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Global Fund-supported programmes contribution to international targets and the Millennium Development Goals: an
Ryuichi Komatsu1, Daniel Low-Beer, Bernhard Schwartländer
1The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland. ryuichi.komatsu@theglobalfund.org
Bulletin of the World Health Organization
|November 27, 2007
Summary
The Global Fund significantly advanced global health targets for HIV/AIDS, tuberculosis, and malaria by mid-2006. However, increased funding is crucial, especially for HIV, to meet 2009 international goals.
Area of Science:
- Global Health
- Infectious Disease Control
- International Development
Background:
- The Global Fund is a major funder for combating AIDS, Tuberculosis, and Malaria.
- International targets and Millennium Development Goals (MDGs) aim to reduce the burden of these diseases.
- Assessing programmatic contributions is vital for evaluating funding effectiveness.
Purpose of the Study:
- To evaluate the programmatic contribution of Global Fund-supported programs towards international health targets.
- To analyze progress made by Global Fund grants in achieving HIV/AIDS, tuberculosis, and malaria goals.
- To project the impact of Global Fund programs on 2009 international targets.
Main Methods:
- Aggregated results from 333 Global Fund grants across 127 countries up to June 2006.
- Compared grant results against international targets for HIV/AIDS, tuberculosis, and malaria.
- Utilized service delivery indicators: antiretrovirals (ARV), Directly Observed Treatment Short-course (DOTS), and Insecticide-Treated Nets (ITNs).
Main Results:
- By June 2006, 544,000 people were on ARV, 1.4 million on DOTS, and 11.3 million received ITNs.
- Global Fund programs met 18% of ARV, 29% of DOTS, and 9% of ITN targets in sub-Saharan Africa.
- Projected 2009 impact: 19% of ARV, 28% of DOTS, and 84% of ITN targets are anticipated.
Conclusions:
- Global Fund programs have made substantial contributions to international health targets.
- A significant gap remains in achieving the 2009 targets, particularly for HIV/AIDS.
- Substantially increased financial support is necessary to meet global health objectives.
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