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

The Global Fund to Fight AIDS, Tuberculosis, and Malaria is holding an interim “review” from March 30-April 2 in Caceres, Spain, to evaluate its financial situation and discuss with donors the existing funding gap. Today’s sessions included discussions of performance and results as well as demand estimates and resource mobilization efforts for 2008 and 2010. We will continue to follow this in the coming days. Stay tuned!

-Lisa Fleisher

ONE rubbed elbows with some of its many partners Friday at the Global Health Council’s community meeting with Dr. Christoph Benn, the Director of Partnerships, Communication and Resource Mobilization at the Global Fund to Fight AIDS, Tuberculosis and Malaria (a very lengthy title with an even longer list of responsibilities). The Global Fund is a partnership of many organizations created to increase and disburse performance-based grants to fight HIV/AIDS, TB, and Malaria, and it has helped drastically improve global health since its inception seven years ago. Nevertheless, many challenges remain. I had the opportunity to talk with Dr. Benn after the presentation, and he gladly accepted a ONE band to show his support.

Dr. Benn was proud to announce that HIV/AIDS treatment has expanded; however, prevention remains the dominant challenge. TB poses its own obstacles due to its extreme drug resistance and its complex/ expensive treatment. However, the Global Fund is beginning to see a decline in infection in Asia, though progress in Africa is slower. This may be in relation to the high prevalence of HIV in Africa; in effect weakening people’s immune systems and making them more susceptible to TB. Child mortality due to Malaria decreased 50- 70% in some countries thanks to mosquito net disbursement and increased access to affordable treatment and disease control mechanisms. We are making progress, and looking to the future, it is no secret that we are accelerating.

The demand for Global Fund grants is increasing at unprecedented levels, but with the global economic downturn tightening public budgets, the Fund is now facing critical funding gaps. As ONE members, will need to get out and make their voices heard!

-Ian McGroarty

Monday, December 1, was World AIDS Day. The global community has made tremendous progress in the fight against HIV/AIDS since the first World AIDS Day was observed in 1988. In 1996, at the Vancouver International AIDS conference, combination antiretroviral (ARV) treatment was announced to be highly effective in keeping those living with HIV healthy. Even with these medical breakthroughs, international actors were hesitant to attempt AIDS treatment in poor settings, due to the lack of infrastructure and other systemic barriers.

Fortunately, in the late 90’s and early 2000’s, the global community did come together to reach poor countries through international HIV/AIDS efforts. In 1996, the Joint United Nations Program on AIDS (UNAIDS) began its work. In 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria was established, and in 2003, the President’s Emergency Plan for AIDS Relief (PEPFAR) was launched.

These significant medical and programmatic achievements have been accompanied with promising results on the ground, even in the poorest settings. As recently as 2002, only 50,000 HIV-positive people in Africa had access to antiretroviral medicine (only 1% of those in need). By the end of 2007, 2.1 million Africans (30% of those in need) — and nearly 3 million people globally (31% of those in need) — were receiving treatment. Additionally, the number of children under 15 in low-and middle-income countries who receive ARV treatment grew from 75,000 in 2005 to 200,000 in 2007.

Earlier this week, the Global Fund to Fight AIDS, Tuberculosis and Malaria announced that 2 million people are on ARV treatment through Global Fund supported programs; this is an increase of 43% since the results were reported last December. The Global Fund has also supported 62 million HIV counseling and testing sessions, and provided basic care and support to 3.2 million AIDS orphans and vulnerable children.

These results are impressive, but the fight against HIV/AIDS is far from over. With 33 million people living with HIV worldwide (of which, 9.7 million still need ARV therapy) and 7,400 new HIV infections every day, global efforts must continue to help eradicate this devastating pandemic.

-Rena Pacheco-Theard

Today, the Global Fund to Fight AIDS, Tuberculosis and Malaria announced a new global spokesperson. Carla Bruni-Sarkozy, whose husband President Nicolas Sarkozy is the President of France, has agreed to use her influence and voice to support the important work of the Global Fund. France is currently the second largest contributor to the Global Fund, behind the United States.

Since its inception in 2002, the Global Fund has become the largest player in the fight against malaria and one of the largest in the fight against AIDS. It announced today that it has helped to support putting 2 million people across the world on life saving anti-retroviral therapy – a 43% increase over just last year.

The Global Fund’s financing needs are increasing rapidly as countries afflicted by AIDS, Tb and malaria are quickly developing qualified proposals to the fund that are outpacing incoming donor pledges. The role of global ambassadors like Carla Bruni-Sarkozy will be critical for the Global Fund to continue to provide the financing needed to fight these three killer diseases.

You can read the Global Fund’s press release on this new development here.

-Josh Lozman