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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. - PowerPoint PPT Presentation
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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
2
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
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
Action For Global Health 09 February 2009
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 $500 million.”
Action For Global Health 09 February 2009
5
Total pledges available through 2010 = US$ 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
Action For Global Health 09 February 2009
6
Increasing investment by Private Sector
(Product) RED generated over US$ 109 million since April 2006
0
20
40
60
80
100
120
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date
$ in
mill
ion
s
Private Sector contributions increased to a total of US$ 182 million in 2008 Annual growth has been 25% in 2008Product (Red), Corporate Champions Program
Action For Global Health 09 February 2009
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
Action For Global Health 09 February 2009
8
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
9
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
Action For Global Health 09 February 2009
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Acceleration of scale upAccelerating Results
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Dec-04 Jun-05 Dec-05 Jun-06 Dec-06 Jun-07 Dec-07 Jun-08
AR
Vs a
nd
DO
TS (m
illio
ns)
-
5
10
15
20
25
30
35
40
45
50
55
60
ITN
s (mill
ion
s)
DOTS
ARVs
ITNs
Action For Global Health 09 February 2009
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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
12
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
Action For Global Health 09 February 2009
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
Action For Global Health 09 February 2009
14
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
15
High quality demand is growing
0
500
1000
1500
2000
2500
3000
R1 R2 R3 R4 R5 R6 R7 R8
Rounds
UIS
$ m
illio
n
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 %
Action For Global Health 09 February 2009
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Resource needs for 2009-2010
National Strategy Applications (funding due to start in 2010)
? 0
“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
Action For Global Health 09 February 2009
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)
Action For Global Health 09 February 2009
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
Action For Global Health 09 February 2009
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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