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Global Fund Investments in Harm ReductionWashington, July 2012
Global Fund Investments for People Who Inject
Drugs
23 July 2012
Professor Jeffrey V. Lazarus
Copenhagen HIV Programme, Copenhagen University
Jamie Bridge, Benjamin Hunter, Rifat Atun
Global Fund Investments in Harm ReductionWashington, July 2012
The Global Fund is an international financing institution mandated to:
- Raise and invest substantial new funds
- Operate transparently and accountably- Achieve sustained impact on
HIV, TB and malaria- Invest in country-driven proposals
Raise it
Invest
it
Prove it
BG/290607/1
What is the Global Fund?
Global Fund Investments in Harm ReductionWashington, July 2012
BG/290607/1
What is Harm Reduction?
The UN Comprehensive Package:
1.Needle and syringe programs
2.Opioid substitution therapy
3.HIV testing and counseling
4.Antiretroviral therapy
5.STI services
6.Condoms
7. Information and education
8.Hepatitis services
9.TB services (+much more!...)
Global Fund Investments in Harm ReductionWashington, July 2012
Analysis Aims• Identify how much the Global Fund invests in
programs that target people who inject drugs (“harm reduction”)
• Create baseline for future analyses of trends and progress
• Provide open access information to support advocacy by donors, partners, recipient countries and the Global Fund itself
• Create a robust portfolio analysis methodology that can be used for other strategic priorities, MARPs and/or interventions
Global Fund Investments in Harm ReductionWashington, July 2012
Analysis Methodology
• Harm reduction activities are not readily defined or disaggregated in Global Fund information systems
• We searched all Global Fund HIV grants to find those that contain interventions targeting people who inject drugs
• We analyzed the final “detailed grant budgets” that are held by the Global Fund Secretariat
• We recorded all budget entries for people who inject drugs, categorized by the intervention type
Global Fund Investments in Harm ReductionWashington, July 2012
Results: Rounds 1 (2002) to 9 (2009)
Global Fund Investments in Harm ReductionWashington, July 2012
Results: Rounds 1 (2002) to 9 (2009)
TOTAL BUDGETED: BUDGETED & PROJECTED TOTAL:US$ 361 million US$ 430 million
(Average US$ 48 million each Round)
Global Fund Investments in Harm ReductionWashington, July 2012
Round 10 (2010)• Dedicated “MARPs Reserve” created
• Global Fund releases first Harm Reduction Information Note
• 32 HIV proposals: 12 in MARPs Reserve
• 14 proposals included harm reduction: 7
in MARPs Reserve
• First grants for Malaysia and MENAHRA
Global Fund Investments in Harm ReductionWashington, July 2012
Results: Rounds 1 (2002) to 10 (2010)
TOTAL BUDGETED: BUDGETED & PROJECTED TOTAL:US$ 81 million in Round 10 US$ 152 million in Round 10= US$ 442 million overall = US$ 582 million overall
Global Fund Investments in Harm ReductionWashington, July 2012
Where the Money Goes:Countries
139grants
58 countries(excluding MENAHRA
multicountry grant)
Global Fund Investments in Harm ReductionWashington, July 2012
Where the Money Goes:Principal Recipients
Total = 139 grants
Global Fund Investments in Harm ReductionWashington, July 2012
Where the Money Goes:Interventions
67% of the budgeted investments for people who inject drugs goes on the WHO/UNODC/UNAIDS “comprehensive” harm reduction package100% =
US$ 442 million
Global Fund Investments in Harm ReductionWashington, July 2012
Conclusions• 139 Global Fund HIV grants included activities for people
who inject drugs, with a total projected investment of US$ 582 million
• Global Fund is the leading international donor for harm reduction
• Investments still fall short of the resource needs for harm reduction (estimated at US$ 2.3 billion annually by 2015)
• The Round 10 MARPs Reserve was successful in increasing funding for this population: should be continued
• More analysis needed: Other MARPs; Other Donors; and the submitted ‘Transitional Funding Mechanism’ proposals
Global Fund Investments in Harm ReductionWashington, July 2012
Thank You
Jamie Bridge: [email protected]
Ben Hunter: [email protected]
Rifat Atun: [email protected]
Jeffrey Lazarus: [email protected]
www.theglobalfund.org
