Sustainability of Global Fund Grants

This chapter analyzes the sustainability of the Global Fund grants to the Kyrgyz Republic by elaborating on the continuity of project activities, maintaining benefits, and building the capacity of a recipient community (Shediac-Rizkallah & Bone, Planning for the sustainability of community- based health programs: conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13(1), 87–108. https://doi.org/10.1093/her/13.1.87, 1998). Focusing on nongovernmental organizations, it also elaborates on their leadership, mobilization of resources (Labonte & Lervack, Capacity building in health promotion, Part 1: For whom? And for what purpose? Critical Public Health, 11(2), 111–127. https://doi.org/10.1080/09581590110039838, 2001a; Capacity building in health promotion, Part 2: Whose use? And with what measurement? Critical Public Health, 11(2), 129–138. https://doi.org/10.1080/09581590110039847, 2001b), and survival beyond the Global Fund’s support. The chapter describes tuberculosis and HIV/AIDS-related grants and shows how they contributed to national efforts against the two diseases. In addition to increasing the number of nongovernmental organizations, the grants also extended the coverage and the types of prevention and treatment services available in the country. This chapter discusses the commitments the government has already made concerning these activities and outlines the factors affecting its ability to fulfill them. These include the epidemiological situation, political environment, procurement opportunities, coronavirus disease 2019 (COVID-19), and so on. Furthermore, this chapter discusses the extent to which the government is taking over the benefits grants stipulated to patients affected by tuberculosis and HIV/AIDS and health care workers working in these areas. Finally, this chapter discusses the leadership of nongovernmental organizations, their survival beyond the Global Fund’s support, and their mobilization of resources, also by means of social contracting.