University of Sussex
Browse

File(s) not publicly available

Global Fund investments in harm reduction from 2002 to 2009

journal contribution
posted on 2023-06-09, 19:00 authored by Jamie Bridge, Benjamin M Hunter, Rifat Atun, Jeffrey V Lazarus
Background: Injecting drug use has been documented in 158 countries and is a major contributor to HIV epidemics. People who inject drugs have poor and inequitable access to HIV services. The Global Fund to Fight AIDS, Tuberculosis and Malaria is the leading multilateral donor for HIV programmes andencourages applicants to include harm reduction interventions in their proposals. This study is the first detailed analysis of Global Fund investments in harm reduction interventions.Methods: The full list of more than 1000 Global Fund grants was analysed to identify HIV grants that contain activities for people who inject drugs. Data were collected from the detailed budgets agreed between the Global Fund and grant recipients. Relevant budget lines were recorded and analysed in terms of the resources allocated to different interventions.Results: 120 grants from 55 countries and territories contained activities for people who inject drugs worth a total of US 361 million, increasing to US 430 million after projections were made for grants that had yet to enter their final phase of funding. Two-thirds of the budgeted US 361 million was allocated to core harm reduction activities as defined by the United Nations. Thirty-nine of the 55 countries were in Eastern Europe and Asia. Only three countries with generalised HIV epidemics had grants that included harm reduction activities.Conclusion: This study represents the most comprehensive assessment of Global Fund investments in harm reduction. This funding, while substantial, falls short of the estimated needs. Investments in harm reduction must increase if HIV transmission among people who inject drugs is to be halved by 2015.

History

Publication status

  • Published

Journal

International Journal of Drug Policy

ISSN

0955-3959

Publisher

Elsevier

Issue

4

Volume

23

Page range

279-285

Department affiliated with

  • International Development Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2019-09-24

Usage metrics

    University of Sussex (Publications)

    Categories

    No categories selected

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC