Total health ODA commitments, 2001-2006
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Total health ODA commitments, 2001-2006. US$ Billions. New instruments in global health. World Bank Multi-country AIDS Program (2000) Global Alliance for Vaccines and Immunization (2000) International Finance Facility for Immunization Global Fund to Fight AIDS, TB and Malaria (2002)

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Total health ODA commitments, 2001-2006

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Total health oda commitments 2001 2006

Total health ODA commitments, 2001-2006

US$ Billions


New instruments in global health

New instruments in global health

  • World Bank Multi-country AIDS Program (2000)

  • Global Alliance for Vaccines and Immunization (2000)

    • International Finance Facility for Immunization

  • Global Fund to Fight AIDS, TB and Malaria (2002)

  • US President’s initiatives

    • AIDS (2003), Malaria (2005), Neglected Tropical Diseases (2008)

  • Unitaid (2005)

  • (PRODUCT) Red (2005)

  • World Bank Malaria Booster Program (2005)

  • Debt2Health (2007)

  • Advanced Market Commitments (2008)

  • Affordable Medicines Facility for Malaria (2009)

  • National Strategy Applications (2009)


The global fund an innovative instrument in health and development

The Global Fund: an innovative instrument in health and development

A financial instrument, not an implementing entity

Supports programs that reflect country ownership

Evidence-based

Performance-based


A unique partnership

A unique partnership

Multilaterals

Bilaterals

Countries

Patients

Affected

Communities

Civil Society

Private Sector


The global fund and civil society

The Global Fund and civil society

  • Governance (Board and CCMs)

  • Implementers

  • Dual track financing

  • Community systems strengthening

Estimates Rounds 2-6 proposals

About 40 per cent of Global Fund-supported implementers are NGOs/CBOs

OP/290607/5


Global fund portfolio

Global Fund portfolio

$14 billion in approved financing

$7 billion disbursed

600+ grants in 140 countries


Global fund portfolio aids

Global Fund portfolio: AIDS


Global fund portfolio malaria

Global Fund portfolio: malaria

Global Fund

Global Fund

US$ 308 million(64%)

US$ 133 million(67%)

Private/Other

US$ 4.4 million(1%)

Multilateral

US$ 62.7 million(13%)

Bilateral

US$ 106.7 million(22%)

Grants from

other sources

US$ 66 million(33%)

Global Fund portfolio: TB


140 countries with global fund grants

140 countries with Global Fund grants

BG/261107/6


Total health oda commitments 2001 2006

Targeting the poorest countries: Global Fund approved amounts by country per capita income, September 2008

$m


Resources go where they are needed

Resources go where they are needed

  • Regions

    • 60% of approved funds in Rounds 1-8 are for sub-Saharan Africa

    • 65% of funding for orphan support is for southern Africa

  • Diseases

  • AIDS: 35% of Global Fund financing for ART is for southern Africa

  • Malaria: $1.5 billion approved for 19 African countries that account for 90% of malaria burden in Africa

  • TB: More than $1 billion approved for 22 high burden countries that account for 80% of global TB incidence


Total health oda commitments 2001 2006

Reaching the vulnerable

e.g. Global Fund support to harm reduction programmes


Total health oda commitments 2001 2006

Number of people receiving ARV therapy in low- and middle-income countries, 2002—2007


Global fund results june 2008

Global Fund results: June 2008

GP/110608/9


Total health oda commitments 2001 2006

AIDS impact: Malawi

Initial decline in workplace mortality at Escom (national electricity company) after roll-out of antiretroviral treatment

Source: Global Fund


Decline in adult mortality with introduction of art botswana

Decline in adult mortality with introduction of ART: Botswana


Increase in tb financing and new sputum positive cases detected and treated

Increase in TB financing and new sputum positive cases detected and treated


Total health oda commitments 2001 2006

2007

2002

2006

2001

2003

2005

Declining malaria in health facilities after scale-up

of bed nets and anti-malaria treatment:

Rwanda, 2001-2007

Incidence↓~64%

2004

WHO national database


Addressing health systems challenges

Addressing health systems challenges

Human resources

Procurement systems for drugs and health commodities

Infrastructure

Laboratory equipment

Monitoring and evaluation systems


Direct funding of health systems through global fund grants

Direct funding of health systems through Global Fund grants


Total health oda commitments 2001 2006

The Global Fund and health systems strengthening

  • Direct funding of health systems through disease interventions (approximately $945 million for Round 8; more than $4 billion overall)

  • Health systems support across more than one disease

    • $186 million approved in Round 7

    • $ 290 million approved in Round 8 (health workforce, information systems, supply chain management, community service delivery)

  • Expanding health system capacity

    • Non-government actors (NGOs, FBOs, communities, private sector, people living with the diseases) are recipients of 50% of Global Fund funding

    • Dual track financing

  • Majority of Round 8 proposals included community systems strengthening


Human resources

Human resources

Increasing the number of health workers

Salaries for health workers & community health workers

Salary top-up

Training (96% of grants have a training component)

Saving lives of health workers to return to work

Reducing AIDS, TB and malaria burden so that health workers can focus on other health needs


Infrastructure support for renovation of existing health centres

Infrastructure: Support for renovation of existing health centres

Mukoma Health Centre, Rwanda (Source: PEPFAR)

*Photo courtesy of FHI


Laboratory strengthening

Laboratory strengthening

  • 67% of TB grants included laboratory strengthening

  • Examples:

  • Chad: Newly equipped laboratories

  • Philippines: Training in sputum microscopy (public and private)

  • Yemen, Sri Lanka: New laboratories established


Sustainability more than resources alone

Sustainability: more than resources alone

Increased and more predictable resources (domestic, external, further innovation)

Build demand for resources

Address health systems challenges

Promote evidence-based interventions effectively targeted to those in need

Promote human rights

Strengthen social protection

Strengthen global and local partnerships

Learn and apply lessons: research and evaluation


Resource needs for aids tb and malaria 2009 to 2015

Resource needs for AIDS, TB and malaria (2009 to 2015)

Sources: UNAIDS, STB, RBM


Resources increasing both availability and demand

Resources: increasing both availability and demand

EstimatedNeed

Estimated Need

Available resources and demand

Demand

$ US billion

Available resources


Total health oda commitments 2001 2006

Global Fund requested and approved 2-year funding (Rounds 2 – 8)

53%

Approval rate

40%

34%

39%

22%

34%

47%


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