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Global Fund In Georgia

In September 2000 the UN General Assembly Session gathered in New York first time in the history of mankind has included combating AIDS, TB and other life threatening infectious diseases among the millennium challenge goals. In follow up to this decision the Global Fund to Fight AIDS, Tuberculosis and Malaria was created in 2002.

The concept was simple: communities and countries already know what needs to be done. The role of the Global Fund is to provide the financial support needed to make it happen. As a 21st century financial institution, the Global Fund supports effective programs of prevention, treatment and care and ensuring that money goes to supporting the men, women and children affected by AIDS, TB and malaria.

The Global Fund to Fight AIDS, Tuberculosis and Malaria mobilizes and invests nearly US$4 billion a year to support programs run by local experts in more than 140 countries. As a partnership between governments, civil society, the private sector and people affected by the diseases, the Global Fund is accelerating the end of AIDS, TB and malaria as epidemics. As of 2012, the number of deaths related to these three diseases had decreased by 40 percent.

But we are still a long way from eliminating these three diseases as public health threats. With access to treatment, millions of HIV-positive people are living healthy, productive lives. And yet, one out of two persons living with HIV does not know their status.

TB, once a forgotten disease, has come surging back with the spread of HIV and is the leading cause of death for those living with AIDS. More worrying still is the rapid rise of multidrug-resistant strains of the diseases.

And while highly effective treatments for malaria have been introduced in the last decade, we are starting to see pockets of resistance to this new generation of medicines as well as resistance to the insecticides used to protect families from malaria.

The Global Fund relies on voluntary financial contributions from all sectors of society – governments, private sector, social enterprises, philanthropic foundations and individuals. Progress in the fight against AIDS, tuberculosis and malaria has been tremendous in recent years, but more resources are needed to finance additional grants and to continue successful programs around the world.

The Global Fund has a proven ability to deliver – it is efficient, innovative, results-oriented and accountable. At the launch of the Fourth Replenishment in December 2013, donors pledged US$12 billion. Going forward, the Global Fund needs to raise additional funds to effectively support countries in fighting these three infectious diseases in the 2014-2016 period.

The Global Fund’s International Board is the supreme governing body of the Global Fund.

The Board meets at least twice annually.

The Board includes representatives of donor and recipient governments, non-governmental organizations, the private sector (including businesses and foundations) and affected communities.

Key international development partners also participate, including the World Health Organization (WHO), the Joint United Nations Programme on HIV/AIDS (UNAIDS), public-private partnerships (Roll Back Malaria, Stop TB, UNITAID) and the World Bank. The latter also serves as the Global Fund's trustee.

The Global Fund Secretariat manages the grant portfolio, including screening proposals submitted, issuing instructions to disburse money to grant recipients and implementing performance-based funding of grants. More generally, the Secretariat is tasked with executing Board policies; resource mobilization; providing strategic, policy, financial, legal and administrative support; and overseeing monitoring and evaluation. It is based in Geneva and has no staff located outside its headquarters.

The Global Fund’s funding model enables strategic investment for maximum impact. It provides implementers with flexible timing, better alignment with national strategies and predictability on the level of funding available. There is active engagement with implementers and partners throughout the funding application and grant implementation to ensure greater global impact.

The funding model incorporates several features that determine the way applicants apply for and receive funding and then manage their grants. These key features are summarized below: 

Flexible timelineEligible countries can apply at any point during the three year allocation period so that funding aligns with national budgeting cycles and country- specific demands
SimplicityA more streamlined concept note begins the process of applying for a grant.
Shorter process overallEarly feedback aims to reduce the time necessary for approval,
Enhanced engagementThe Global Fund engages in ongoing country dialogue with a focus on multi-stakeholder participation, prior to Board approval of grants.
Improved predictability of fundingAll eligible countries receive a country allocation. The Global Fund Secretariat adjusts these amounts to account for implementers’ circumstances.

Since 2003 the GF has disbursed 94.9 million USD to Georgia for fighting AIDS, TB and Malaria. The distribution of fund according to the programs are the following: HIV – 61%, TB – 36% and malaria 3%.

The support was critical in elimination of malaria in Georgia, providing life-saving Antiretroviral Treatment (ART) to more than 2300 individuals and treating more than 5000 newly diagnosed TB cases.

With GF funding the country was able to develop and implement modern interventions for HIV prevention among the key affected populations, strengthen AIDS and TB treatment institutions and provide quality treatment and care people living with these diseases in Georgia. With GF support malaria was fully eliminated in Georgia. With implementation of effective antiretroviral and anti-TB treatment life of more than 2300 AIDS patients and more than 5000 TB patients was saved.

In 2015 Georgia for GF new funding model is submitted two concept notes: in April HIV CN will be submitted followed by TB concept note in June.

As Georgia’s economy is growing the Global Fund is planning to limit assistance pledged to Georgia, as well as to many other countries of the region from 2016. In this regard, it is critically important that State allocations are considerably increased on HIV and TB to sustain/expand current prevention, treatment and care programs.