The United Kingdom’s contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria comes with strings attached: The country will withhold 10 percent of its pledge if the Global Fund fails to meet 10 benchmarks for improvement.
The unprecedented move takes the U.K. Department for International Development’s payment by results agenda — through which organizations receive funding only after achieving impact — to the multilateral stage.
At the fifth replenishment of the Global Fund, which took place Friday and Saturday in Montreal, Canada, the U.K. government pledged 1.1 billion pounds ($1.4 billion) toward the fund’s $13 billion goal. In addition to the 10 percent conditional funding, this includes a $200 million matching scheme for malaria with the Bill & Melinda Gates Foundation and other private sector donors.