Currently approximately 60% of Global Fund spending directly benefits women and children, translating to more than US$15 - 16 billion invested since 2002, but it is unclear how much of this money has resulted in achieving gender-sensitive or transformative programming. Since 2014, more than US$34 million has been committed to programmes that address human rights barriers to services, including legal and policy barriers, particularly for key populations, and women living with HIV.
The Global Fund Community, Rights and Gender (CRG) Special initiative has invested US$15 million to increase civil society capacity to engage in Global Fund processes in the 2014 – 2016 allocation cycle in: (1) short-term technical support for country dialogues and concept note development (only) up to the point of grant-making); (2) a partnership with the Robert Carr Civil Society Networks Fund (RCNF); and (3) regional communication and coordination platforms hosted by civil society organizations.
Nearly 25% of short-term technical support went towards the development of sound gender-responsive interventions for concept notes (mostly for HIV and HIV/TB), including sustaining women’s groups to engage in country dialogues.
Additionally, approximately 50% of the Global Fund investments supports procurement of medicines; health products and equipment, and because these important features will remain central in building resilient and sustainable systems for health, ensuring that more than US$13 billion is pledged by donors for the Global Fund 5th Replenishment is essential to make real progress and scale-up gender transformative interventions.
The Global Fund, and the global community, will fail to end the epidemics if there is inadequate financial support to achieve its committed mission of addressing gender inequality and human rights.
Ending the epidemics and achieving UHC and the SDGs will only be achieved through strong health systems - the core of which includes strong and well-supported community systems beyond service delivery.
Over the last three decades, community-based responses have not been a prominent feature of the health response. The investments towards the engagement and participation of communities - shaping and driving the response has led to many gains - including leveraging ‘lived experiences” and understanding what does or does not work for women and girls in communities as well supporting access, adherence and retention to prevention and treatment services.
Communities of people living with and/or affected by HIV, TB and malaria have delivered effective services for marginalized and criminalized populations including maintaining advocacy to create safe and enabling environments and these gains cannot be lost and should be accelerated for impact.
The cost of inaction linked to raising less than 13 billion will translate into lives lost due to AIDS, TB and malaria
Community structures also support work in different ways including the monitoring of the implementation of health programmes, and more investments must go towards communities and civil society to hold their own governments accountable for their commitments and health programmes.
Before the Replenishment Ensure that the Global Fund is Fully Funded
- Continue to work with key partners in different countries/regions to maintain momentum in the lead up to the pledging conference on remaining donors that have not pledged;
- Lobby parliamentarians to support global statements that concentrate on specific donors and their embassies if there are concerns that pledges may not be sustained/ increased;
- Showcase effective national initiatives that demonstrate how women in all their diversity have changed lives and are essential to ending HIV, TB and malaria;
- Support and work with the GFAN and its hubs in Africa and the Asia-Pacific by joining in the call for a fully funded Global Fund; Also see the GFAN Communications toolkit on the replenishment accessible here
- Join ICW/W4GF in its #theglobalfundwomenwant campaign through sharing your messages on twitter and Facebook. Please tag @ICW_Global@ICWEastAfrica@Women4GF @GFadvocate on twitter.
Following the Replenishment
- Call on governments to increase their domestic financing and monitor that domestic financing increases are going to the three diseases;
- Monitor the implementation of programmes and hold governments accountable to ensure Global Fund programmes more effective and efficient.