Support for the Global Fund

The U.S. Government (USG) is the largest single contributor to the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The U.S. Government has contributed approximately $3.5 billion to the Global Fund since 2001, and has pledged approximately $4.5 billion. In addition to providing direct financial support to the Global Fund, the U.S. Government supports Global Fund grant implementation and oversight through bilateral programming and centrally-funded technical assistance.

USG representatives chair the Global Fund Board's Finance and Audit Committee, and represent the USG on the Board's Policy and Strategy Committee. Recent Board achievements supported by the USG include the approval of Round 8 grants, which represented the most successful and largest round to date; the adoption of a new and strengthened quality assurance policy for pharmaceutical products; a review of the Global Fund architecture, leading to recommendations for streamlined and strengthened application and implementation processes; the adoption of a gender equality strategy; and the presentation of a report and recommendations on the Partnerships component of the Global Fund Five-Year Evaluation.

The USG also provides direct technical assistance to Global Fund grants that are experiencing implementation bottlenecks, using U.S. legislative authority to withhold up to 5 percent of contributions for this purpose. Such funds are used to improve institutional and program management; strengthen governance and transparency; strengthen procurement and supply-chain management; and improve monitoring and evaluation systems. Because of the close link between TB and HIV/AIDS, the USG also provides technical assistance funding to improve treatment for MDR-TB and to enhance the Advocacy, Communication and Social Mobilization (ACSM) components of country TB programs. The USG also provides funds for Global Fund technical assistance through the Roll Back Malaria international partnership and the three UNAIDS Technical Support Facilities in sub-Saharan Africa.

PEPFAR country teams work closely with the Global Fund grant programs in host nations. USG representatives sit on Global Fund Country Coordinating Mechanisms (CCMs) in 94 percent of PEPFAR countries, the vast majority of which support Global Fund proposal development. PEPFAR country programs have allocated over $10 million annually to technical assistance for Global Fund grants. To promote deeper coordination, the USG has entered into Memoranda of Understanding (MOU) in several countries. These documents bring together Ministries of Health, PEPFAR, and the Global Fund to clarify collaboration and partnership activities, particularly in the area of drug procurement for ART.

For more information on PEPFAR support for the Global Fund, please contact us at: SGAC-GFTechSupport@state.gov.