Political instability, decreasing resources and a resurgent malaria epidemic: A challenging environment for Global Fund grants in Burundi
“Innovative approaches to meet diverse country needs are essential to accelerate the end of the epidemic.” This is the catch phrase The Global Fund uses to describe the first objective in its new Strategy: Maximize impact against HIV, TB, and malaria.
Executive Director Mark Dybul provided the Board with a report that celebrated the Global Fund’s achievements but also challenged the Fund to do better on a number of fronts.
The first two grants under the full rollout of the new funding model (NFM) should soon be approved for signing by the Global Fund Board. Both grants emanate from an HIV concept note submitted by Moldova during the first window on 15 May 2014.
Bosnia and Herzegovina (BiH) will from December 2015 no longer be eligible for Global Fund financing as it is currently designated an upper middle-income country with low burden of disease.
The introduction of the new funding model (NFM) has raised some concerns in the Middle East that it fails to consider the sweeping population movements and refugee crisis around the region and their impact on public health, particularly with respect to higher incidence of TB.
Since mid-December 2013, ethnic clashes in South Sudan have displaced about a half-million people and sent more than 100,000 fleeing across borders seeking refuge. That insecurity, and the attendant mobility of the population, has interrupted a number of development programs, including several that are receiving financial support from the Global Fund.
Chapter 3 of "The Aidspan Guide to Round 5 Applications to the Global Fund" discusses the strengths and weaknesses of applications submitted in Rounds 3 and 4. The list provided is based on an extensive analysis by Aidspan of comments made on those applications by the TRP.
The main strengths that the TRP has mentioned are as follows: