Government of Canada

Foreign Affairs, Trade and Development Canada

www.international.gc.ca

Global Fund to Fight AIDS, Tuberculosis and Malaria

Table of Contents

© The Global Fund/Guy Stubbs

Overview

The Global Fund to Fight AIDS, Tuberculosis and Malaria was created in 2002 to dramatically increase resources to fight three of the world's most devastating diseases: HIV/AIDS, tuberculosis, and malaria. The Global Fund invests in large-scale prevention, treatment, and care programs and supports national health systems and health workers in the world's poorest regions.

The Global Fund  provides grants to fund services that deliver results for the people who need them the most. An estimated 8.7 million lives have been saved so far through Global Fund support.

Since its creation, the Global Fund has disbursed more than $22 billion for grants in 151 countries. It is now the largest funding mechanism for HIV/AIDS, malaria, and tuberculosis. The Global Fund takes a country-led approach, with national governments and local organizations leading program design and implementation. Canada has supported the Global Fund since its inception and has consistently been a strong voice and active member of the Global Fund Board.

In December 2013, Minister Paradis announced a $650 million commitment for the 2014–2016 period, bringing Canada’s total commitment to the Global Fund to more than $2.1 billion since its inception in 2002. This most recent pledge is helping to safeguard the substantial achievements already made through Global Fund grants and is expanding prevention, care, and treatment programs for those most vulnerable to these three diseases.

Together, HIV, tuberculosis, and malaria cause an estimated 3.7 million deaths per year—the vast majority occurring among people who live in poverty—while there are proven and effective interventions for preventing and treating these diseases.

Canada's support of the Global Fund is an essential part of its efforts to reach three of the eight Millennium Development Goals (MDGs):

Thematic Focus

The Global Fund's mandate aligns closely with two of Canada's priority themes for international development: securing the future of children and youth and stimulating sustainable economic growth.

Children and youth

Children and youth are affected significantly by the three diseases. Malaria is one of the leading killers of children worldwide, with 86 percent of all malaria deaths occurring among children younger than age five, equivalent to approximately 570,000 deaths per year. In the area of HIV/AIDS, it is estimated that 260,000 children worldwide became newly infected with HIV in 2012, including many babies born with the virus who will die before age two if they do not receive treatment. The effect of tuberculosis on children is also pronounced, with an estimated 10 million orphan children in 2010, as a result of tuberculosis deaths among parents.

By focusing on these diseases, the Global Fund is a key multilateral partner for Canada in its efforts to secure a future for children and youth. Reducing the spread of these diseases and providing appropriate care and treatment will significantly improve the lives of children and youth.

Economic growth

HIV/AIDS and tuberculosis influence economic growth. Studies prove that HIVAIDS slows economic activity, widens economic inequality, causes severe financial strain on affected households, and places the physical and emotional well-being of orphaned children at risk. Tuberculosis (TB) most often strikes poor adults in their most productive years, and causes economic losses of about 20 to 30 percent per year. Persons living with HIV/AIDS are increasingly vulnerable to TB infection, with TB being the cause of death for one in four HIV-related deaths. By ensuring access to treatment, prevention, and care, Canada's support to the Global Fund  is reducing the economic impact of these diseases, helping developing countries grow their economies, and providing new opportunities for their citizens.

Canada's Strategy for Working with the Global Fund to Fight AIDS, Tuberculosis and Malaria

Canada's international development work with the Global Fund focuses on three strategic objectives:

  1. Improving alignment with recipient country policies and processes. This includes:
    • Aligning the Global Fund's programs with national monitoring and evaluation systems to reduce the burden on recipient countries
    • Ensuring that the voices of the implementing partners are heard so that on-the-ground knowledge is adequately integrated into decision-making

    Canada will also explore alignment and harmonization issues in its country programs to generate lessons learned and best practices.

  2. Improving the efficiency and effectiveness of the Global Fund's governance, policies, and processes. This includes:
    • Encouraging policies and processes to standardize costs for drugs, commodities, and services
    • Strengthening financial management
    • Closely following audits and investigations

    By using resources more effectively, both the Global Fund and the recipient countries will reduce unnecessary costs and free up resources to fund more programs, ultimately increasing impact.

  3. Simplifying granting mechanisms and procedures to save time and money for both the Global Fund and recipient countries.

Achievements

With the support of Canada and other international donors, the Global Fund has saved an estimated 8.7 million lives since its inception in 2002.

Other results achieved since 2002, through the support of Canada and other donors, include:

HIV

  • 6.1 million people are receiving life-saving anti-retroviral treatment for HIV/AIDS
  • 4.2 billion condoms were distributed
  • 300 million HIV counselling and testing sessions were conducted
  • 6.9 million children orphaned by, or vulnerable to, AIDS were provided with basic care and support services
  • 2.4 million HIV-positive pregnant women received antiretroviral drugs to prevent HIV transmission to infants

Tuberculosis

  • 11.2 million new cases of infectious tuberculosis were detected and treated
  • 64,000 multidrug resistant cases of tuberculosis were treated

Malaria

  • 360 million insecticide-treated mosquito nets were distributed to protect families from transmission
  • 340 million malaria drug treatments were provided