Innovation for greater impact: exploring domestic resource mobilization efforts in collaboration with the Global Fund
As Aidspan has explored previously, international aid for AIDS, tuberculosis and malaria is plateauing, and a critical transition is underway to find more sustainable approaches to health financing in implementing countries.
Neither the Global Fund Secretariat nor Ethiopia have the necessary systems in place to allow for a national financing strategy model to be implemented at this time. This is the conclusion of a pre-implementation review commissioned by the Secretariat and conducted by the Office of the Inspector General (OIG). The review was conducted between September and November 2014. A report on the review was released on 25 February 2015.
Ahead of the Global Fund's replenishment push in December, countries are being strongly encouraged to boost domestic funding for the fight against AIDS, TB and malaria to bridge the gap in unmet needs.
A conference in the Ethiopian capital Addis Ababa on 11-12 November brought together ministers of health and finance, civil society groups and donors to discuss how to accelerate domestic spending on health in Africa.
Ethiopia is often cited by the Global Fund as having done a good job of implementing HIV grants and of strengthening the country’s health systems. When he signed two grant agreements worth $424 million with the Ethiopian government in July 2012, then Global Fund General Manager Gabriel Jaramillo said that the country had made great progress in achieving universal coverage of antiretroviral (ARV) treatment.
The Global Fund has brokered debt swap agreement before, but not like the latest one between Germany and Egypt.
The progress we have made in the fight against AIDS, TB and malaria has had a significant positive impact on our efforts to build strong health systems and improve maternal and child health. However, we need to invest significantly more in this integrated health system strengthening approach if we are to meet the health-related Millennium Development Goals (MDGs).
On 9-11 November 2009, the Global Fund Board held its twentieth board meeting, in Addis Ababa, Ethiopia. GFO was present, with observer status.
This table shows the same data, but in decreasing order of the amount approved for Years 1-2.