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The G8 and Global Health A key instrument: the Global Fund to Fight AIDS, Tuberculosis and Malaria

The G8 and Global Health A key instrument: the Global Fund to Fight AIDS, Tuberculosis and Malaria. Silvia Ferazzi, Manager, Donor Governments. Overview. I. The G8 process and the Global Fund II. Results and impact on MDGs III. Demand and financing.

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The G8 and Global Health A key instrument: the Global Fund to Fight AIDS, Tuberculosis and Malaria

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  1. The G8 and Global HealthA key instrument: the Global Fundto Fight AIDS, Tuberculosis and Malaria Silvia Ferazzi, Manager, Donor Governments

  2. Overview I. The G8 process and the Global Fund II. Results and impact on MDGs III. Demand and financing

  3. 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

  4. 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.”

  5. Funding to the Global Fund • 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

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

  7. 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

  8. Overview I. The G8 process and the Global Fund II. Results and impact on MDGs III. Demand and resource needs

  9. End of 2008 Results Challenge of impact: 30-45% of international targets

  10. Acceleration of scale up

  11. 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

  12. Accelerating achievements of MDG6 and MDG4 Tanzania accelerating reduction of child mortality Interventions: ITNs and Malaria treatment accelerated reductions, together with integrated management of childhood illness and interventions Masanja et al, 2008

  13. 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

  14. Overview I. The G8 process and the Global Fund II. Results and impact on MDGs III. Demand and resource needs

  15. High quality demand is growing • 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 %

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

  17. 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)

  18. 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

  19. Thank you!

  20. – Back up Slides –

  21. Additional results released across treatment, prevention and care Challenges of measurement

  22. 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

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