1. Incorporating transition considerations into the new Global Fund funding cycle
Mauro Guarinieri
Senior Technical Adviser, Community Responses and Drug Use, Community Rights and Gender Department
4-6 April 2017
Vilnius, Lithuania
Regional Harm Reduction Conference HARM REDUCTION IN THE NEW ENVIRONMENT

2. Global Fund Investment guidance in EECA (2014-2017)
Promote universal access to anti-retroviral therapy, with special focus on KPs
Enhance access to comprehensive harm reduction services for PWID, including those in prisons.
Promote universal access to timely and quality diagnosis and treatment of all forms of TB. Special focus on migrants, (ex)prisoners.

3. Sustainability and Transition in a Global Fund Context
The ability of a health program or country to both maintain and scale up service coverage to a level, in line with epidemiological context, that will provide for continuing control of a public health problem and support efforts for elimination of the three diseases, even after the removal of external funding by the Global Fund and other major external donors.
Relevant to all countries designs
Transition
The process by which a country moves towards fully funding and implementing its health programs independent of Global Fund support while continuing to sustain the gains and scaling up as appropriate
Transition preparedness should be a priority for all LMI countries with ‘low’ and ‘moderate’ disease burden and all UMI countries

4. How does the STC Policy relate to the 2017-2022 Strategy?
The Global Fund Strategy places a strong emphasis on the need to support sustainable responses for epidemic control and successful transitions away from direct grant support. It also stresses the need to support countries to use existing resources more efficiently and to increase domestic resource mobilization.
MAXIMIZE IMPACT AGAINST HIV, TB AND MALARIA
BUILD RESILIENT & SUSTAINABLE SYSTEMS FOR HEALTH
PROMOTE & PROTECT HUMAN RIGHTS AND GENDER EQUALITY
MOBILIZE INCREASED RESOURCES

5. What is it designed to do?
RISK
Financial
Programmatic
Alignment
Governance
The policy takes a proactive approach to addressing the sustainability challenges and transition risks faced by a broad range of countries and grant components

6. Why is it important? Challenges and lessons learned
Service Continuation
Governance
Programmatic Risks
Data Risks
Financial Dependency
MONTENEGRO

7. But resources for key affected population is funded by GF and others external donors
81% of HIV funding for key population interventions (IDU, MSM, FSW and vulnerable populations) is funded by external resources.
Similar trends are observed for TB detection care and support among vulnerable groups and TB/HIV programming.
Source: From George’s presentation

8. Global Fund Allocations for 2017 -2019 Allocation Period
$296.5 M
Transition : Albania and Turkmenistan
Transition : Armenia
Transition : Kazakhstan
Newly eligible :
HIV: Serbia, Montenegro and Kazakshtan

9. Some key messages
Global Fund STC policy calls on all countries to plan for and embed sustainability considerations within national strategies, program design, grant design, and implementation
Data trends in the region indicate need for continued investment in prevention and harm reduction services. Cost of treatment outweighs cost of prevention.
Due to their linkage to communities and ability to connect KP to health services, civil society needs to be seen as an integral part of health services.
Transition is a process that extends beyond grant closure, therefore opportunities for available support should be fully harnessed.
Governments, donors, technical agencies, multilateral agencies and civil society organizations all have a role to play to ensure smooth transition processes as a matter of “shared responsibility”.
Current mechanisms are not enough, the new mechanisms are needed for successful continuation of activities

10. Thank you!