At the Intersection of Health, Health Care and Policy Cite this article as: Mahesh Devnani, Anil K. Gupta and Yan Guo Global HIV Funding And Local Contexts Health Affairs, 34, no.2 (2015):359 doi: 10.1377/hlthaff.2014.1488
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Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 2015 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved.
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doi:
10.1377/hlthaff.2014.1488
Global HIV Funding And Local Contexts Victoria Fan and coauthors (Dec 2014) show that the new allocation model for HIV funds of the Global Fund to Fight AIDS, Tuberculosis, and Malaria is expected to significantly lower the allocation shares of some countries while significantly increasing the shares of others. The new methodology, which takes into account a country’s disease burden and ability to pay, also includes discretionary adjustments. Among the countries expected to receive major allocation share cuts, Haiti has not yet recovered from the aftermath of the 2010 earthquake, 1 and Ukraine is currently undergoing major economic turmoil.2 Such situations compromise a country’s ability to pay, submit timely and high-quality requests for funds, and find and make use of other funding. Hence, donors should examine the potential negative impacts, considering countries’ changing economic situations, before deciding to reduce their funding shares. It has long been argued that when the principle of utility (maximizing benefits) and the principle of equity (the fair distribution of resources) are in conflict, policy makers should allo-
cate resources in an ethical and transparent manner, taking local circumstances into account.3 The new model is a welcome step. However, reducing the funding share of countries that are undergoing exceptional economic hardship requires a close assessment of both changing local conditions and disease burden. Failing to do so could be counterproductive to the global efforts to fight HIV. Mahesh Devnani and Anil K. Gupta Post Graduate Institute of Medical Education and Research CHANDIGARH , INDIA Yan Guo Sun Yat-sen University GUANGZHOU , CHINA NOTES 1 Haiti: still waiting for recovery. Economist [serial on the Internet]. 2013 Jan 5 [cited 2014 Dec 19]. Available from: http://www.economist.com/ news/americas/21569026-three-years-afterdevastating-earthquake-republic-ngos-hasbecome-country 2 Caruso-Cabrera M. Ukraine economy in “free fall,” banking group says. CNBC [serial on the Internet]. 2014 Nov 12 [cited 2014 Dec 19]. Available from: http://www.cnbc.com/id/ 102177962 3 Devnani M, Gupta AK, Devnani B. Planning and response to the influenza A (H1N1) pandemic: ethics, equity and justice. Indian J Med Ethics. 2011;8(4):237–40.
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The online version of this article, along with updated information and services, is available at: http://content.healthaffairs.org/content/34/2/359.1.full.html
For Reprints, Links & Permissions: http://healthaffairs.org/1340_reprints.php E-mail Alerts : http://content.healthaffairs.org/subscriptions/etoc.dtl To Subscribe: http://content.healthaffairs.org/subscriptions/online.shtml
Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 2015 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved.
Not for commercial use or unauthorized distribution Downloaded from content.healthaffairs.org by Health Affairs on June 1, 2015 at Karolinska Institutet University Library
Letters There is a limit of 300 words for letters to the editor. Health Affairs reserves the right to edit all letters for clarity, length, and tone. Letters can be submitted by e-mail, [email protected], or the Health Affairs website, http:// www.healthaffairs.org.
doi:
10.1377/hlthaff.2014.1488
Global HIV Funding And Local Contexts Victoria Fan and coauthors (Dec 2014) show that the new allocation model for HIV funds of the Global Fund to Fight AIDS, Tuberculosis, and Malaria is expected to significantly lower the allocation shares of some countries while significantly increasing the shares of others. The new methodology, which takes into account a country’s disease burden and ability to pay, also includes discretionary adjustments. Among the countries expected to receive major allocation share cuts, Haiti has not yet recovered from the aftermath of the 2010 earthquake, 1 and Ukraine is currently undergoing major economic turmoil.2 Such situations compromise a country’s ability to pay, submit timely and high-quality requests for funds, and find and make use of other funding. Hence, donors should examine the potential negative impacts, considering countries’ changing economic situations, before deciding to reduce their funding shares. It has long been argued that when the principle of utility (maximizing benefits) and the principle of equity (the fair distribution of resources) are in conflict, policy makers should allo-
cate resources in an ethical and transparent manner, taking local circumstances into account.3 The new model is a welcome step. However, reducing the funding share of countries that are undergoing exceptional economic hardship requires a close assessment of both changing local conditions and disease burden. Failing to do so could be counterproductive to the global efforts to fight HIV. Mahesh Devnani and Anil K. Gupta Post Graduate Institute of Medical Education and Research CHANDIGARH , INDIA Yan Guo Sun Yat-sen University GUANGZHOU , CHINA NOTES 1 Haiti: still waiting for recovery. Economist [serial on the Internet]. 2013 Jan 5 [cited 2014 Dec 19]. Available from: http://www.economist.com/ news/americas/21569026-three-years-afterdevastating-earthquake-republic-ngos-hasbecome-country 2 Caruso-Cabrera M. Ukraine economy in “free fall,” banking group says. CNBC [serial on the Internet]. 2014 Nov 12 [cited 2014 Dec 19]. Available from: http://www.cnbc.com/id/ 102177962 3 Devnani M, Gupta AK, Devnani B. Planning and response to the influenza A (H1N1) pandemic: ethics, equity and justice. Indian J Med Ethics. 2011;8(4):237–40.
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Downloaded from content.healthaffairs.org by Health Affairs on June 1, 2015 at Karolinska Institutet University Library
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