Reprioritising Health in a Time of Cuts: ACB’s Consultation on Global Fund Grant Adjustments
Date: 8 August 2025
Format: Virtual Meeting
Participants: 40+
On 8 August 2025, the Africa Constituency Bureau (ACB) convened a strategic virtual meeting that brought together Country Coordinating Mechanisms (CCMs) and members of the Global Fund Strategy Committee. The consultation aimed to provide a candid platform for sharing country experiences and shaping collective strategies in response to budget reductions within the 2024–2026 Global Fund allocation cycle.
More than 40 participants—drawn from over 15 African countries—engaged in in-depth discussions to explore how to preserve health gains, prioritise essential interventions, and strengthen domestic resource mobilisation amid global funding constraints.
- Purpose of the Meeting
- Facilitate peer exchange on real-time experiences with grant reprioritisation, identify operational and systemic challenges, and generate actionable recommendations.
- Equip members of the Global Fund Strategy Committee with grounded, country-level insights to inform African Constituency inputs at upcoming strategy-level discussions.
- Format and Participation
Convened by ACB:
- Moderator: East and Southern Africa Strategy Committee Representative
- Discussants: Global Fund Strategy Committee Members
- Participants: CCMs, PRs, technical partners
This meeting provided a platform to strengthen African alignment and speak with one voice.
- Key Issues Raised by CCMs
- Compressed timelines limited stakeholder engagement.
- Inconsistent communication from Global Fund Country Teams.
- Cuts were smaller than expected, requiring re-integration of activities.
- Health Systems Strengthening investments were deprioritised.
- South Africa faced unique delays in grant signing.
- Community-led and youth-focused programmes were vulnerable.
- Strong consensus on the need for robust domestic financing strategies.
- Recommendations and Next Steps
- Share good practices on reprioritisation in response to budget reductions.
- Advance discussions on national-level pooled financing mechanisms.
- Organise follow-up engagements on co-financing and youth-focused HIV prevention.
- Convene a session on lenacapavir to address local procurement and manufacturing
Further Engagement
📥 Download full report:
📚 Related articles:
https://resources.theglobalfund.org/en/updates/2025-06-06-gc7-grant-reprioritization
Global Fund plans to cut $1.4 billion from grants it has already awarded | Devex
✉️Contact us: falemayehu@africabureau.org; damendah@africabureau.org
