We noted last week that donors met in Spain from March 31 to April 1 to review the progress and funding needs of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. Here are some highlights from the communiqué.

Results show the Global Fund is having a significant impact: Michel Kazatchkine, the Global Fund’s Executive Director said that the Global Fund “is affecting the course of these three epidemics.” With commitments reaching $15 billion since inception in 2002, the Global Fund has provided support for more than 600 programs in 140 countries. The Minister of Health from Nigeria, the Honorable Babatunde Osotimehin, presented findings on Nigeria’s malaria prevention and control efforts, including contributions from the Global Fund of 4 million long-lasting insecticide treated nets and 18 million doses of ACTs. Burkina Faso’s Minister of Health, the Honorable Seydou Bouda, described many gains in malaria, tuberculosis, and HIV/AIDS supported by the Global Fund, including 1.2 million children under five receiving ACTs, among others. (Stay tuned for more on Global Fund results coming later this week!)

Donors agreed that with the growth of Global Fund programs, long-term sustainability becomes even more important. Increased domestic financing for health from Global Fund recipients was one area emphasized as a way to improve sustainability. Nigeria and Burkina Faso both pledged full commitment to this. On the Global Fund side, participants asked that cost effectiveness and efficiency opportunities be pursued so that results can be maximized with available funding.

Demand for funding has increased so much that the Global Fund now estimates there is a $4 billion gap between resources currently available and those needed to meet the $13.5 billion demand from countries for 2008-2010. With what is currently available, Round 8 could be fully funded, but there is only $0.9 billion for Round 9 and subsequent rounds. The Global Fund Board will begin approving new grants in November of this year, so there is an urgent need for donors to address the funding gap. Spain has already shown its commitment, and was congratulated for increasing its contribution to $213 million. Other donors confirmed that that they expect to meet the commitments made in Berlin 2007. ONE is hoping they will in fact follow through on their commitments so the Global Fund can continue to support countries in their efforts to fight AIDS, TB, and malaria.

-Lisa Fleisher