The Global Fund from an African perspective National coordination mechanisms, between transnational networks and power relationships (Senegal, Côte d'Ivoire, Burkina Faso, Cameroon) (eng)

Résumé 0

This publication takes the opportunity of the Global Fund to Fight AIDS, Tuberculosis and Malaria's Replenishment Conference to issue the first qualitative results of research conducted under the aegis of ANRS. This research focused on the Country Coordinating Mechanism (CCM) of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Global Fund from an African perspective The purpose of this dossier is to analyse the contexts in which Global Fund financing is provided in the region of the world most affected by the diseases to which this mechanism owes its birth: sub-Saharan Africa. Based on the Country Coordinating Mechanism (CCM), which form the multi-stakeholder collegial structures within which the distribution of funds is organised, together with multisectoral action plans, this dossier proposes downstream studies, on the "ground" from four countries: Senegal, Côte d'Ivoire, Burkina Faso and Cameroon. The latter have the particularity of having experienced significant progress due to international funding, but they are also the grey area in which this progress is slowest: West and Central Africa. This dossier is the result of a research project conducted since 2015 with funding from the National Research Agency on AIDS and viral hepatitis. Initially devoted to three countries: Senegal, Côte d'Ivoire and Cameroon, this collective work was extended to Burkina Faso through a doctoral research that joined the research activities of this project. This work is presented in four parts. It opens with a socio-historical presentation of the Global Fund which articulates the problem of the "unprecedented political alliance" that the Fund is with the question of private actors in this mechanism of international solidarity. The second part focuses on the tension between the Fund's multilateral purpose and the bilateral issues that unite African partners and donor country cooperation agencies. The third part concerns the relationship between public authorities and civil society organizations, between tensions and reconciliations, particularly around the issue of "key populations", and especially that of men who have sex with men (MSM). The comparative approach in this case sheds light on the ideological dynamics facing epidemiological issues. The dossier concludes with a short Policy Brief with recommendations to the CCMs and the Global Fund to improve the relationship between the various actors.