global fund: helping fund the just fight
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Global Fund: Helping Fund the Just Fight. Global AIDS Forum January 7, 2003. Overview of Presentation. Global Fund What is the Global Fund? Why do we need to fund it? Roundtable Topics Finance Targeting Program/Activity Area Intellectual Property. What is the Global Fund?. - PowerPoint PPT PresentationTRANSCRIPT
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Global Fund: Global Fund: Helping Fund the Just Helping Fund the Just
FightFight
Global AIDS ForumGlobal AIDS Forum
January 7, 2003January 7, 2003
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Overview of Overview of PresentationPresentation
Global FundGlobal Fund– What is the Global Fund?What is the Global Fund?– Why do we need to fund it?Why do we need to fund it?
Roundtable TopicsRoundtable Topics– FinanceFinance– TargetingTargeting– Program/Activity AreaProgram/Activity Area– Intellectual PropertyIntellectual Property
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What is the Global What is the Global Fund?Fund?
Global Fund is a financial instrument, not Global Fund is a financial instrument, not an implementing entityan implementing entity
Fund will base its work on programs that Fund will base its work on programs that reflect national ownership, respecting reflect national ownership, respecting country sovereigntycountry sovereignty
Fund will evaluate proposals and distribute Fund will evaluate proposals and distribute grants, with a priority on countries most at grants, with a priority on countries most at riskrisk
Governing board includes equal amount of Governing board includes equal amount of donor and developing countriesdonor and developing countries
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Why give to the Why give to the fund?fund?
Empower countries financially to do Empower countries financially to do their own worktheir own work
Minimize global security Minimize global security threats/instabilitythreats/instability
Advance gender equality & alleviate Advance gender equality & alleviate povertypoverty
Ethical/Moral obligation to assist in Ethical/Moral obligation to assist in humanitarian crisishumanitarian crisis
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Roundtable Roundtable TopicsTopics
FinanceFinanceTargetingTargetingProgram/Activity AreaProgram/Activity Area Intellectual PropertyIntellectual Property
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Financial GoalsFinancial Goals
US $7 billion by end of 2003US $7 billion by end of 2003 US $10.5 billion by 2005US $10.5 billion by 2005 US $15 billion by 2007US $15 billion by 2007 US $21 - $25 billion by 2015US $21 - $25 billion by 2015
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Participation GoalsParticipation Goals
To involve as many facets of society To involve as many facets of society in financing the alleviation of in financing the alleviation of HIV/AIDS and in providing services HIV/AIDS and in providing services for those impactedfor those impacted
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Global Fund Financial Global Fund Financial PredicamentPredicament
National Government PledgesNational Government Pledges US $2.0 US $2.0 billionbillion
Private Sector PledgesPrivate Sector Pledges US $100 US $100 millionmillion
Total PledgesTotal Pledges US $2.1 billion US $2.1 billion
Pledge PromisesPledge Promises US $1.6 billion US $1.6 billion
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The Global Funds The Global Funds ChallengeChallenge
Inadequate pledge amountsInadequate pledge amounts Failed delivery of pledgesFailed delivery of pledges
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ChallengesChallenges
Help us fund the just fightHelp us fund the just fight
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Challenge #1: Challenge #1: UNAIDSUNAIDS
To raise the necessary US$10.5 To raise the necessary US$10.5 billion by 2005billion by 2005
To have sustainable financial To have sustainable financial resources for the Fund’s future resources for the Fund’s future projectsprojects
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Challenge #2: Challenge #2: National GovernmentsNational Governments
Short term: Annually allocate a Short term: Annually allocate a percentage of your GDP to the Fundpercentage of your GDP to the Fund
Long term: Establish a multilateral Long term: Establish a multilateral taxing mechanism as a financial taxing mechanism as a financial resource for the Fundresource for the Fund
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Challenge #3: Private Challenge #3: Private Companies and Companies and
FoundationsFoundations Add 25 private partners annuallyAdd 25 private partners annually Designate “HIV/AIDS Goodwill Designate “HIV/AIDS Goodwill
Ambassadors” such as the Gates Ambassadors” such as the Gates Foundation to help us build Foundation to help us build partnerships with this sectorpartnerships with this sector
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Challenge #4: NGO Challenge #4: NGO community and community and citizens’ groupscitizens’ groups
Assist the Fund in fundraising by Assist the Fund in fundraising by educating the public and private educating the public and private sectors about the urgency and needs sectors about the urgency and needs of the AIDS crisisof the AIDS crisis
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Challenge #5: Challenge #5: International Lending International Lending
InstitutionsInstitutions Forgive at least 25% of highly Forgive at least 25% of highly
indebted and poor countries’ debt on indebted and poor countries’ debt on the condition that this money is the condition that this money is earmarked for social sectors earmarked for social sectors including appropriate HIV/AIDS including appropriate HIV/AIDS programsprograms
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TargetingTargeting
The Global Fund places priority onThe Global Fund places priority on– Areas with greatest burden of diseaseAreas with greatest burden of disease– Interventions that address social and Interventions that address social and
gender inequalities and behavioral gender inequalities and behavioral practicespractices
– Areas in conflict and distressAreas in conflict and distress
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Targeting Developing Targeting Developing CountriesCountries
96% of people living with HIV/AIDS 96% of people living with HIV/AIDS live in developing countrieslive in developing countries– Sub-Saharan Africa is the most affected Sub-Saharan Africa is the most affected
region with 29.4 million people living region with 29.4 million people living with AIDS.with AIDS.
Social and and economic impact of Social and and economic impact of AIDS is greatest in developing AIDS is greatest in developing nationsnations
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Targeting Targeting
More specific targeting is neededMore specific targeting is needed– WomenWomen– Mothers and ChildrenMothers and Children– Youth ages 15-24Youth ages 15-24– Other vulnerable populationsOther vulnerable populations
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WomenWomen
Fastest growing rate of infectionFastest growing rate of infection Gender inequalities in sexual Gender inequalities in sexual
behaviors makes women more behaviors makes women more vulnerablevulnerable
Women’s physiology increases risk of Women’s physiology increases risk of infectioninfection
Women are key to socio-economic Women are key to socio-economic cohesioncohesion
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Mothers & ChildrenMothers & Children
1500 HIV positive infants are born 1500 HIV positive infants are born daily, 95% in developing countriesdaily, 95% in developing countries
Transmission rates are increased due Transmission rates are increased due to cultural norms to cultural norms – Abortion is prohibitedAbortion is prohibited– Breastfeeding is sole optionBreastfeeding is sole option– Low rate of pre/post natal care Low rate of pre/post natal care
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YouthYouth
Half of all new infections (over 7000 Half of all new infections (over 7000 daily) are young people between 15-24daily) are young people between 15-24
Youth are vulnerableYouth are vulnerable– Risky sexual behaviorRisky sexual behavior– Substance abuseSubstance abuse– Lack of access to information and health Lack of access to information and health
carecare Young women and girls are most Young women and girls are most
vulnerablevulnerable
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Other vulnerable Other vulnerable populationspopulations
Injecting drug usersInjecting drug users Sex workersSex workers Homosexual men having unsafe sexHomosexual men having unsafe sex PrisonersPrisoners Migrants and refugeesMigrants and refugees
All have high HIV prevalence rates All have high HIV prevalence rates and rates of transmission to other and rates of transmission to other populationspopulations
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Effective Effective programmingprogramming
Education programs to change Education programs to change behaviorbehavior
Treatment options for mothers and Treatment options for mothers and babiesbabies
Education programs tailored for Education programs tailored for youthyouth
Targeted programs for sex workersTargeted programs for sex workers
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Program/Activity Program/Activity AreaArea
Who Can ApplyWho Can Apply Characteristics of Successful Characteristics of Successful
ProposalsProposals Ideas for the FutureIdeas for the Future
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Who Can ApplyWho Can Apply
National Country Coordination National Country Coordination Mechanism (CCM)Mechanism (CCM)
Regional CCM (Multiple Regional CCM (Multiple Countries/Small Island States)Countries/Small Island States)
Sub-national CCMSub-national CCM Individual OrganizationsIndividual Organizations
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Characteristics of Characteristics of Successful ProposalsSuccessful Proposals
Soundness of approachSoundness of approach Feasible program implementationFeasible program implementation Potential for sustainabilityPotential for sustainability Evaluation and analysisEvaluation and analysis
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Soundness of Soundness of ApproachApproach
Consistent with internationally Consistent with internationally accepted best practicesaccepted best practices
Priority to most affected/at risk Priority to most affected/at risk groupsgroups
Develops, strengthens, expands Develops, strengthens, expands partnershipspartnerships
Eliminate stigma and discriminationEliminate stigma and discrimination Respect intellectual property rightsRespect intellectual property rights
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Feasible Program Feasible Program ImplementationImplementation
Programmatically and technically Programmatically and technically specific to country’s needsspecific to country’s needs
Transparent in financial arrangementsTransparent in financial arrangements Increase quality and coverage of Increase quality and coverage of
proven and effective practicesproven and effective practices Augments/coordinates with existing Augments/coordinates with existing
regional and national programsregional and national programs Uses equitable supply and distribution Uses equitable supply and distribution
systems systems
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Potential for Potential for SustainabilitySustainability
Sustained political involvement for Sustained political involvement for allocation of national resourcesallocation of national resources
Strategy for ensuring that Global Strategy for ensuring that Global Fund investments will be additive Fund investments will be additive and catalyticand catalytic
Approved by Country Coordination Approved by Country Coordination MechanismMechanism
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Evaluation and Evaluation and AnalysisAnalysis
Results focused using a clear and Results focused using a clear and measurable set of indicatorsmeasurable set of indicators
Include a monitoring and evaluation Include a monitoring and evaluation mechanismmechanism
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Ideas for the FutureIdeas for the Future
Maintain balance between prevention, Maintain balance between prevention, treatment, and supporttreatment, and support
Continued CCM efforts to coordinate Continued CCM efforts to coordinate with NGOs and other smaller with NGOs and other smaller organizationsorganizations
More in-depth monitoring process to More in-depth monitoring process to ensure maximized successensure maximized success
Expanded support of programs directed Expanded support of programs directed at previously specified targets at previously specified targets
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Intellectual PropertyIntellectual Property
BackgroundBackground What is intellectual property?What is intellectual property? TRIPS AgreementTRIPS Agreement Doha and going forwardDoha and going forward Relation to Global Fund effortsRelation to Global Fund efforts
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Problems for poor Problems for poor countriescountries
High prices of patented High prices of patented pharmaceuticalspharmaceuticals
Even generics unaffordable to Even generics unaffordable to poorest countriespoorest countries
Limited opportunity to procure Limited opportunity to procure genericsgenerics– Few countries have ability to produce Few countries have ability to produce – Trade agreements limit generic exportsTrade agreements limit generic exports
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Recommended Recommended SolutionSolution
Waiver for AIDS medications for Waiver for AIDS medications for needy countriesneedy countries– Protections against re-importation and Protections against re-importation and
parallel importing to rich countries and parallel importing to rich countries and potentially for middle income countriespotentially for middle income countries
– Requires tight definition of needy Requires tight definition of needy countriescountries
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Other solutionsOther solutions
To prevent reimportation, UN To prevent reimportation, UN purchases drugs in bulk at purchases drugs in bulk at discounted prices, becomes sole discounted prices, becomes sole distributordistributor
Increase incentive subsidies for R&D Increase incentive subsidies for R&D to produce at marginal cost to produce at marginal cost (separate incentives from low cost (separate incentives from low cost distribution)distribution)
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