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For Global Health Programs Aiding Developing Countries, Analyzing 
A New Funding Model

Bethesda, MD--Development assistance for health in low-and-middle-income countries nearly tripled from 2001 to 2010, with much of that growth directed toward the response to HIV. Donor agencies struggle to determine how much assistance a country should receive. A new study, being released today by Health Affairs as a Web First, presents three allocation methodologies to align funding with priorities. The study authors then select a model--one with enough flexibility to solve mismatches between disease burdens and allocations--to evaluate the progress that could be made by one organization--the Global Fund to Fight AIDS, Tuberculosis, and Malaria--in fighting HIV. The authors found that under the new funding model, substantial shifts in the Global Fund's portfolio are likely to result from concentrating resources in countries with more HIV cases and lower per capita income.

How A New Funding Model Will Shift Allocations From The Global Fund To Fight AIDS, Tuberculosis, And Malaria


By Victoria Y. Fan, Amanda Glassman, and Rachel L. Silverman


Fan is an assistant professor in the Department of Public Health Sciences and Epidemiology at the University of Hawaii at Manoa, in Honolulu; she is also affiliated with the Center for Global Development in Washington, DC, where Glassman serves as director of global health policy and Silverman as a policy analyst.


This study, which was supported in part by the Bill & Melinda Gates Foundation and the UK Department for International Development, will also appear in the December issue of Health Affairs.

  • In the study, the authors reviewed the Global Fund's historical policies for funding allocation decisions between 2002 and 2012, noting that the organization had not been systematic in applying allocation principles across its portfolio of countries. However, in 2012 the Global Fund changed its approach to a model that accounts for two factors: countries' disease burden and "ability to pay" for disease control programs. "The new funding model is expected, but not guaranteed, to improve the efficiency of Global Fund allocations in comparison to historical practice," conclude the authors. "We recommend that the Global Fund and other global health donors further develop their allocation methodologies and processes to improve efficiency and transparency."
About Health Affairs

Health Affairs is the leading journal at the intersection of health, health care, and policy. Published by Project HOPE, the peer-reviewed journal appears each month in print, with additional Web First papers published periodically at The full text of each Health Affairs Web First paper is available free of charge to all website visitors for a one-week period following posting, after which it switches to pay-per-view for nonsubscribers. Web First papers are supported in part by a grant from The Commonwealth Fund. You can also find the journal on Facebook and Twitter. Read daily perspectives on Health Affairs Blog. Download our podcasts, including monthly Narrative Matters essays, on iTunes. Tap into Health Affairs content with the new iPad app.