Funding Model

The Global Fund / John Rae


Sustainability considerations should be inherent in planning and implementation for Global Fund-supported programs in all countries, regardless of where they are along the development continuum.

Sustainable and effective responses to the HIV, TB and malaria require the engagement and commitment of multiple stakeholders across all levels of policy and program development and implementation. As part of the Global Fund’s commitment to country ownership and participatory decision-making, planning for the funding request to the Global Fund should be conducted through inclusive, country-led processes that involve governments, multilateral and bilateral agencies, local civil society organizations, the private sector, representatives of key and vulnerable populations, and people living with the diseases.

Communities most impacted by the three diseases (including key and vulnerable populations) bring to these processes critical expertise to develop and implement programs appropriate for and accessible to marginalized groups, activities to reduce human rights and gender related barriers to services, and support to systems for health in monitoring and reporting on issues of access and quality.

There are several activities that the Global Fund recommends all countries undertake to enhance the sustainability of HIV, TB, and malaria programs as well as the overall health sector. These activities can inform the development of the funding request or the reprogramming of funds during grant implementation as relevant. They include:

  • Development of a robust, costed and prioritized national strategic plan
  • Development of a health financing strategy
  • Tracking health and disease program spending
  • Implementing through national systems

For more on our approach, see our Sustainability, Transition and Co-Financing page.