1. The Global Fund Partnership in LAC
Working together to achieve results and impact through sustainable programs
Allocations
Sustainability
Implementation in countries

2. Balancing increases and paced reductions through portfolio
Refined methodology balances scale up and paced reductions
Increases in many countries with higher burden, lower economic capacity on average 15% higher than current and projected spend levels (1-114% across portfolio)
Balanced with sustainable paced reductions to many countries with lower burden, higher economic capacity, on average 86% of current and projected spend (60-99% across 90% of portfolio representing 98% of allocation amount)
Global Fund’s new Sustainability, Transition and Co-financing and Challenging Operating Environment support program sustainability, transition and flexibilities in crises

4. Increased funding to extreme and severe disease burden countries
Distribution of Allocations – Disease Burden
HIV TB
Malaria
$800
$800
$800
Increased funding to extreme and severe disease burden countries

5. LAC GENERAL OVERVIEW (past and future)
Overall we have 22 countries and 46 individual country grants in the new allocation – (consolidation of 4 countries into MCC ( HIV/TB 4 countries), and other into HIV/TB 3 countries ) Allocations vs
DISEASE
3 YEAR ALLOCATION EQUIVALENT
PROJECTED EXPENDITURE
ALLOCATIONS
% prior allocation
% prior projected expenditure
HIV
270,352,859
235,140,927
199,414,981
73.76%
84.81% TB
82,658,970.25
69,647,857.84
55,619,016
67.29%
79.86%
Malaria
71,324,108
61,452,081
47,206,031
66.19%
76.82%
HIV/TB
16,700,000
15,500,000
9,952,565
59.60%
64.21%
TOTAL
441,035,937
381,740,866
312,192,593.00
70.79%
81.78%

6. Distribution by country past present and future
Disease
Currency
Allocations
spend to end of grant
Country total 17-19
% of prior allocation
% prior spend
Belize
Total
USD
3,400,000
3,300,000
1,916,278
56.36%
58.07%
Bolivia (Plurinational State)
32,632,236
27,200,000
18,632,258
57.10%
68.50%
Colombia
14,600,000
11,800,000
10,014,581
68.59%
84.87%
Costa Rica
3,700,000
3,160,005
2,120,098
57.30%
67.09%
Cuba
16,400,000
18,400,000
13,253,226
80.81%
72.03%
Dominican Republic
37,400,000
32,054,698
20,488,796
54.78%
63.92%
Ecuador
12,259,984
9,227,431
5,328,421
43.46%
57.75%
El Salvador
28,300,000
28,900,000
18,724,557
66.16%
64.79%
Guatemala
55,600,000
46,702,701
31,985,369
57.53%
68.49%
Guyana
13,920,015
7,300,000
6,105,356
43.86%
83.64%
Haiti
91,011,032
78,200,000
105,712,929
116.15%
135.18%
Honduras
30,694,820
25,600,000
18,124,919
59.05%
70.80%
Jamaica
14,400,000
13,470,131
9,930,638
68.96%
73.72%
Multicountry Carribbean3
4,000,000
3,550,000
88.75%
Nicaragua
30,570,902
28,400,000
18,995,233
62.14%
66.88%
Panama
5,800,000
5,400,000
2,685,892
46.31%
49.74%
Paraguay
19,700,000
15,624,065
7,348,288
37.30%
47.03%
Peru
20,846,948
17,951,835
13,463,877
64.58%
75.00%
Suriname
5,050,000
3,811,877
65.72%
75.48%
381,740,866
312,192,593
70.79%
81.78%

7. Countries/components transition 3 to 6 and 9 years

8. Countries prioritized as UMI, and LMI with moderate disease burden where work on transition needs to begin

9. Components that remain depending on trends and resources as per eligibility today

10. All UMIs and LMIs with low/moderate disease burden need to prepare for eventual transition
LMI countries with at least one disease component with low /moderate DB
UMI countries
This is not just the AELAC countries, though it is important to note that EECA has the fastest growing HIV and TB epidemics.
Key high prevalence countries are in this bucket, including: South Africa, Botswana, Namibia
Source: Global Fund eligibility list 2016

11. How are grants implementing in the current phase

12. Performing well above 70% ( 6 components)

13. Performance is acceptable (15 components)

15. Components with delays ( 11 components)

16. 7 grants began 2017 and 8 pending submission of data and 1 pending FA signature

17. Impact and capacity to implement
LAC numbers are not the driving force for funding in the region, but : The resources have been catalytic to drive national response, and LAC governments have been increasingly providing and supporting the national response with national resources. #s LAC has demonstrated the capacity to implement the resources given effectively and achieve the target set for them . This has led to significant decreases in TB, Malaria and HIV in the region. LAC is a region where we can be innovative, scale and test innovation within grants to then learn . All LAC countries with the exception of Haiti are in the L- LMI to UMI category and hence will transition in the next 3-12 years based on ( projections), with a few exceptions, mainly HIV grants in some countries . Sustainability and transition becomes the most critical area to work on with countries, utilizing and ensuring effective implementation of the approved Board policy.

18. Thank you