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Health systems and community health systems are essential to achieving universal health coverage. They help ensure that everyone has safe, equitable access to prevention and treatment services. Within this framework, the Global Fund supports and includes communities at every stage of the HIV, tuberculosis, and malaria responses.

Following efforts to initiate and expand antiretroviral therapy in Latin America and the Caribbean, the Global Fund to Fight AIDS, Tuberculosis and Malaria has, over the past decade, focused on financing the delivery of HIV, tuberculosis, and malaria prevention services. These efforts include diagnostic strategies, referrals to health services, and, specifically for HIV, access to pre-exposure prophylaxis (PrEP). The GF has also invested in strengthening national health systems through Community-Led Monitoring (CLM).

The global Fund to Fight AIDS, Tuberculosis and Malaria is being impacted by the rapid changes in the global health program landscape. However, it continues to provide support for countries and communities to respond to these changes. The Global Fund has employed a two-pronged approach: temporarily pausing select components of grant implementation until funds are received and reducing a portion of national grants while reassessing and reprioritizing key interventions. The original Jamaica Global Fund Grant Cycle 7 (GC7), 2025-2027, grant was reduced from USD$15,423,239 to USD $13,232,666. This indicates a14.2% reduction in the total allocation. A key principle in the reprioritization process is the promotion of inclusive and transparent decision making. In this regard the Country Coordinating Mechanisms (CCM) are tasked with organizing meeting with CCM members to discuss the reprioritization of interventions and as needed the revision of budget amounts.

The funding landscape for global health programs is undergoing significant and rapid changes. The Global Fund to
Fight AIDS, Tuberculosis and Malaria (the Global Fund) is subject to these forces while simultaneously acting to support
countries and communities in responding. To date, the Global Fund’s priority has been to ensure the continuity of approved programming, given these significant disruptions.

Author: Anuar I. Luna Cadena Published by: LAC Learning Hub Year: 2025 Type of Document: Guide Description: The funding landscape for global health programs is undergoing significant and rapid changes. The Global Fund to Fight AIDS, Tuberculosis and Malaria (the...