Jürgens Ralf, Csete Joanne, Lim Hyeyoung, Timberlake Susan, Smith Matthew
Senior coordinator for human rights at the Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland.
Adjunct associate professor of public health at Columbia University, New York, USA.
Health Hum Rights. 2017 Dec;19(2):183-195.
The Global Fund to Fight AIDS, Tuberculosis and Malaria was created to greatly expand access to basic services to address the three diseases in its name. From its beginnings, its governance embodied some human rights principles: civil society is represented on its board, and the country coordination mechanisms that oversee funding requests to the Global Fund include representatives of people affected by the diseases. The Global Fund's core strategies recognize that the health services it supports would not be effective or cost-effective without efforts to reduce human rights-related barriers to access and utilization of health services, particularly those faced by socially marginalized and criminalized persons. Basic human rights elements were written into Global Fund grant agreements, and various technical support measures encouraged the inclusion in funding requests of programs to reduce human rights-related barriers. A five-year initiative to provide intensive technical and financial support for the scaling up of programs to reduce these barriers in 20 countries is ongoing.
抗击艾滋病、结核病和疟疾全球基金的设立旨在大幅扩大基本服务的可及性，以应对其名称所涵盖的这三种疾病。自成立之初，其治理就体现了一些人权原则：民间社会在其董事会中有代表，监督向全球基金提出的资金申请的国家协调机制包括受这些疾病影响的人群的代表。全球基金的核心战略认识到，如果不努力减少与健康服务获取和利用相关的人权障碍，特别是社会边缘化和被定罪者所面临的障碍，其支持的卫生服务将不会有效或具有成本效益。基本人权要素被写入全球基金赠款协议，各种技术支持措施鼓励在资金申请中纳入减少人权相关障碍的项目。一项为期五年的倡议正在进行中，该倡议为在20个国家扩大减少这些障碍的项目提供密集的技术和财政支持。
