Ready, Willing, and Able?

The Global Fund to Fight AIDS, Tuberculosis and Malaria is withdrawing or reducing its support in upper-middle-income countries with the expectation that these countries can afford to take over their own response. There are concerning signs, however, that many countries are not prepared to adequately finance HIV prevention programming, particularly for key affected populations. Responsible transitions from international to domestic ownership of the HIV response requires political, technical, and financial components to be in place before donors exit.

This brief summarizes key concerns about the impact of the Global Fund’s withdrawal, provides examples from countries that have already experienced funding reductions or withdrawal, and provides considerations for assessing countries’ readiness, willingness, and ability to support HIV prevention for key affected populations.