Multilateral Partnerships

Speeches Shim

Overview

The U.S. Government (USG) invests significant resources into multilateral institutions for policy and programmatic engagement and provision of technical assistance to achieve global health targets. The USAID Office of HIV/AIDS serves as USAID’s point of contact for the Global Fund to Fight AIDS, Tuberculosis and Malaria (GF) and UNAIDS, as well as provides financial management and programmatic oversight of HIV Global Fund technical assistance (GF TA), manages the USAID’s agreements with the Global Fund and UNAIDS, and supports donor coordination.

The three main functions of the USAID Office of HIV/AIDS’ Multilateral Approach: Country Support, Program Management, and Policy
The three main functions of the USAID Office of HIV/AIDS’ Multilateral Approach: Country Support, Program Management, and Policy

USAID Impact

Country Support

USAID supports the President’s Emergency Plan for AIDS Relief (PEPFAR) programs by facilitating communication and coordination between USAID Missions, the Global Fund, UNAIDS, and other stakeholders to ensure that unified policy and program approaches are implemented and joint investments are leveraged to achieve global and national HIV targets.

Policy

USAID actively participates within the USG interagency processes to design and implement policies that enable PEPFAR, Global Fund, and UNAIDS to achieve mutual objectives. This includes participating in the USG’s delegations to the Global Fund and UNAIDS Board meetings, as well as ensuring that policies are translated into implementation.

Program Management

USAID manages the USG’s agreement with the Global Fund and its agreement with UNAIDS. The Global Fund agreement includes the USG’s annual contributions in support of the HIV, TB, and malaria country grants. The UNAIDS agreement leverages the organization’s expertise to develop global HIV policy, harness data for decision-making, maximize financial resource mobilization, and accelerate effective, efficient implementation to achieve global and national HIV targets.

Peter Joque, left, helping to find people affected by the Cyclone Idai disaster in need of HIV medication. Mozambique, January 2020.
Peter Joque, left, helping to find people affected by the Cyclone Idai disaster in need of HIV medication. Mozambique, January 2020.
Credit: UNAIDS/P. Caton.

2020 Achievement Highlights

Country Support

USAID developed a series of country support tools to promote effective engagement between USAID Missions, Global Fund, and UNAIDS country teams for enhanced program alignment. These tools and analyses assisted in identifying and resolving implementation bottlenecks, promoted active participation in joint development of PEPFAR and Global Fund country implementation plans, and identified technical assistance needs.

Policy

USAID conducted policy analyses to prepare for the Global Fund and UNAIDS Board/committee meetings and contributed to the ongoing development of the next Global Fund and UNAIDS strategies. USAID also advised USAID Missions on Global Fund grant application and the COVID-19 Grant Flexibilities/COVID-19 Response Mechanism policies to best ensure PEPFAR programming was aligned with Global Fund processes to mitigate the effects of the COVID-19 pandemic.

Program Management

Through the UNAIDS agreement, USAID provided strategic, targeted assistance focused on a variety of technical areas, including:

  • increasing strategic information availability, quality, and use;
  • improving access to and quality of HIV services through civil society networks and faith communities;
  • launching the public HIV Policy Lab website with a robust policy dataset covering 194 countries;
  • linking District Health Information Software (DHIS2) and the AIDS Data Repository; and,
  • reducing stigma and discrimination.

Funding for the UNAIDS Technical Support Mechanism (TSM) assisted countries to achieve their Global Fund grant targets and to develop new funding requests; in Fiscal Year 2020, TSM contributed to raising a total $5.66 billion across 38 countries for the HIV and TB response via Global Fund grants.

TSM also provided assistance to:

  • implement the Stigma Index 2.0 in 28 countries;
  • conduct gender assessments for developing strategies that overcome gender-related barriers and inequalities;
  • mobilize domestic resources for national HIV strategies;
  • establish a regional hub to enable coordination of civil society organizations (CSO) in Western and Central Africa;
  • scale up community-led monitoring in PEPFAR and Global Fund-supported countries.

Finally, through the Fast Track Cities Initiative, UNAIDS and the International Association for Providers of AIDS Care (IAPAC) provided essential technical support to 15 high-burden cities (Blantyre, eThekwini, Jakarta, Johannesburg, Kampala, Kigali, Kingston, Kinshasa, Kiev, Lagos, Lusaka, Maputo, Nairobi, Yaoundé, Windhoek) to accelerate their HIV response and achieve Fast-Track targets.

Activities included:

  • developing city-level HIV response plans and contingency plans for COVID-19 disruptions;
  • strengthening partnerships between city authorities and civil society organizations; and,
  • improving use of data for monitoring service access and quality.
Communities have campaigned for multi-month dispensing (MMD) of HIV treatment, organized home deliveries of medicines and provided financial assistance, food and shelter to at-risk groups. Pictured, Em Ra is receiving her medical file before discussing MMD of antiretroviral medicine in Phnom Penh, Cambodia, November 2020.
Communities have campaigned for multi-month dispensing (MMD) of HIV treatment, organized home deliveries of medicines and provided financial assistance, food and shelter to at-risk groups. Pictured, Em Ra is receiving her medical file before discussing MMD of antiretroviral medicine in Phnom Penh, Cambodia, November 2020.
Credit: UNAIDS

Additional Resources

The Global Fund to Fight AIDS, TB, and Malaria

UNAIDS

Last updated: May 06, 2021

Share This Page