The G8 and Global Health

A key instrument: the Global Fund to Fight AIDS, Tuberculosis and

Malaria

Silvia Ferazzi, Manager, Donor Governments

Action For Global Health 09 February 2009

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Overview

I. The G8 process and the Global Fund

II. Results and impact on MDGs

III. Demand and financing

Action For Global Health 09 February 2009

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The Global Fund history is closely related to the G8

2000 Okinawa: Commitment to create the Global Fund

2001 Genoa: Creation of the Global Fund and first commitment of US$1.3 billion

2005 Gleneagles: Commitment to achieve Universal Access to AIDS Prevention, Treatment and Care

Focus on financing

Additionality

Country ownership

Partnership

Performance

Action For Global Health 09 February 2009

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Communiqué G8 Genoa 2001

“…we have launched with the UN Secretary-General a new Global Fund to fight HIV/AIDS, malaria and tuberculosis. (…) We have committed $1.3 billion. The Fund will be a public-private partnership and we call on other countries, the private sector, foundations, and academic institutions to join with their own contributions - financially, in kind and through shared expertise. We welcome the further commitments already made amounting to some $500 million.”

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Total pledges available through 2010 = US$ 19.2 billion Approximately US$ 11.8 billion has been paid in G8 committed 72% of the resources to date

Funding to the Global Fund

Cumulative Contributions and pledges to the Global Fund

(2001-2010 and beyond)5%

23%

72%

G8

Other Public Sector Donors

Private Sector and InnovativeFinancing

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Increasing investment by Private Sector

(Product) RED generated over US$ 109 million since April 2006

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Private Sector contributions increased to a total of US$ 182 million in 2008 Annual growth has been 25% in 2008Product (Red), Corporate Champions Program

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Debt2Health

Framework Agreement with Germany for €200 million (years 2007-10)

First Debt2Health Agreement with Indonesia for €50 million

Discussions with Other Creditors on-going

UNITAID

Direct contribution to Round 6 (US$ 52.5 m)

Indirect contribution for scale-up of ACTs (US$ 79 m)

Indirect contribution for scale-up of MDR-TB (US$ 13 m)

Increasing investment through Innovative Financing

Action For Global Health 09 February 2009

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Overview

I. The G8 process and the Global Fund

II. Results and impact on MDGs

III. Demand and resource needs

Action For Global Health 09 February 2009

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End of 2008 Results

InterventionResults

End-2008

% increase over year

HIV:

People on ARV treatment2,000,000 43%

TB:

People treated under DOTS4,600,000 39%

Malaria:

Insecticide-treated nets distributed70,000,000 52%

Challenge of impact: 30-45% of international targets

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Acceleration of scale upAccelerating Results

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Effects on Health Systems

- Indirect effects on health systems Relief to hospital burden

Reduced mortality among health workers

- Direct effect: Global Fund major financer of health systems

35% of financing

From round 8 (2008), cross-cutting strategic actions

Action For Global Health 09 February 2009

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Accelerating achievements of MDG6 and MDG4

Tanzania accelerating reduction of child mortality

Masanja et al, 2008

Interventions: ITNs and Malaria treatment

accelerated reductions, together with integrated

management of childhood illness and interventions

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Contribution to aid effectiveness

- Dual track financing

to maximize channels for delivery

- Rolling continuation channel to strengthen predictability

- Single funding stream to simplify application and reporting procedures

- National Strategy Applications

to improve alignment to national planning

Action For Global Health 09 February 2009

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Overview

I. The G8 process and the Global Fund

II. Results and impact on MDGs

III. Demand and resource needs

Action For Global Health 09 February 2009

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High quality demand is growing

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April 07: Board asks financial growth of the Global Fund based on country demand November 07: high quality proposals worth US$ 2.75 billion approved for funding Round 8 (2008) : Largest funding Round ever Acceptance rate increased from 31 in Round 7 (2007) to 54 %

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Resource needs for 2009-2010

National Strategy Applications (funding due to start in 2010)

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“GAP” of $ 2.3 billion for 2009-2010 period, but in addition …

Needed/Estimated Covered

Renewals of Existing

Grants (2009-2010)

$4.0 billion $4.0 billion

Round 8 (approved in 2008 to start in 2009)

$2.7 billion $2.0 billion

Round 9 (to be approved in 2009 to start in 2010)

$2.5 billion $0.9 billion

TOTAL $9.2 billion $6.9 billion

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The potential: ODA commitments

Canada: double international assistance from 2001 to 2010. (0.29%)

US: double aid to Sub-Saharan Africa between 2004 and 2010. (0.16%)

Japan: increase ODA volume by $10 billion over the next 5 years. (0.17%)

UK: 0.7 per cent ODA/GNI by 2013. (0.36%)

France: 0.5 per cent ODA/GNI in 2007, 0.7 per cent ODA/GNI in 2012. (0.38%)

Germany: 0.51 per cent ODA/GNI in 2010, 0.7 per cent ODA/GNI in 2015. (0.37)

Italy: 0.51 per cent ODA/GNI in 2010, 0.7% ODA/GNI in 2015. (0.19)

EU: 0.7 per cent ODA/GNI by 2015, interim collective target of 0.56 per cent ODA/GNI by 2010. (0.39)

Action For Global Health 09 February 2009

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Expectations towards Italy’s G8

Make a strong case for aid for health and development - developing countries ask for this support in the current crisis

Develop concrete plans how to scale up towards agreed targets ptc. Universal Access to AIDS prevention, treatment and care by 2010

Continue to invest in existing and effective aid instruments to strengthen the global health architecture

Strengthen involvement of new donors in global health as part of the G5 and G20 outreach

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Thank you!

Action For Global Health 09 February 2009

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– Back up Slides –

Action For Global Health 09 February 2009

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Additional results released across treatment, prevention and care

Other Top 10 categories end-2008Disease

component

Sessions of HIV counseling and testing delivered 62m HIV/AIDS

HIV+ pregnant women receiving ARV prophylaxis for PMTCT 445,000 HIV/AIDS

Orphans and vulnerable children provided with basic care and support 3.2m HIV/AIDS

Condoms distributed 1.2BN HIV/AIDS

Cases of STIs treated 4.4m HIV/AIDS

People on treatment for MDR-TB 16,100 TB

Cases of malaria treated 74m Malaria

Structures covered by Indoor Residual Spraying 14.1m Malaria

People exposed to community outreach prevention 91m (11.8 m) All three

People receiving care and support 5.9m All three

Health or community workers trained 8.6m All three

Challenges of measurement

Action For Global Health 09 February 2009

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The Global Fund in the IHP+ A signatory to the global IHP compact

A member of the oversight committee of the IHP+ (Scaling Up Reference Group)

An active member of IHP+ working groups 1) Validation of national strategies and 2) harmonization of monitoring & evaluation.

Working to closely align the development of national strategy applications for Global Fund financing with IHP processes, including piloting the NSA approach in a select number of both IHP and non-IHP countries