Global Civil-Society Coalition Sounds Alarm on Funding Re-prioritisation Threatening Community-Led HIV, TB and Malaria Services

Global/ Geneva — The Health Advocacy Coalition (HAC), together with more than 60 community and civil-society organisations worldwide, has delivered a joint resolution—“Ensuring Continuity and Accountability in the Face of Funding Uncertainty”—to the Global Fund’s Board Chair, Executive Director Peter Sands and all voting members.

Why this resolution was necessary

Earlier this year the Global Fund advised countries to impose temporary restrictions on grant activities and to identify savings as part of an urgent re-prioritisation exercise. Civil-society groups warn that what may appear “technical or temporary” adjustments signal deep funding challenges with potentially lasting consequences. Past experience shows that across-the-board cuts fall hardest on community-led and rights-based programmes—the very services that reach key and vulnerable populations.

If these reductions proceed without guard-rails, they could strip away the interventions that hold entire responses together: trusted outreach, legal-rights work and Community-Led Monitoring (CLM). The risk is greatest in countries already strained by conflict or humanitarian crises, where health systems are “running on fumes”.

What the coalition is asking for

The resolution therefore calls on the Global Fund to:

1. Issue transparent, time-bound guidance for countries and Country Coordinating Mechanisms (CCMs), with a fair appeals pathway.
2. Ring-fence financing for CLM and other rights-based interventions.
3. Allow flexible rules for war-affected and humanitarian settings, where a single budget formula is clearly inadequate.
4. Build robust accountability measures so short-term cuts do not erode long-term programme quality.

“Technical cuts quickly become human costs,” said Sergii Dmytriiev, Executive Director of HAC. “Our resolution makes clear that preserving community-led and rights-based services is not optional—it is the backbone of an effective response.”

“Ensuring that community-led programmes stay funded is not just a question of fairness; it is a question of effectiveness,”added Denys Hodlevskyi, Regional Coordinator at ITPC EECA and member of the Global Fund Board Communities Delegation. “When people living with and affected by the diseases drive outreach and monitoring, we see faster diagnosis, stronger treatment adherence and smarter use of every dollar invested. Any reprioritisation plan must preserve that value if we hope to sustain progress against HIV, TB and malaria.”

What happens next

• Document release: HAC is publishing the full resolution, cover letter and signatory list on its website today.
• National advocacy: Partners will brief CCMs, principal recipients and ministries of health, monitor budget-adjustment talks in real time and push for the safeguards outlined above.
• Ongoing dialogue: The coalition stands ready to provide data, testimonies and technical input as the Global Fund refines its re-prioritisation approach.

Profound gratitude to our partners

HAC extends heartfelt thanks to every organisation that signed, shared and championed the resolution. Your solidarity shows the strength of a united civil-society voice at a decisive moment for global health.

Access the documents

• Joint resolution and cover letter: [Download PDF]