Since 2017, the Global Fund’s Breaking Down Barriers initiative has provided financial and technical support to 20 countries – Benin, Botswana, Cameroon, Côte d’Ivoire, Democratic Republic of the Congo, Ghana, Honduras, Indonesia, Jamaica, Kenya, Kyrgyzstan, Mozambique, Nepal, the Philippines, Senegal, Sierra Leone, South Africa, Tunisia, Uganda and Ukraine – to tackle human rights-related and gender-related barriers to HIV, TB and malaria services. For the 2023-2025 grant cycle, the Global Fund expanded this initiative to four more countries: Bangladesh, Burkina Faso, Nigeria and Thailand. The goal is to increase the effectiveness of Global Fund grants and ensure that health services reach those most affected by the three diseases.
Programs to address stigma, discrimination and other human rights barriers have expanded in all 20 countries through a range of different activities – from social media campaigns, radio programs and community dialogues to implementing the HIV Stigma Index and antidiscrimination laws. The Breaking Down Barriers initiative puts in the hands of people affected by HIV, TB and malaria the knowledge and the skills to understand, demand and secure their health-related human rights. The initiative works to enable health care providers, police, prison officials, judges and parliamentarians to provide supportive and effective services to those who are most vulnerable to disease. It represents an unprecedented investment in health-related human rights.