Track E report by Anna Miller
THSY05 – The Global Fund: The Next Five Years
The Global Fund (GF) has undergone reform in the last year which has impacted upon people on the ground. This session brought together a panel with wide range of perspectives to help us understand where GF is and where it is going.
Mr G Jaramillo, the recently appointed General Manager of the Fund, was prevented from speaking by a vocal group of protestors. A civil society speaker rejected new funding model proposals and insisted on a demand-driven Global Fund. Mr Jaramillo congratulated them for mobilising the world to be just. The fund has allocated 12.4B USD for 147 countries. Changes have been introduced in three areas: organising to deliver; investing strategically and managing grants better. The aim is for a Fund that is a force in obtaining universal coverage including through building of health systems that can support delivery for a lifetime.
Ambassador Eric Goosby noted the recent historic period for the GF, with a new 5-year strategy that must now be implemented in conjunction with reforms on the ground to save more lives and make the fund more nimble and strategic. Joint planning and implementation between USG and GF must be improved at all levels in working towards one united response. An office of Global Health Diplomacy will be established to champion health in the diplomatic arena.
Hakima Himmich from Morocco highlighted the critical role of civil society in achieving maximum impact of the Fund. The cancellation of Round 11 is already being felt in communities. The demand-driven principle of GF must remain intact. Key leaders were asked to stand with civil society and requested to publically sign a demand-driven pledge.
Mireille Guigaz, the Ambassador of France for the GF, reviewed key risks and opportunities for the Fund going forwards. There is a need to appoint the right Executive Director, preferably a woman from the South and a visionary person. The Fund is our common good which belongs to all of us. The work is in front of us and reform fatigue needs to be avoided so patients can be taken care of.
Dr K N Siregar of the Indonesian National AIDS commission and the South African Deputy Minister of Women, Children and People with Disabilities Ms H B Zulu, gave country perspectives on the GF. The South African "dream" for the Fund was described, including overall simplification, predictability of disbursements and involvement of parliamentarians. Gratitude was expressed for what the Fund has achieved with hope that the next five years will see further improvements.
In conclusion, there is strong will not to undermine or undercut a truly inclusive Global Fund. There is need for a coherent approach from donors and genuine inclusion of civil society to achieve this.