On 20 March 2017, Zanzibar submitted a TB/HIV program continuation request for $6.4 million. Several challenges were experienced during the process, including planning in the absence of new data, fostering dialogue despite limited space for programmatic adjustments, and prioritizing key populations amid tensions affecting service provision for these groups.
This article examines two challenges that arose during the development of Zimbabwe’s funding request: (1) There was not much room to maneuver with respect to the program interventions that were included in the request; and (2) A group of donors criticized the process for developing the funding request and the outcome.
The Global Fund Secretariat turned down a proposed program split from the Uganda CCM as well as a proposed stand-alone component for resilient and sustainable systems for health. This article takes an in-depth look at what transpired.