The 2023-2028 Global Fund Strategy recognizes that ending HIV and TB as epidemics and eliminating malaria will require comprehensive approaches to strengthening: the financing of health systems (including raising additional resources as well as ensuring the efficient, effective and equitable use of existing resources); sustainable national responses to the three diseases; and resilient systems for health. Countries are strongly encouraged to focus on sustainability in their national planning and program design, with support from the Global Fund and partners as necessary. A sustainable approach to program planning and implementation should consider how to maximize impact while balancing short- and long-term results – not only taking into account the financing available today, but also which elements will require domestic financing in the future.
Sustainable and effective responses to the three diseases require the engagement and commitment of multiple stakeholders across all levels of program development and implementation. As part of the Global Fund’s commitment to country ownership and participatory decision-making, to strengthen sustainability should be conducted through inclusive, country-led processes that involve governments, multilateral and bilateral agencies, civil society organizations, the private sector, representatives of key and vulnerable populations, and people living with the diseases.
More information on our approach to sustainability: