Six African countries classified as challenging operating environments craft tailored funding requests to the Global Fund
Challenging operating environments (COEs) are countries or sub-regions of countries that the Global Fund characterizes as having weak governance, poor access to health services, manmade crises (such as conflict) or natural crises (such as famine).
It might surprise you to learn that challenging operating environments account for a third of the global disease burden for HIV, TB, and malaria, and a third of Global Fund investments. (For malaria alone, the proportion is 50%.) This makes COEs particularly critical to the Fund’s mission and objectives.
At its meeting in Abidjan on 26-27 April, the Board adopted a policy on COEs.