Long the exceptional disease, there is a growing recognition that donor funding for HIV is likely to fall in the coming years, raising questions about the sustainability of the global HIV response.
Donors are pushing governments to increase support for their domestic HIV programs, but there is also an understanding that they will not fully replace donor assistance. That has left experts looking for models that will allow them to sustain the response, but likely with fewer funds.
“We know that the time will come when the donor resources will dwindle,” Lloyd Mulenga, the director of infectious diseases in Zambia’s Ministry of Health, told Devex. “We have been preparing for that by trying to integrate.”