Rahman Md Ferdous, Khan Md Sharful Islam, Huda M Mamun, Mondal Utpal K, Shiddiky Muhammad J A, Ross Allen G
Rural Health Research Institute, Charles Sturt University, Orange, Australia.
Programme for HIV and AIDS, Health Systems and Population Studies Division, International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
IJID Reg. 2025 Mar 4;15:100618. doi: 10.1016/j.ijregi.2025.100618. eCollection 2025 Jun.
The Global Fund program, launched in 2002, focuses on combating HIV/AIDS, tuberculosis (TB), and malaria. To date, it has mobilized over US$ 65 billion across 120 countries, contributing to saving more than 65 million lives. In Bangladesh, the Global Fund has played a pivotal role in expanding treatment coverage, enhancing case detection, and strengthening prevention efforts. Despite notable progress, significant challenges persist, particularly among high-risk populations such as people who inject drugs, sex workers, and transgender individuals. These groups face stigma and limited access to healthcare, both of which hinder disease control. Additionally, drug resistance presents a growing threat to the control of malaria and TB. Looking ahead, continued support from the Global Fund will be critical, particularly in scaling up diagnostic infrastructure, promoting community-led interventions, and enhancing cross-border collaboration. These efforts are essential to ensuring sustained progress and achieving the long-term goal of eliminating HIV, TB, and malaria in Bangladesh. Effective coordination among government agencies, non-governmental organizations, and international donors will be essential to ensure the success of these initiatives.
全球基金项目于2002年启动,重点关注抗击艾滋病毒/艾滋病、结核病和疟疾。迄今为止,该项目已在120个国家筹集了超过650亿美元,为拯救6500多万人的生命做出了贡献。在孟加拉国,全球基金在扩大治疗覆盖范围、加强病例检测和强化预防工作方面发挥了关键作用。尽管取得了显著进展,但重大挑战依然存在,特别是在注射吸毒者、性工作者和跨性别者等高风险人群中。这些群体面临耻辱感且获得医疗保健的机会有限,这两者都阻碍了疾病控制。此外,耐药性对疟疾和结核病的控制构成了日益严重的威胁。展望未来,全球基金的持续支持至关重要,特别是在扩大诊断基础设施规模、推动社区主导的干预措施以及加强跨境合作方面。这些努力对于确保持续取得进展以及实现孟加拉国消除艾滋病毒、结核病和疟疾的长期目标至关重要。政府机构、非政府组织和国际捐助者之间的有效协调对于确保这些举措的成功至关重要。