Global Fund Observer

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A high-level meeting of global stakeholders took place from 13-16 July in Addis Ababa to develop a strategy to finance the post-2015 sustainable development goals, against a backdrop of donor fatigue, the enduring global financial crisis and a growing insistence on improved domestic financing for development issues. The conference could provide a window into donor attitudes and positions ahead of the Global Fund’s 5th replenishment, set for mid-2016.


At the Asia-Pacific partnership forum, civil society and community-based stakeholders emphasized the need for stronger community interventions and a bigger voice for implementers in the new Global Fund strategy. Assurances from the representatives of the Secretariat that their voices were being heard, however, were met with some skepticism.


A radical change is needed in the global strategy to prevent, and manage, tuberculosis if new targets are to be met, participants in an Asia-Pacific consultation session said.


Georgia’s HIV and TB concept notes are hewing closely to priorities identified by the country’s national strategic plans but must improve case detection rates, recent WHO evaluations noted.


Violent clashes between demonstrators and security forces in Burundi sent tens of thousands of people fleeing both inside and beyond the borders of the central African state. These displacements were only one consequence of the crisis in the capital that stretched the capacity of an already-strapped health system: demonstrating a need for flexibility in resourcing in so-called challenging operating environments.


South Africa on 15 July submitted a joint HIV/TB concept note for some $380.5 million in funding, more than half of which is to support prevention interventions specifically targeting key populations including young women and girls, men who have sex with men and people living in disease hot spots.


Tanzanian NGO Sikika has uncovered the cause of shortages and stockouts of ARVs over 2014, which led to some patients receiving fewer supplies and others having their treatment regimens and medicine brands changed, prompting some patients to experience new side effects. Among the reasons stock management was so poor was a failure to properly implement the Global Fund’s pooled procurement mechanism and failure to adhere to government requirements and procedures.