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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 International HIV/AIDS Toolkit Approval Rounds Rounds Round 1 36 Approved Amounts 565 million Round 2 73 866 million Round 3 61 623 million Total Countries *121 International HIV/AIDS Toolkit 2,045 million Distribution By Region International HIV/AIDS Toolkit By disease International HIV/AIDS Toolkit By Type for Activity International HIV/AIDS Toolkit By Recipient International HIV/AIDS Toolkit 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) International HIV/AIDS Toolkit 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 International HIV/AIDS Toolkit Challenges • • • • Funding Measurement of results Vote for Communities In-kind contributions International HIV/AIDS Toolkit 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