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The amount of funding available for allocation to countries is based on how much money is raised through the Global Fund’s replenishment process. Using the total amount of funding pledged by donors, the Global Fund determines the amount of resources expected to be available over a three-year period. Then, based on the Board decision that a specified percentage of all program funding should initially be designated to HIV, TB and malaria, the Global Fund will announce how much total funding is available for each eligible country and disease.
The formula for determining the exacting level of funding for each country’s disease program is based on their economic capacity and disease burden. However, it takes into account extra factors such as financing from other organizations working in the same areas. In addition, the Global Fund may amend allocations during a “qualitative adjustment” process. This process looks at specific country situations, such as the needs of populations disproportionately affected by the diseases.
Countries can make adjustments to how their overall allocation is divided among the diseases if needed, with the approval of the Global Fund. For example, a portion of the allocation for one disease can be used for another disease. Countries may also decide to use some of the funding to invest in strengthening health systems rather than a specific disease (with the approval of the Global Fund).