up to and at this Sixth replenishment.

Important promises have been made at the 6th Replenishment: these are significant expressions of global solidarity and will have tremendous impact. Millions of lives will be saved, countless new and innovative approaches and programs will begin, and systems for health will be strengthened. But it is simply not enough to meet the challenge of breaking the transmission cycles, reducing new infections, and getting on track to end the epidemics by 2030.

Stepping up the Fight is acknowledging that $14 billion is the minimum financial investment needed and that we still have urgent and immediate work to do to find new funding to ensure that we can get back on track to fully fund the Global Fund and ending the three diseases as epidemics by 2030.

New, significantly increased, investments from both international and domestic sources are still urgently needed if we hope to break the flatlining of progress and meet SDG3. 

Signatories:

Global Fund Advocates Network (GFAN)was established in 2011 to unite voices and efforts from all over the world to support a fully fundedGlobal Fund to Fight AIDS, Tuberculosis and Malaria.The overall purpose of GFAN is to build a global social movement to demand health for all by recruiting, connecting, and mobilizing advocates to communicate the urgent need and demand full funding for the Global Fund to maximize its impact.

Global Fund Advocates Network Africa (GFAN Africa)demands health for all by recruiting, connecting and mobilizing health advocates to communicate the urgent need for a successful replenishment of the Global Fund. Additionally, we lead civil society and communities in efforts towards advocacy for Governments to increase allocation of domestic resources for health. We seek to maximize impact of investments in health to save lives.

Global Fund Advocates Network Asia-Pacific (GFAN AP) is a platform of community and civil society advocates for a fully funded Global Fund. It supports community and civil society mobilisation in the areas of increased domestic financing for HIV, TB and malaria responses; increased donor contributions towards the Global Fund; and ensuring that policy frameworks on health financing take into account community, rights and gender issues. www.gfanasiapacific.org 

The role of the Communities Living with HIV and affected by Tuberculosis and Malaria Delegation (Communities Delegation)is to advocate, influence, and shape the decisions on the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). This is so that communities living with HIV, and affected by Tuberculosis and malaria, can gain equitable access to quality services and support needed to prevent, treat, and/or live with these infections within a conducive environment that respects human rights. For more, visit: www.globalfundcommunitiesdelegation.org

The Developing Country NGO Delegationto the Global Fund represents the views of nongovernmental organisations based in countries eligible to receive Global Fund support. For more, visit www.developingngo.org

The Developed Country NGO Delegationto the Global Fund Board represents the views of nongovernmental organisations based in countries which are not eligible to receive Global Fund support. 

For more information or to speak to any of the signatories, please contact:

Katy Kydd Wright – Senior Policy Advisor (GFAN) – +1 613 304 1106 katy@icssupport.org

Lesley Odendal- Constituency Focal Point, Developing Country NGO Delegation to the Global Fund Board – +27 72 960 8991 l.odendal@developingngo.org

Angela Muathe Communications & Advocacy Manager WACI Health/ GFAN Africa Angela@wacihealth.org or +254 732 588 588

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