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Global Fund Resource Mobilization: Back on Track - Tuberculosis

On February 8, 2012, in Amsterdam, critical discussions took place regarding tuberculosis (TB) and the role of the Global Fund. It was noted that 83% of TB donor funding comes from the Global Fund, yet investments in TB have decreased to 13-14% of their portfolio. Key challenges include the need for effective advocacy to inspire donor support, address the impacts of funding cancellations, and innovate approaches that leverage new technologies. Strategic investment in TB remains essential for saving lives and achieving global health goals by 2015.

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Global Fund Resource Mobilization: Back on Track - Tuberculosis

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  1. Global Fund Resource Mobilization: Back on Track - Tuberculosis February 8th 2012, Amsterdam

  2. TB and Global Fund: Snapshot • 83% of donor funding for TB is via GF • Countries pay the majority – but this varies • GF TB investments have yielded over half of lives saved so far • TB share of GF investments fallen to 13-14% • Taking TB to the next level depends on a fully resourced GF; GF achievement of strategic objectives depends on smart investment in TB

  3. TB and the GF • ‘I don’t know what to tell donors about TB – because I don’t know what to tell them that would make sense.’

  4. Challenge: Inspiring people to care about TB

  5. TB: Lost in Translation? • TB punches above its weight in terms of programmatic results / dollar spent • TB punches below its weight in terms of translating this at global level to inspire sufficient action and financing • This ‘lost in translation’ piece impacts the contribution TB can make to GF resource mobilization efforts

  6. New Developments and Technologies • Xpert, LED FM – economies of scale • SLD – new regimens possible by 2013 • New approaches: TB REACH – innovation incubator –- proof of concept • Transforming the conversation • SAML by 2015 (TB-HIV) • ‘In my lifetime’ – ZERO TB Deaths among Children

  7. Impact of R11 Cancellation • 70 countries were going to apply for R11 • Expansion plans halted for up to 56 countries • MDR / civil society impact • 30 TB grants will run out before 2014 • 20 countries risk disruption of essential services and are applying to TFM • Loss unknown for TB/HIV funding in HIV proposals

  8. R11 Impact: Examples • Tanzania: TB grant ends November 2012. GF = 30% of total in 2011. 45,600 patients at risk 2012-2014. • Mozambique: TB Grant ends July 2013. GF = 68% of total in 2011. 51,500 patients at risk 2012-2014 • Every infectious person with TB will infect 10-15 per year. Cost implications catastrophic. (e.g. MDR)

  9. Phase 2 Renewals: Approach • A) TB Grants – ‘Know Your Epidemic’ for TB. Sit with FPM discuss country by country. • B) HIV Grants – Ensure adequate TB/HIV components (TB screening, IPT, infection control etc.)

  10. Advocacy Opportunities • Save a Million Lives by 2015 (80% reduction in deaths among PLHA dying from TB) • Zero TB/HIV Deaths (South Africa 12/1/2011) • Country plans - UNAIDS • TB and Mining – SADC HoS Declaration • Zero Child Deaths from TB – WTBD (03/24/12) • TB Investment Framework

  11. Questions • The 3 investment frameworks don’t mesh –Are we missing efficiency gains in between? • How does a GF umbrella campaign incorporate (or not) different goals and campaigns from the 3 diseases

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