The Global Fund Secretariat published four guidance notes between 26 March and 7 April 2020. These notes provide information on how to adapt HIV, TB, malaria, and Resilient and Sustainable Systems for Health (RSSH) grant implementation in the context of COVID-19. Links to sources precede a highlight of each guidance note.
This communication on COVID-19 and HIV elaborates on HIV prevention and adaptive programming for different risk scenarios, the HIV testing and treatment cascade, service delivery considerations, community-based service delivery, and a human-rights- and gender-based approach. This document, in the context of HIV and COVID-19, also touches on four pillars of health system strengthening: human resources; supply chain and procurement; laboratories and diagnosis; monitoring and evaluation.
The guidance states the risk for TB patients and those in recovery, who are likely to have negative outcomes from COVID-19, especially those TB patients with other co-morbidities like HIV, diabetes, or multi-drug resistant TB. The guidance note indicates how to adapt TB prevention, diagnosis, and treatment to the COVID-19 challenges. The guidance note ends with a series of practical recommendations facing TB programs in the context of TB
The audience for this guidance note is the country team. The guidance note focuses on prevention and case management for malaria. The prevention section describes challenges and processes to deal with the distribution campaigns for bednets, seasonal chemoprevention among children, and indoor residual spraying. The guidance note also discusses surveillance, monitoring, and evaluation, as well as other cross-cutting practical considerations.
Resilient and Sustainable Systems for Health (RSSH)
The guidance note explains the challenges for health systems in the context of COVID-19 and provides a list of practical recommendations. The recommendations refer to health governance and financing, laboratory systems, human resources for health and community systems. This note ends with a list of links on lessons learned from Ebola and SARS epidemics.
The Global Fund Observer will report more fully on updates to Global Fund guidance relating to the COVID-19 pandemic in future editions.