Global Fund, Unitaid, GAVI Alliance: France’s high-level commitment

Over recent decades, France has been highly mobilized in the fight against HIV/AIDS, tuberculosis and malaria. France’s political and financial commitment to multilateral funds has remained at a very high level.

The Global Fund to Fight AIDS, Tuberculosis and Malaria

Since its creation in 2002 on the initiative of France, the European Union and the G7, the Global Fund has saved 27 million lives with over $38 million in investments. Based in Geneva, it brings together financial contributions from 38 States and over 14 private players to support national programmes to fight pandemics in approximately 140 developing countries.

The Global Fund is currently the main international investor in the fight against pandemics in developing countries, representing 20% of the total investment in fighting AIDS, 65% for tuberculosis and 57% for malaria.

Governance bringing together governments, civil society, the private sector and affected communities

The Fund not only has donor countries and recipient countries as voting members of its Board, but also NGOs, the communities affected by pandemics and the private sector.

  • In recipient countries, the funds are requested and their use is supervised by the Country Coordinating Mechanism which brings together national authority representatives, but also technical and financial partners as well as the affected populations and the NGOs.
  • The Global Fund is not represented in the countries of implementation but instead finances local structures to implement the funds. In Geneva, the Secretariat is composed of approximately 600 staff, responsible for day-to-day management, strategy implementation and organizational policies.

France: key financial and political support for the Global Fund

France provides key political and financial support for the Global Fund, of which it is a founding country and the second-largest contributor in the Fund’s history, with over €5.3 billion in donations since 2002.

France will show its commitment to the Fund once again by hosting the 6th replenishment conference in Lyon on 10 October 2019. The aim will be to mobilize leaders from around the world to collect additional resources for the Fund for 2020-2022. Its success will be crucial for meeting the Sustainable Development Goals to put an end to AIDS and other large pandemics by 2030.

Due to the size of its financial support, France has its own seat on the Board of the Global Fund and sits on two of the three permanent committees responsible for preparing and monitoring the board’s work (the Strategy Committee and the Audit and Finance Committee). Within these forums, France defends the founding values of the Global Fund including the role of affected populations and civil society in drawing up and implementing the programmes, the situation of fragile countries and key populations, and a human rights-based approach.

Fight against large-scale epidemics: many challenges remain

The international community’s commitment, especially through the creation of the Global Fund, has helped bring about immense progress against major epidemics. However, this progress remains fragile. Many challenges still need to be tackled in order to eliminate these pandemics by 2030.

Insufficient financial resources, weak health systems, gender inequality, stigmatization and human rights violations are some of the main causes of difficulties accessing prevention, screening and treatment tools. The Global Fund is therefore investing in these areas. The impact of the Global Fund is also considerably enhanced through Unitaid’s work to support development and access to new health products to fight pandemics and their co-infections (hepatitis C, cervical cancer).

Unitaid: innovating for global health

International promotion of innovation is key to reaching the Sustainable Development Goals by 2030.

Unitaid is investing in finding and democratizing means of preventing, diagnosing and treating HIV/AIDS, tuberculosis and malaria faster and more effectively at lower cost to countries in the global South. The organization is active in all the steps leading up to the larger-scale roll-out of these innovations.

Since the beginning of the AIDS epidemic, France has been at the forefront of international cooperation, particularly in the fields of research and access to treatment, in both the global South and North. France is the organization’s leading donor with over €1.7 billion in contributions since its creation.

Unitaid has close ties with innovative financing. France’s contributions are financed by the solidarity levy on airline tickets (specifically created for this occasion) as well as the financial transaction tax. These innovative financing mechanisms have paved the way in France for stable and predictable fundraising dedicated to global health and the fight against climate change, which are now under the umbrella of the French Social Development Fund.

GAVI Alliance: 64,500 million children vaccinated and 97 million lives saved

The Global Alliance for Vaccines and Immunisation (GAVI), finances the introduction of vaccines to protect children in the world’s 73 poorest countries. This public-private partnership is aimed at saving the lives of children and protecting people’s health by increasing access to vaccines in poor countries.

France joined the Alliance in 2004. It’s financial contribution for the 2016-2020 period totals €465 million which includes one direct contribution (€100 million) as well as the use of an innovative financing mechanism.

France was one of the founding members of the Alliance and is the second-largest contributor in terms of volume to the International Finance Facility for Immunisation (IFFIm). The IFFIm receives donation pledges from donors over a long period which it converts, through bond issuance on securities markets, into funding which is immediately available for the GAVI Alliance. France contributed €1.39 billion to the IFFIm in the 2007-2026 period.

France was also implemented an innovative financing mechanism for the 2016-2020 period by establishing a partnership between the GAVI Alliance, the Agence Française de Développement and the Bill and Melinda Gates Foundation for a total of €100 million for countries in the Sahel region.

Updated: 30 November 2018