Transition: we need to act fast

Besides information on countries’ eligibility for funding for 2017-2019 and dates of the nearest applications consideration, Global fund also shared information on which countries should start getting prepared for transition to national funding.

Recognizing a successful transition takes time and preparation, the Global Fund strongly encourages countries to start planning for transition at least 10 years before funding for disease components is projected to end.

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Source: Projected Transitions from Global Fund support by 2025 – projections by component, The Global Fund to Fight AIDS, Tuberculosis and Malaria, October 2016

Early planning can help proactively address common challenges and bottlenecks to transition, including procurement of critical commodities, legislative or regulatory changes to allow contracting with civil society organizations, and addressing the prevention, treatment, care and support needs of key and vulnerable populations.

Thus, Global fund recommends all countries with upper middle income regardless disease burden and countries with lower middle income and low or moderate disease burden to start transition process or active preparation to last funding in the period of 2017-2019.

To support this planning GF prepared list of country components projected to transition fully from Global Fund financing by 2025 due to improvements in income classification and based on current eligibility criteria. This information is provided as additional resource and is not legally binding statement or definition of GF policy.

A country’s eligibility for Global Fund financing is based on a) its income classification as determined by the World Bank5 and b) disease burden indicators for HIV, tuberculosis and malaria, which are periodically revised by the Global Fund and measured according to the latest available official data provided by WHO and UNAIDS. Components become ineligible if:

  1. A country moves to high income status;
  2. A country moves to upper-middle income (UMI) status and disease burden for a component is low or moderate;
  3. Disease burden for a component decreases to low or moderate in a country classified as UMI;
  4. A country is a member of the Group of 20 (G20) countries and moves to UMI status, and the disease burden for a component is less than extreme;
  5. A country becomes a member of the Organisation for Economic Co-operation and Development’s (OECD) Development Assistance Committee (DAC).

All UMI countries regardless of disease burden and all LMI country components with low or moderate disease burden that have existing grants, and where sustainability and transition planning is a priority, that are within the EECA region, are listed here:

Components with existing grants and classified as LMI with low or moderate disease burden or UMI

Microsoft Word - UMI countries.docx

Adapted from: Projected Transitions from Global Fund support by 2025 – projections by component, The Global Fund to Fight AIDS, Tuberculosis and Malaria, October 2016

To further support advanced planning, the Global Fund has produced a list of country components projected to transition fully from Global Fund financing by 2025 due to improvements in income classification and based on current eligibility criteria.

What the transition projections are:

 A resource that can be used, along with additional information, to inform long-term national program planning for successful transition from Global Fund financing.

these projections are not intended as binding determinations or statements of Global Fund policy, and are only provided as an additional resource to assist countries in transition planning.

These projections are indicative, based on the latest available information, and will be updated annually with the most recent data.

In total, 24 countries are projected to transition in at least one component by 2025, with 13 countries projected to transition fully away from Global Fund financing. Out of these, 6 are in EECA region. Please see the table below for details.

Transition Projections

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Adapted from: Projected Transitions from Global Fund support by 2025 – projections by component, The Global Fund to Fight AIDS, Tuberculosis and Malaria, October 2016

Given potential changes in GNI, disease burden, and Global Fund Eligibility Policy, the Global Fund encourages all countries approaching transition to actively plan for sustainability. The Global Fund will support these countries through co-financing and application focus requirements in order to guide investments toward successful transitions.

More detailed information, including information about countries of other regions and the methodology of transition projection can be found in English in this document.