Global Fund HIV Investments Specifically Targeting Most-at-Risk Populations: An Analysis of Round 8 (2008) Phase 1

Published: November 15, 2010

Dear Colleagues

The Global Fund is committed to strengthening its processes and policies to ensure that communities most affected by HIV, tuberculosis and malaria are effectively reached through our investments.  To help us do that we regularly conduct analyses to help us understand the strengths and weaknesses of the Global Fund. Today we are sharing analysis which focuses on funding for HIV activities that specifically seek to address most-at-risk populations and their indirect costs in Global Fund Round 8 (2008) signed Phase 1 budgets. Please see the report attached to this message.

In summary we found that of the US$ 903’105’728 signed HIV budgets in Round 8, Phase 1, a total of US$ 79’154’825 (8.8 percent) specifically targets men who have sex with men (MSM), sex workers and people who inject drugs as follows:

 ·         MSM – US$ 19 million                                            (2.1 percent of the US$ 903 million total)

·         Sex workers – US$ 29 million                               (3.2 percent)

·         People who inject drugs – US$ 31 million              (3.5 percent)

The money allocated to most-at-risk populations was predominantly focused on prevention (57 percent) and supportive environments (25 percent). It is important to stress that this analysis does not provide a comprehensive understanding of activities reaching most-at-risk populations in the first phase of Round 8 – rather it describes budgeted activities that specifically seek to target these groups. Global Fund applicants rarely describe their HIV treatment programmes in relation to  specific target populations (unless they are being undertaken in specific contexts like compulsory detention centres) and so the overall figures from this short study do represent an underestimation – offering a ‘snapshot profile’ of one funding phase of one round.

Since the Round 8 budgets were signed, applicants have been encouraged to be more focused in their HIV applications through: the Board approved Sexual Orientation and Gender Identities Strategy; enhanced work of technical partners; the strengthening of civil society organizations in many regions; stronger data and evidence; and most recently through the Round 10 ‘MARPs Reserve’. So it will be important to consider a repeat of this research for Rounds 9 and 10 in order to assess the impact of these initiatives and developments on the targeting of HIV funding in relation to most-at-risk populations.

We hope you find this study of interest.

Best wishes,

Andy Seale

Senior Advisor, Gender: Sexual and Gender Diversity

Knowledge Management Unit

The Global Fund to Fight AIDS, Tuberculosis and Malaria

Chemin de Blandonnet 8 | 1214 Vernier – Geneva, Switzerland    

Tel: +41 58 791 1155   Cell: +41 79 540 8242

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