This report introduces a collaborative data collection effort focusing on community engagement in the Global Fund’s reprioritization and grant revision process. Developed during a period of significant financial uncertainty, the initiative aims to document the level and quality of participation from communities and civil society organizations as countries work through challenging decisions about retaining, altering, or transitioning grant-funded activities. Drawing upon recent Global Fund guidance, the analysis seeks to ensure that core, life-saving services are prioritized and that community voices drive decisions affecting essential HIV, TB, and malaria programming.
The study was led by an independent cohort of civil society organizations and networks—including EANNASO, COMPASS Africa, Seven Alliance, RAME, MENAHRA, MENA Rosa, EHRA, Via Libre, Data Etc, GADH, CHANGE, Women 4 Global Fund, and Key Population Transnational Collaboration. These groups, representing a broad and diverse range of communities, worked together outside any official Global Fund Secretariat affiliation, underscoring the autonomy and leadership of grassroots and community-based actors. The Community, Rights and Gender (CRG) Learning Hubs played a supporting role, helping with the report’s dissemination and participant outreach but not driving the study itself.
The purpose of this analysis is threefold: to measure the effectiveness and inclusivity of community engagement during grant reprioritization; to identify which activities were proposed for deprioritization, thus providing evidence for future advocacy; and to offer timely support to countries navigating especially complex contexts or facing programmatic cuts that risk undermining Global Fund goals and regional health priorities.
