On 28 August 2017 (Window 3), Swaziland submitted a TB/HIV funding request to the Global Fund. The total request was for $93.8 million. When broken down, $47.2 million of this amount was within the country’s allocation, $1.5 million was a matching funds request for catalytic funding to prevent HIV among adolescent girls and young women (AGYW), and $45.1 million was a prioritized above allocation request (PAAR).
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Six African countries classified as challenging operating environments craft tailored funding requests to the Global Fund
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).
Kenya’s TB/HIV funding request to the Global Fund zeros in on HIV prevention among key populations and on finding missing TB cases
Kenya was among the 35 countries that submitted funding requests to the Global Fund in Window 2 on 23 May 2017. Kenya’s TB/HIV funding request was for $421.9 million, made up of a $256.4 million allocation request, $138.9 million prioritized above-allocation request (PAAR) and a $26.6 million matching funds request. A $112.0 million malaria funding request was submitted on the same day ($60.1 million within allocation and $51.9 million PAAR).
On 23 May 2017, Zambia submitted both TB/HIV and malaria funding requests, together worth just over $400 million. The TB/HIV funding request was for $306.8 million, of which $194.4 million constituted a within-allocation request, with a further $112.4 million as a prioritized above-allocation request (PAAR).
On 20 March 2017, Zimbabwe submitted a TB/HIV funding request to the Global Fund for $628.9 million. This includes an allocation request for $431.9 million and a prioritized above allocation request (PAAR) of $197 million. A separate funding request for malaria was submitted on the same day for $51.7 million.
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.
In our article on regional concept notes in GFO 289 (Update on the second wave of regional concept notes), we provided a table in which we listed the 15 applicants. We indicated that all 15 were now in grant-making.
Community, rights and gender issues have a higher profile, but challenges remain in demonstrating impact
The Global Fund has been successful at raising awareness about the importance of community, rights, and gender (CRG) and promoting the inclusion of CRG issues in country dialogues and concept notes. However, challenges remain in translating these achievements into impact in programs on the ground.
There is lesser participation from key populations than from civil society organizations in country and regional dialogues, according to survey conducted by the Eastern Africa National Networks of AIDS Services Organizations on civil society and community perspectives on Global Fund processes.