Transitions and Graduations

In recent years, the Global Fund has adopted a more stringent approach to grants, focusing heavily on high-burden, low-income countries. As a result, many middle-income countries (MICs) are no longer eligible for the same levels of support – or for no support at all. As the Global Fund develops and rolls out its strategy for the period 2017-2022, there is a growing consensus that transition and sustainability must form a key component of the Fund’s future approach. Evidence from countries that have transitioned or are currently transitioning presents a mixed bag of successes, failures and uncertainties. ICASO is collecting evidence to support country-level advocates to ensure the Global Fund undertakes responsible transitions.

To date, ICASO has:

  • supported the Eurasian Harm Reduction Network and Caribbean Vulnerable Communities Coalition to document the potential as well as real impacts of Global Fund withdrawal whether full or partial in Eastern Europe and Central Asia and the Caribbean (Jamaica). This work has yielded a number of case studies which are available below.
  • produced a discussion paper Handing Over Health: Experiences with Global Fund Transitions and Sustainability Planning in Serbia, Thailand and South Africa which presents a brief review of some of the current transition literature, paired with interview data from three country case studies. It examines Global Fund transitions in three different regions and at varying stages of progress. Serbia is presented as a country in the post-transition phase,  Thailand is shared as a mid-transition country and South Africa, a country in the pre-transition phase.
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Resources

Impact of Global Fund Transition on Sustainability of Harm Reduction Programs

ICASO supported the Eurasian Harm Reduction Network (EHRN) to document the impact of Global Fund partial or complete withdrawal on the sustainability of harm…

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Handing over Health:Experiences with Global Fund Transitions

This discussion paper presents a brief review of some of the current transition literature, paired with interview data from three country case studies. It…

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Q&A on the Global Fund’s New Eligibility Policy and Sustainability, Transition and Co-Financing Policy

A new resource answering 10 questions concerning the Global Fund’s new Eligibility Policy, adopted in April 2016.    

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Band 4 – Punishing Success?

This briefing paper is intended to help advocates better understand the country allocation methodology in general and the specificities of Band 4 in particular….

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