New Paper Shows Shared Investments, Increased Domestic Responsibility in Global Health


Implementing Countries’ Growing Investments Further Highlighted as Indonesian Foundation Gives $65 Million to Fight AIDS, Tuberculosis and Malaria  

Washington, D.C., October 21, 2013 — Today, on the same day that Indonesia’s Tahir Foundation announced an investment of US$65 million in the Global Fund to Fight AIDS, Tuberculosis and Malaria, Friends of the Global Fight released a report titled Steps Toward Sustainability: Stories of Progress in Domestic Responses to AIDS, Tuberculosis and Malaria. The paper highlights actions being taken toward increased ownership and sustainability in fighting the three diseases not only in Indonesia but also in the Dominican Republic, Namibia, Nicaragua, South Africa and Sri Lanka. This progress is exemplified by the Tahir Foundation’s commitment, the largest donation ever made to the Global Fund by a private foundation in an emerging economy.

 “Through the commitments of public and private donors across the globe — including investments in the Global Fund and U.S. leadership through programs such as the President’s Emergency Plan for AIDS Relief and the President’s Malaria Initiative — millions of lives have been saved from AIDS, tuberculosis and malaria,” said Deborah Derrick, Friends’ president. “But truly defeating these diseases requires that countries currently receiving aid put increasing levels of investment in the fight.”

Scientific innovation, advances in epidemiology, and on-the-ground implementation experience from the past decade have yielded enormous success. Experts believe that, with the right level of resources, we can turn the three pandemics into low-level epidemics, controlling malaria and tuberculosis and putting within reach the goal of a generation with no new HIV infections. Increased partnership and collaboration with implementing countries, however, is necessary to achieve and sustain these global health goals.

As illustrated in Friends’ paper, some countries are already transitioning off foreign aid programs. Others are just beginning their journey toward sustainability. In addition to financial co-investment, Steps Toward Sustainability highlights advancements such as health systems strengthening, capacity building and training. These case studies indicate that effective, sustainable models can take many forms depending on what is most effective in a given region.

In gathering the information for this report, Friends conducted interviews with those directly involved in health programs on the ground. More than 20 subject matter experts were consulted, including individuals from donor agencies as well as in-country voices ranging from health ministry officials to local community leaders.

Indonesia’s Tahir Foundation pledge provides an inspirational complement to the report. It further illustrates the diverse stakeholders coming together to help drive progress against these three global health threats — with the private sector, countries’ citizens, governments, bilateral programs and multilateral organizations all playing a part. As Friends’ report points out, Global Fund support has helped Indonesia, which has the world’s fourth-highest TB burden, develop an efficient and effective national TB control program. By using an holistic approach — relying on varied sources including government funding, foreign aid and private sector contributions — the Indonesian Health Ministry is currently developing a strategy to transition from Global Fund financing over the long term. Today’s announcement by the Tahir Foundation will further this important work.

“Friends applauds the Tahir Foundation for its generous investment in the Global Fund. This sets a fantastic example for not only potential private sector partners but also other stakeholders in implementing countries and around the world,” said Derrick. “We are at a critical point where controlling these diseases is within reach. If we work together, we can save countless more lives, increase productivity, heal communities and ultimately defeat AIDS, tuberculosis and malaria.”

FRIENDS OF THE GLOBAL FIGHT AGAINST AIDS, TUBERCULOSIS AND MALARIA 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


Contact: Juliet Glassroth