sustainability

1.

New government in Macedonia budgets for ARVs and prevention services to KAPs, as Global Fund support comes to an end

19 Sep 2017
Decision hailed as a “very important step in ensuring the sustainability of HIV services”
MOH will be required to establish a long-term mechanism for funding CSOs

On 5 September, the recently elected government of the Republic of Macedonia ordered the Ministry of Health to allocate 103 million Macedonian denars  (approximately € 1,674,000) within the National HIV Program for 2018 to (a) ensure continuous access to antiretroviral (ARV) treatment for HIV-positive people; and (b) support the implementation of HIV prevention programs among key affected populations (KAPs) such as men who have sex with men (M

3.

Problems operationalizing safeguards to mitigate financial risks create delays in implementing Global Fund’s malaria grant to Cambodia, OIG says

19 Sep 2017
Finding the right balance between mitigating fiduciary risks and program risks is a challenge
3.

Nigeria’s TB/HIV funding request to the Global Fund sent back for iteration

22 Aug 2017
Portfolio plagued with challenges

On 4 August 2017, Nigeria was notified that its TB/HIV funding request – submitted on 28 May 2017 – was not invited to proceed to grant-making. The Technical Review Panel (TRP) recommended a further iteration of the funding request. This means that the country must re-work and resubmit its funding request, addressing the TRP’s concerns. The country will resubmit its funding request in Window 4 on 7 February 2018.

1.

Review of Global Fund Window 1 funding requests reveals resurgence of malaria in Central and Eastern Africa, TRP says

15 May 2017
Other lessons learned from Window 1 are identified

The Technical Review Panel (TRP) says that based on its review of the funding requests in Window 1 of the current funding cycle, it believes there has been a resurgence of malaria in Central and Eastern Africa and that a change in approach is required.

3.

Latin America: Strategy developed to support civil society to transition to sustainability

3 Apr 2017
Strategy was piloted in Belize, Panama and Paraguay

The Regional Center for Technical Assistance (CRAT in its Spanish acronym) has developed a strategy to support civil society organizations (CSOs) and community groups in Latin America and the Caribbean (LAC) to plan for sustainability of their outreach strategies to control HIV, TB and malaria. CRAT is the host of the regional communication and coordination platform under the Global Fund’s Community, Rights and Gender (CRG) Initiative.

6.

Is South Africa transitioning?

3 Oct 2016
Changing Global Fund priorities and a new NSP prompt discussions on sustainability

In a recent ICASO discussion paper called “Handing over Health”, a review of sustainability and transition literature is complemented by country case studies from Serbia, Thailand and South Africa.

6.

Salary incentives still paid by the Global Fund, despite efforts to remove them

6 Sep 2016
The organisation is working on gradually phasing out the payments, but is encountering resistance in some low-income countries

The payment of extra money to top up the salaries of workers implementing Global Fund grants was disallowed by the Fund two years ago, except in exceptional circumstances, but in some countries the organization is finding it hard to work out a way to keep the staff they need without paying these incentives.

10.

Are EECA countries able to sustain harm reduction programs?

1 Aug 2016
EHRN publishes four case studies

According to four case studies recently published by the Eurasian Harm Reduction Network (EHRN), the readiness to transition harm reduction programs from Global Fund support to domestic funding in four countries in Eastern Europe and Central Asia ranges from 19% to 47%.

The four countries are Albania, Bosnia and Herzegovina, Macedonia, and Romania. See the table for further details.

5.

Overview of activities in the EECA related to transition planning

18 Jul 2016

Considerable work is being done in Eastern Europe and Central Asia (EECA) on transition planning. Discussions about transitioning from Global Fund financing started even before grants under the new funding model were approved for funding.

2.

UNAIDS study cites Moldova as an example of Global Fund money flowing through governments to CSOs

5 Jul 2016
Governments and CSOs discuss mechanisms to sub-contract services to CSOs

Currently there are several national CSOs in Moldova providing services to vulnerable and key populations and people living with HIV. These services include psychosocial support, prevention programming, and harm reduction. Funding for this work has come predominately from The Global Fund and has been administered by an NGO principal recipient, the Center for Health Policies and Studies.

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