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).
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Six African countries classified as challenging operating environments craft tailored funding requests to the Global Fund
The Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria has approved continued funding of up to $253.8 million for 13 applicants in a decision announced on 23 December.
Somalia has a major burden of multi-drug-resistant TB (MDR-TB), rivalling that of the most-affected countries in Asia. According to World Vision International Somalia (WVI-S), principal recipient (PR) for the Global Fund’s TB grants in Somalia, the first shipment of medicines to treat MDR-TB is expected to arrive this month.