A Coggle Diagram about PEPFAR 2003 HIV/AIDS global remit. Approach top down from Washington. Little discussion on policy. Proscriptive, MAP - World Banks' Multi country AIDS programme. multilateral. 2000, 29 countries in Africa. Bottom up. To scale up treatment of HIV AIDS. gives funds to gov and civil society. Need to align activities with local gov strategy. Countries need to have a strategic plan in place to receive funding. , GLOBAL FUND. Bottom up Funding mechanism for a country driven process. No country presence. works though country partners. Has a small secretariat in Geneva. Countries apply for funds throgh an independent multi partner body operating at the national level. Judged by technical review panels. Funds awarded to one or more main recipients. funds released on performance, together provide 2/3 of external resources going to HIAV/AIDS, Will look at impact on gender equity, global health initiatives are a new model for adressing global health issues. Emerged in last decade. , their processes and policies impact on equity of access to health services including gender equity, have potential to have a major impact on health systems, all 3 focus on AIDS. operate in very different ways. , have numbers driven targets rather than focusing on equity, Equity. HIV/AIDS affects poor more. Gender, geographic location, income and social status determine access to treatment, treatment usually initiated in urban areas making access in rural areas hard, 2002 universal treatment deemed to be an ethical imperative, 60% of infections = women. Gender inequalities make women more vulnerable. Less access to education, work, dependent on husband or partner, resort to commercial sex.. Gender based violence. Carry reproductive health burden and are more affected by inadequate health services. Sometimes need husband to accompany them to a health service. , funding for health increased hugely as have the avenues to access funding. Traditional organisations no longer dominate eg UN and WHO as they did until 1980s. , many new partnerships have developed. Some called Global Health Initiatives. , all vertically shaped around HIV. Affects health systems. Other diseases worsened. and need to address issue of equity to achieve policy outcomes.