Domestic Health Investments in Africa Continue Upward Momentum


New Friends’ Paper Highlights Innovative Ways Countries are Mobilizing Health Resources to Fight AIDS, Tuberculosis and Malaria

Washington, D.C., February 10, 2015 — In a report released today, Friends of the Global Fight Against AIDS, Tuberculosis and Malaria highlights ways in which Global Fund implementing countries are increasing domestic investments in health. The report, titled Innovation for Greater Impact: Exploring Resources for Domestic Health Funding in Africa, illustrates how, through a variety of approaches, African governments are mobilizing additional resources to fight HIV/AIDS, tuberculosis and malaria.

“Impressive global progress has been made against the three diseases in recent decades and African governments are really stepping up. They have increased their domestic health financing by 150 percent,” said Friends’ President Deb Derrick. “But the fight is not yet over. To sustain momentum and ultimately defeat these diseases, increased funding will need to come from implementing countries and the Global Fund is working to facilitate this.”

Many countries are already taking important steps in this direction. Six African countries – Liberia, Malawi, Rwanda, Swaziland, Togo and Zambia – are on track to reach the agreed Abuja target of allocating 15 percent of government spending on health. Such countries, on average, spend 20 times more of their own resources on health than they receive in assistance.

Several countries included in Friends’ report are exploring ways to mobilize new revenue through innovative financing. For example, Kenya, Tanzania and Zimbabwe are developing trust funds to increase resources to combat HIV/AIDS. With a track record of effective use of international funding, Rwanda is pioneering a results-based financing model that allows for self-generated savings to be ploughed back into the country’s HIV/AIDS response.

“This report highlights some great examples of innovative domestic financing,” said Derrick. “The case studies tell a story of collaboration, partnership and progress, and of movement toward a healthier, more sustainable future.”


Friends of the Global Fight works to end the worldwide burden of AIDS, tuberculosis and malaria. We educate, engage and mobilize U.S. decision makers to support the Global Fund, the world’s largest public health financier. For more information about Friends of the Global Fight, visit



John McMannis
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