The Global Fund to Fight AIDS, Tuberculosis, and Malaria

The Global Fund to Fight AIDS, Tuberculosis and Malaria is the world’s leading financer of programs to prevent and treat HIV and AIDS, tuberculosis and malaria. Since its inception in 2002, the Global Fund has committed more than $22.9 billion to lifesaving programs in 151 countries. As a unique, public-private partnership, the Global Fund’s operating model is based on the concepts of country ownership - in which each country is responsible for determining its own needs and priorities - and performance-based funding, in which funding decisions are based on a transparent assessment of results against time-bound targets. As a financing organization, the Global Fund does not implement programs directly, but instead relies on a broad network of partnerships with development organizations on the ground.

The Global Fund played a catalytic role in the conceptualization of the partnership, prompting TCCC and the Gates Foundation to think innovatively about how to support the Global Fund’s mission to treat and prevent AIDS, tuberculosis, and malaria. The Global Fund also helped to find the “right fit” between partners, connecting the dots between what the new partnership was attempting to accomplish in supply chain management and a health system facing severe supply chain issues in Tanzania.

The Global Fund represents a major source of funding to the health sector in Tanzania, providing added incentive for the Ministry of Health and Social Welfare and the Medical Stores Department (MSD) to focus on improving the country’s drug distribution system. The Global Fund has approved investments in the procurement area for a total close to $500 million, half of this spent on medicines and pharmaceutical products and 55 million to strengthen procurement and supply management services in the country including expanding ware-housing capacity. The Global Fund and Tanzania have signed an agreement for an additional $308 million to scale up ARV treatment services, 89% of which will be dedicated to procurement of drugs. 

Photo caption: A group of mothers and children in Tanzania receive bed nets funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Photo credit: Dan Albrecht

 Background Resources

Improving medicine supply chain:  Watch the video to see how the partnership developed.

The Global Fund: Browse the website of the Global Fund.

Ten Years of Impact: Watch the video below to see how the Global Fund has contributed to dramatic gains in health and development over the past decade.

 Partners' Perspectives

"The one thing that’s very specific about the Global Fund model is that we’re very keen on country ownership... The general principle is that the country knows best how to handle their affairs. It was very important not to just start this partnership without ensuring that the stakeholders on ground were 100% behind it." - Senior Private Sector Officer, Africa Unit, The Global Fund

"Part of the role the Global Fund itself played was kind of opening the doors. They have kind of the formal relationships. Gates did to an extent but really it was the Global Fund that introduced us to TACAIDS, to MSD, to the Tanzania Food and Drug Agency, etc." - Senior Manager, International Government Relations, TCCC