Will a new funding strategy leave behind HIV’s most vulnerable?

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Will a new funding strategy leave behind HIV’s most vulnerable?

15 December 2014

The Global Fund to Fight AIDS, TB, and Malaria is allocating $12 billion from donors to address the three diseases. The tricky part? How to spend it wisely. The dynamics of HIV are changing, and our approach to financing the response must change with it. It’s important that we reflect and make adjustments in real time if our funding strategies aren’t keeping up.

In March, the Global Fund did something that, on the surface, sounds logical: it approved a new funding model that prioritizes the poorest countries with the highest levels of disease. Countries with little money but lots of people living with HIV would get the biggest share of the funding, while countries with higher income and fewer people living with HIV would get less.

Makes sense, right? Actually, there are two problems here.

The first is that the best way to turn the tide of HIV may not necessarily be as simple as targeting the largest number of people. And the second is that the poorest people on the planet do not necessarily live in the world’s poorest countries.

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