35 participants including civil society representatives, CCM members, Global Fund Portfolio Manager, experts from neighbouring countries and representatives of the governmental structures gathered in Bucharest on 13 – 14 of June at a workshop “Transition from the Global Fund support of TB program to national funding: understanding the role, opportunities and priorities for civil society in Romania” to discuss what they can do for a greater sustainability of the country’s responses to the TB and HIV epidemics.
Based on the Global Fund Board’s decision in November 2016 on the allocation of resources for the 2017-2019 allocation period, Romania has been allocated € 4,052,972 for tuberculosis and building resilient and sustainable systems for health. The implementation of this new TB grant in Romania formally started in March 2019 and it is planned to finish its implementation in March 2021. This grant is being considered as the last TB grant for the country to support the transition processes. Although the new Global Fund 2019 Eligibility List does mention Romania as being eligible for TB funding again, yet, the eligibility does not guarantee an allocation, and it is not clear if Romania will be allocated any further funding to support the TB response in 2020 – 2022.
Although Romania is ineligible to receive Global Fund funding for HIV response since 2010 when its last Global Fund HIV grant came to an end, the current “transition grant”, as well as all previous TB grants to Romania, includes a significant component on HIV prevention among key affected populations (KPs). Therefore, civil society mobilization for joint advocacy to ensure the domestic funding of HIV prevention activities among KPs is essential.
At the same time, according to the Global Fund’s Eligibility List 2019 Romania may be eligible for an allocation for HIV/AIDS for non-governmental or civil society organizations if the country demonstrates the barriers to providing funding for interventions for key populations, as supported by the country’s epidemiology. The Global Fund Secretariat will assess whether the criteria have been met at the time of determining allocations for the 2020-2022 allocation period. The decision on the countries‘ allocations within the next 2020-2022 allocation period to be made by the Global Fund Board in November 2019.