The 52d meeting of the Global Fund Board is taking place on 19 – 22 November 2024 in Lilongwe (Malawi). In advance to this Board meeting few regional key population networks from EECA initiated a joint civil society statement to address the Board members on the key issues expected to be discussed at the meeting such as revision of the allocation methodology and of the global disease split. The key messages include the next:

• Before deciding on any revisions to the allocation methodology or adjustments to the country economic capacity curve in favour of LICs, an independent evaluation of the potential consequences of such “accelerated“ transition in UMICs and ULMICs should be conducted and its results should be used to inform such a decision.
• Changing the global disease split should not come at the expense of the sustainability of HIV responses, particularly for KAPs, in implementing countries. Analysis of potential consequences of such alterations to the disease split needs to be undertaken, its results have to become publicly available and discussed, and certain risk management measures need to be developed and taken before the decision on the revision of the disease split is to be made.
• No matter how the Allocation Methodology itself is revised, the Catalytic Investments must be protected and possibly increased, particularly for the Multi-country Funds and Strategic Initiatives.

112 organizations from 25 countries from different regions of the world co-signed the Statement and it was sent to the Board members in advance to the meeting.