Sustainability, Transition and Co-Financing
Guided by the Sustainability, Transition and Co-Financing Policy [ download in English ], which was revised in 2024, the Global Fund partnership takes a holistic approach to sustainability. We do this by supporting the scale-up of new technologies and service delivery, catalyzing better and more efficient use of domestic financing, increasing our alignment with and implementation through national systems, and supporting strong national sustainability and transition planning to gradually support countries to assume full leadership of the national responses.
Sustainability
The Global Fund defines sustainability as the ability of a health program or country to both maintain and scale up service coverage to a level in line with the epidemiological context. This provides for ongoing control of a public health problem and supports efforts for elimination of the three diseases, even after external funding by the Global Fund and other major external donors comes to an end.
Transition
The Global Fund defines transition as the mechanism by which a country, or a country component, moves towards fully funding and implementing its HIV, TB and malaria programs independent of Global Fund support.
A successful transition is one in which previous gains against HIV, TB and malaria are maintained and scaled up, as appropriate, even after external support has come to an end.
Co-financing
The Global Fund’s co-financing approach encourages countries to commit additional domestic resources to health programs as a requirement to receive Global Fund grants. Co-financing fosters greater country ownership and accountability, incentivizes countries to strengthen financing of specific programmatic interventions critical to impact, and helps support better investments in health and community systems.