The Global Fund works closely with countries to help them achieve long-term sustainability of health programs, so they can maintain progress and continue to expand services after Global Fund support ends. Ultimately, ending the epidemics will only be achieved with sustainable health systems that are fully funded by countries through their own resources.
The Global Fund partnership takes a holistic approach to sustainability, both at the programmatic and financial level. Working with partners, we engage with all countries, regardless of their income level and disease burden, to support well-planned and successful transitions. Experience shows that planning a transition from Global Fund support takes time and resources.
Key pillars of our work on sustainability, transition and co-financing:
- Support countries to develop robust national health strategies, health financing strategies and national disease strategic plans
- Encourage additional domestic investments; require minimum 15 percent co-financing for each grant
- Accelerate efforts to prepare for transition, particularly for upper-middle-income and lower-burden, middle-income countries
- Strengthen focus on key populations and structural barriers to health
- Work with partners to advocate for programmatic and financial changes
- Strengthen alignment between Global Fund grants and country systems
- Support countries to identify efficiencies and optimize disease responses