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We do not share the joy expressed in the press release. In our opinion, by talking about increasing the share of funding for TB and malaria, the Global Fund is presenting wishful thinking as reality. For TB funding to actually increase, the Global Fund needs to replenish its funds by at least $13.5 billion, which is highly unlikely. The last time the Global Fund tied the share of TB funding to the outcomes of fund replenishment, TB received 18.6% instead of 18%.

“Unfortunately, the Global Fund remained deaf to the demands of the global TB community to increase funding to 33%. At best, TB will receive 25%, which still will not be a fair distribution of the Global Fund’s resources among the three diseases. However, under the formula adopted by the Board, TB has as much chance of getting 25% as I have of walking out and meeting Marilyn Monroe,” noted Timur Abdullaev, Board Member of TBpeople Global. “We are unlikely to see a fair distribution of the Global Fund’s resources among the three diseases until the Global Fund Board ensures meaningful representation and participation of the TB community. This requires two things: on the one hand, TB stakeholders must be meaningfully represented in all sectors and delegations of the Board, and on the other hand, the Board must allocate separate seats for communities affected by the three diseases and key and vulnerable populations. After all, if this is the approach the Global Fund promotes at the country level (where the country coordinating mechanism must include representatives of all affected communities and key populations), why does one person on the Global Fund Board represent people living with HIV, people affected by TB, people affected by malaria, and key and vulnerable populations?” added Timur.