Since its creation in 2002, the Global Fund has become the main source of finance for programs to fight AIDS, tuberculosis and malaria, with approved funding of US$ 19.3 billion for more than 572 programs in 144 countries. It provides a quarter of all international financing for AIDS globally, two-thirds for tuberculosis and three quarters for malaria.
The Global Fund to fight AIDS, Tuberculosis and Malaria is a public/private partnership dedicated to attracting and disbursing additional resources to prevent and treat HIV/AIDS, tuberculosis (TB) and malaria. This partnership between governments, civil society, the private sector and affected communities represents a new approach to international health financing. The Global Fund works in close collaboration with other bilateral and multilateral organizations to supplement existing efforts dealing with the three diseases.
While Global Fund grants support disease-specific interventions, they also enable countries to strengthen health systems by, for example, making improvements to infrastructure and providing training to those who deliver services. The Global Fund estimates that annually it provides around 57 percent of all international financing for TB, 60 percent for malaria and 23 percent of all financing for HIV.
The Global Fund awards and administers grants based on strict standards that require programs to reach specific targets throughout the life of a grant. Funding is tied to performance, with money flowing to programmes that perform well.
The Global Fund has been among the first funders to transparently measure and report on its progress against the indicators included in the Paris Declaration on Aid Effectiveness, an international agreement to increase efforts in harmonization, alignment and managing aid for results with a set of monitorable actions and indicators.
The Global Fund remains committed to working in partnership to scale up the fight against the diseases, meet the Millennium Development Goals and realize its vision of a world free of the burden of AIDS, TB and malaria.
Latin America and the Caribbean is comprised of more than 35 countries and small island states with widely varying cultures, languages and social and economic situations. The provision of public health care services in the region faces a num- ber of challenges, including high levels of violence or armed conflict in some countries, difficult natural environments which contribute to the spread of diseases such as malaria and limited access to care. Approximately 8 percent of the region’s total population — some 47 million people — lives in poverty.
In this region AIDS, TB and malaria are taking a heavy toll. It is estimated that as of 2008 there were more than 1.9 million people living with HIV/AIDS, that the number of TB cases reached nearly 350,000 and that at least 2.6 million people were infected with malaria. In the same year, the number of estimated deaths resulting from the three diseases rose above 100,000.
Although a number of governments have increased their expenditures on public health, access to health care services is still limited for the majority of the region. This lack of access hinders early diagnosis and treatment, and inflicts a disproportionately heavier burden on poor and vulnerable populations. The grants awarded by the Global Fund are for programs that target these populations, whether it be in a large country or a small island nation.
Global Fund grants have been awarded to 21 countries in the region (with an additional 9 countries receiving funds as part of a multicountry program) for a total value of more than US$ 1.6 billion through the first eight rounds of funding. Strengthening health care systems in these countries benefits the entire region — even those countries not directly receiving support from the Global Fund, as treating TB in one country prevents its spread to neighboring countries, for example.
Global Fund grants in this region fill critical gaps in national health care plans for the prevention, treatment and control of the three diseases. Over eight funding rounds, the Global Fund Board has approved close to US$ 1.6 billion for the region, which currently has 85 grants. Disbursements for the region (as of March 2009) represent more than 9 percent of total funds disbursed by the Global Fund. Grants are managed by Principal Recipients, selected during the grant development stage by the CCM.
Source: Regional Overview, Latin America and the Caribbean, the Global Fund, 2009