Sixth Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria

1. Sixth Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria Replenishment for Allocation Cycle years 2020 – 2022 #fullyfundtheglobalfund #theglobalfundthatwewant #stepupthefight #getbackontrack

2. REPLENISHMENT: The Global Fund raises funding in three-year cycles • Donors including governments, private sector, private foundations, High Net Worth Individual (HNWI) and communities and civil society work collaboratively to advocate for the Global Fund to mobilise the required amount of investment to realise a fully funded Global Fund • 95% of Global Fund funding comes from donor governments; 5% from private sector & foundations and innovative financing initiatives What is the Global Fund Replenishment? A fully funded Global Fund will ensure that the responses for the three diseases are on track and for targets of the global plans of the three diseases to be achieved. At the Fifth Replenishment, donors pledged US$12.9 billion for the period of 2017 – 2019. 1

3. As the leading multilateral organization that invests in the partnership of donor and implementing countries in ending the 3 epidemics, funding for the Global Fund in its Sixth Replenishment needs to increase by more than 22% to ensure a fund of between $16.8 and $18 billion for 2020 and 2022. Get Back on Track To End the Epidemics Report, 2018, Global Fund Advocates Network

4. Top 10 donors from the Fifth Replenishment

5. Key Donors from the AP Region – Fifth Replenishment Governments Private Sector/Foundations

6. The Sixth Global Fund Replenishment Investment Case calls for at least US$14 billion which would: • Save 16 million lives and reduce the mortality rate by 52% across the 3 diseases by 2023 • Avert 234 million infections or cases and reduce incidence rate by 42% across the 3 diseases by 2023 • Reduce the death toll across the three diseases to 1.3 million in 2023 down from 2.5 million in 2017 • Accelerate progress toward SDG 3 and Universal Health Coverage The Investment Case In preparation for the Replenishment, the Global Fund develops an “Investment Case” in collaboration with technical partners such as UNAIDS, WHO, Stop TB Partnership and Roll Back Malaria Partnership

7. Two Key Events during Replenishment Preparatory MeetingNew Delhi, India7 & 8 February 2019 Pledging ConferenceLyon, France10 October 2019 Convenes leaders from donors – including countries, private sector & private foundations, and high net worth individuals; and technical partners, communities and civil society. Between the presentation of the investment case and up to and during the Pledging Conference, donors from different sectors will announce their pledges to the Global Fund. • Presentation of the Investment Case of key information on the impacts to be achieved and the financial resources needed to reach the 2030 targets

8. YET: • Only 2.7 million people out of 5.2 million people living with HIV in AP were accessing ARVs, or only 53% [37 – 72%] of all people living with HIV • 1/3 of of the world’s burden of TB cases (4.9 million prevalent cases) are found in SEA – where ¼ of the world’s poorest live • 5% of the total malaria cases in 2017 are found in SEA. Greater Mekong Sub region (GMS) is ground zero for the emergence of drug-resistant malaria Why is the Global Fund important in the Asia-Pacific? 19% of Global Fund investments are in Asia-Pacific Out of US$800 million from Catalytic Funding, 19.4% is invested in South Asia, East Asia and the Pacific. There are 3 ongoing multi-country grants covering more than 10 countries in the region

9. Importance of GF funding for Communities & CS in Asia-Pacific • 13 countries* in the region which are either upper-middle income countries or lower-middle countries with low or moderate diseases burdens, supported by the Global Fund, are expected to begin or build upon existing sustainability and transition planning during the 2017 – 2019 period for one, tow or all three diseases. • Many bilateral donors are moving away from funding the three diseases in this region, as well as communities & CS organisations • PEPFAR which contributes close to 80% of HIV response in Vietnam is planning to phase out in the next 4 years • DFAT (Department of Foreign Affairs and Trade) of Australia significantly reduced its HIV funding to AP countries such as Indonesia, PNG, and countries in the Mekong region * Countries – Bangladesh (HIV, Malaria), Bhutan (HIV, Malaria), Kiribati (HIV), Lao PDR (HIV). Malaysia (HIV), Pakistan (Malaria), Philippines (Malaria), Samoa (HIV, TB), Sri Lanka (HIV, TB, Malaria), Thailand (HIV, TB, Malaria), Timor-Leste (HIV), Tonga (HIV, TB) and Vanuatu (HIV, TB) 8

10. A fully funded Global Fund is needed to achieve the 2030 targets and ensures: • That key populations and vulnerable communities are not left behind, regardless of the income classification of their country • That health and lives of people are placed ahead of profits ensuring people’s access to medicines and diagnostics, regardless of their ability to pay • That continuous investments are made towards the advance of human rights and gender equality for all • That strengthens and the contributions of communities and civil society in combatting the three diseases are acknowledged and meaningfully integrated in combatting the three diseases #theglobalfundthatwewant

11. Key Messages! • US$14 billion is the floor and the bare minimum! Communities and CS are calling for US$18 billion to scale up the responses • Donor governments to make increased pledges and to do so as early as possible • Country donors of Asia-Pacific – Japan, Australia, South Korea, New Zealand, India, China and Thailand to step up and increase their pledges for the Sixth Replenishment • Implementing governments to increase sustainable and effective domestic financing for health to ensure the right of everyone to the highest attainable health and wellbeing is respected, protected and fulfilled • Governments to ensure people-centred, equitable, and rights-affirming Universal Health Coverage (UHC) for all that is effectively and sustainably financed and meaningfully engages the participation of communities and civil society • Increased and meaningful engagement and participation of communities living with and vulnerable to the three diseases throughout the Sixth Replenishment process, and in country implementation/responses

12. Global Fund Advocates Network Asia-Pacific (GFAN AP) • GFAN AP is a platform of community and civil society advocates for a fully funded Global Fund. • It supports community and civil society mobilisation in the areas of increased domestic financing for HIV, TB and malaria responses; increased donor contributions towards the Global Fund; and ensuring that policy frameworks on health financing take into account community, rights and gender issues. 11

13. Join GFAN as a member and the GFAN AP list serve – email niluka.perera@gfanasiapacific.org • Join us in our social media campaigns by sharing GFAN AP posts available on our Facebook, Twitter and Website • Join with other communities & civil society advocates in your country and the region to advocate for increased and early pledges to Global Fund by your governments – information is available on our website under partners • Share your stories of Global Fund impact with us through personal stories and articles How to Engage? 12

14. For More Information • Rachel Ong – Regional Coordinator rachel.ong@gfanasiapacific.org • Niluka Perera – Communications and Coordination officer niluka.perera@gfanasiapacific.org • Website: www.gfanasiapacific.org • Twitter: GFANAP • Facebook Page: Gfanasiapacific