Join Us: Support Continued US Funding for the Global Fund

PSI is joining other organizations, advocates and individuals in a collective effort to tell the Obama administration that it should continue its support for the Global Fund to Fight AIDS, Tuberculosis and Malaria. The current budget stands at $1.65 billion and we are requesting Secretary of State Clinton to consider increasing it to $2 billion for Fiscal Year 2014.

The Global Fund is an important body in the fight against AIDS, TB and malaria. At the very least, continuing support at the same level will help to ensure that the three will become a problem of the past.

You can join us in support by using the same letter or writing your own to your local member of congress, the President or Secretary Clinton.

Read the letter we have signed that outlines the importance of the Global Fund and why we support its work

Dear Madame Secretary,

As the primary U.S. advocates for and, in some cases, the U.S.-based, in-country implementers of grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), we would like to thank you for your support of the Administration’s Fiscal Year 2013 request of $1.65 billion for the organization, particularly given the difficult economic and budget environment. With the help of this and earlier U.S. support, the Global Fund is achieving remarkable results: allowing 3.6 million people living with HIV and AIDS to receive anti-retroviral therapy; 9.3 million people to be treated for tuberculosis; 1.5 million HIV-positive pregnant women to have treatment so that their babies are born HIV-free; and allowing for the distribution of 270 million insecticide-treated nets to prevent malaria. Altogether, the Global Fund is saving and improving 100,000 lives around the world each month.

As you begin to consider funding for FY2014, we respectfully request that you include $2 billion for the lifesaving work of the Global Fund in the FY 2014 budget. We would also welcome signals in the budget for a continued strong commitment to the Fund for the next three years. It is critically important, however, that the FY 2014 budget request not recommend a funding cut from the FY 2013 request of $1.65 billion.

A funding increase would help us to reach your vision of an AIDS-free generation and address the as yet unmet needs for millions of men, women and children around the globe who rely on the Fund for access to ARVs, insecticide-treated nets and tuberculosis treatments. The number of people living with HIV as of 2011, for example, was 34.2 million, of which only 60 percent were receiving ARVs. Similarly, there were 12 million cases of tuberculosis worldwide in 2010, including 650,000 Multi-Drug Resistant cases, and 3.3 billion people at risk of malaria infection. These unmet needs have been exacerbated in many countries by the resource-driven cancellation of the Fund’s last round of grants.

Conversely putting forth anything less than last year’s recommended funding level would send the wrong signal at the wrong time to other donor nations about the U.S.’s commitment to the Global Fund and its ongoing reform efforts. In addition to robust FY 2014 funding, we would also welcome a signal in the budget for a continued strong multi-year U.S. commitment to the Fund. Greater predictability in U.S. funding would improve programmatic performance and send a strong signal of support to the rest of the world, allowing the Global Fund to leverage the most from U.S. dollars.

As you know, the Global Fund is currently undergoing a comprehensive, U.S.-led transformation to become a stronger organization in the fight against these three diseases. The Administration’s budget release will be among the first, if not the first, formal donor “pronouncements” on the Global Fund since the beginning of this reform process. As such, the funding level in it will carry even more weight than usual in setting the tone and heft for other countries’ donations. Providing a strong funding recommendation and support for the Global Fund in the Administration’s FY 2014 budget would provide an important signal about maintaining robust and consistent support for the Global Fund, including during the Replenishment cycle in 2013, and encourage other countries to fulfill their pledges to the institution and make new ones.

Altogether, the Global Fund is the world’s most powerful tool in the fight against HIV/AIDS, tuberculosis and malaria — three diseases that continue to cause a heavy health burden and have significant unmet needs across the globe. A request from you for $2 billion for the Global Fund in FY 2014 will help ensure that the successes of the last decade are not rolled back and the Global Fund can maintain and expand its reach in the treatment, prevention and care of the three diseases.

Again, we in the advocacy community are grateful for your unwavering support for the Global Fund and the strong leadership the Administration collectively displayed in committing to a three year pledge in 2010. It is because of your leadership that we are now on the cusp of fulfilling this pledge, thereby allowing the Global Fund to save millions of lives.
Please don’t stop now. We have reached the point where we can see the end of AIDS and the end of deaths from malaria, along with historic progress in combating tuberculosis.

Thank you for your support and consideration of this request.

Thomas R. Nides, Deputy Secretary for Management and Resources, U.S. Department of State
The Honorable Eric Goosby, U.S. Global AIDS Coordinator, U.S. Department of State
Rob Goldberg, Director of Foreign Assistance, U.S. Department of State
Gayle E. Smith, Special Assistant to the President for Development and Democracy