A new infographic on the failure of the war on drugs.
A new infographic on the failure of the war on drugs.
08 November 2016
Successful Replenishment and the Risk of Zero Allocations for a resurgent epidemic
At the 5th Global Fund Replenishment Conference in September, US$12.9 billion was raised for the 2017 – 2019 Allocation Period — the largest replenishment amount ever in the Global Fund’s history. At the end of October, the Global Fund published its 2017 Eligibility List identifying which country components are eligible for funding during the during the 2017-2019 funding cycle, noting that eligibility does not guarantee an allocation. According to this list, Romania’s HIV/AIDS program is only eligible for funding for HIV/AIDS under the NGO rule, the criteria for which is detailed in the Global Fund Eligibility Policy.
In advance to the upcoming 36th Meeting of the Global Fund Board on the 16th and 17th of November, we – representatives of Romanian civil society organizations, including people living with HIV and TB and key populations – would like to express our deep concern about the potential disconnect between a successful replenishment and the small or non-existent allocations that will be made available for countries like Romania and upper middle income countries with HIV epidemics that are still not controlled. We believe that there is a high risk that the allocation for the HIV component for Romania for the next three years could be zero – the same as it was the previous allocation period. In this circumstance, even if we, as civil society, work hard to show that we meet the criteria of the NGO rule, there will be no funding available for us to apply for.
Some unfortunate history
The last Global Fund HIV grant for Romania came to an end on 30 June 2010. In 2011 the Romanian CCM developed an HIV proposal for submission to the Global Fund for Round 11, which we all know, was cancelled. At the same time, the 23rd meeting of the Global Fund Board adopted new country eligibility criteria that resulted in Romania becoming ineligible to apply for another grant owing to its classification as an ‘Upper Middle Income’ (UMI) country with a ‘moderate’ HIV disease burden.
However, in 2013, Romania’s HIV disease burden was increased to ‘high’, making it again eligible for an HIV grant under the New Funding Model (NFM) through the ‘NGO rule’. A targeted concept note was developed and submitted, but was not supported by the Global Fund. The Fund’s ‘Eligibility and Counterpart Financing Policy’ states that one of the conditions necessary to receive an allocation for HIV under the NGO rule is that the applicants must provide confirmation that the “allocation will be used to fund interventions that are not being provided due to political barriers and are supported by the country’s epidemiology”.
At that time, Romanian NGOs working on HIV, harm reduction and human rights, tried to prove that indeed, there were serious and insurmountable political barriers to the delivery of HIV prevention services for key populations that take the form of:
However, such issues were viewed by the Global Fund Secretariat as a ‘lack of funding or political will rather than political barriers’, per se. Unfortunately the same barriers still remain, and this sad history is resulting in catastrophe for people living with HIV in our country:
The key barrier to a sustainable HIV prevention program and HIV/AIDS sector in Romania is the lack of political will to fund the program by the Government.
We hope that members of the Global Fund Board understand the decision before you at your November meeting to apply your new allocation methodology may result in allocations of zero in communities facing a re-emerging HIV crisis. This stands in contradiction to commitments to keep the Global Fund global by introducing a differentiated investment approach in which funding decisions are guided by considerations of need and impact. As we fight against government inaction on HIV, the Global Fund must also live up to this commitment. Our live and the lives of the people we work with depend upon it.
ACCEPT Association (LGBT, SW), Romanita Iordache – Vice President
ALIAT Association (IDUs), Bogdan Glodeanu – Executive Director
ARAS – Romanian Anti AIDS Association (PLHIV, IDUs, SW, MSM, other), Monica Dan – Project Coordinator
CARUSEL Association (IDUs, Roma, homeless people, SW, PLHIV), Marian Ursan – Executive Director
COPAC – Coalition of Organizations of Patients with Chronic Diseases (18 NGOs), Radu Ganescu – President
CRJ – Centre for Legal Resources (Human Rights), Georgiana Iorgulescu – Executive Director
ECPI – Euro-regional Center for Public Initiative, Florin Buhuceanu – Executive President
FONPC – Federation of Non-governmental Organizations for Children (82 NGOs), Bogdan Simion – President
PARADA Foundation (Homeless and other vulnerable groups), Ionut Jugureanu – Executive Director
Romanian Angel Appeal Foundation (PLHIV), Silvia Asandi – General Director
RHRN – Romanian Harm Reduction Network (IDUs) Dragos Rosca – Executive Director
Save the Children Romania (Homeless people, other vulnerable groups), Liliana Bibac – Project Coordinator
SECS – Romanian Society for Sexual and Contraceptive Education, Iustina Ionescu – President
Sens Pozitiv Association (PLHIV, IDU, SW, MSM), Alina Dumitriu – Executive Director
UNOPA – National Union of Organizations of People Living with HIV (22 NGOs) Iulian Petre – Executive Director
Youth for Youth Foundation (young people), Adina Manea – Executive Director
PSI Romania (MSM/LGBT), Patricia Mihaescu – Operations Manager
 „Concluding observations on the combined third to fifth periodic reports of Romania”, 9 December 2014, pct. 22, Sexual and reproductive rights,available at http://tbinternet.ohchr.org/_layouts/treatybodyexternal/Download.aspx?symbolno=E/C.12/ROU/CO/3-5&Lang=En
 The Impact of Transition from Global Fund support to Governmental Funding on the Sustainability of Harm Reduction Programs. A Case Study from Romania. Eurasian Harm Reduction Network. 2016.
 EMCDDA (2016). Statistical Bulletin. Table on HIV Prevalence accessed at: www.emcdda.europa.eu/data/stats2016#displayTable:INF-108
 EU-funded project Sialon II. Report on a Bio-Behavioural Survey among MSM in 13 European Cities. Accessed at:http://www.sialon.eu/data2/file/133_Sialon%20II_Report%20on%20a%20Bio-behavioural%20Survey%20among%20MSM%20in%2013%20European%20cities.pdf
 Romania: Country Progress Report on AIDS Reporting period January 2015 – December 2015. Bucharest, April 2016. Available at:http://www.unaids.org/sites/default/files/country/documents/ROU_narrative_report_2016.pdf
On the 29th of August 2014, the Romanian Harm Reduction Network sent a request for information under the Public Information Act 544/2001 to the National Administration of Penitentiaries. We requested the following data: Continue reading HIV Explosion In Prisons: Drug Users Are The Most Affected Population