Jamra primary scholl for children affected by HIV/AIDS, drugs or poverty, Senegal (c) Nell Freeman/Alliance Participants in the Photovioce project, Ecuador © Marcela Nievas for the Alliance
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Tackling AIDS in Senegal


Aids Alliance

Last year our Linking Organisation in Senegal, ANCS, reached a record breaking 1.3 million people with targeted HIV prevention, care and support services for women and vulnerable groups such as female sex workers and men who have sex with men. 95% of this reach was with the support of the Global Fund. We take a look at the pro’s and con’s of working with the Fund.

Alliance Nationale Contre le SIDA (ANCS) became one of the first of our Linking Organisations to become a civil society Principal Recipient of the Global Fund when it was awarded a Round 6 grant from 2006-2008. It was subsequently awarded another HIV/AIDS grant in Round 9 (together with the Ministry of Health and the National AIDS Council).
Last year, 92.3% of their income came from the Global Fund presenting enormous opportunities to scale up an appropriate response to HIV in Senegal, but also immense challenges in terms of ongoing sustainability and funding diversification.

A chance to scale up

Magatte Mbodj, Executive Director of ANCS, described the impact of the Global Fund on the civil society response in Senegal in her blog in 2010: “This support has contributed to the significant progress in the fight against AIDS, in particular in achieving results towards Universal Access. This is illustrated by the fact that the prevalence rate has been maintained at less than 1% in the general population.”

"We have also seen major scaling-up and speeding up of interventions towards vulnerable groups, including men who have sex with men (MSM) and sex workers, a decentralization of services and great capacity building among civil society.”

Over the last three years, ANCS has been able to double the proportion of men who have sex with men and sex workers reached through a comprehensive package of services (see this chart).  

By the end of the current Global Fund grant in 2015 ANCS and its co-implementers expect to reach 12,915 sex workers, 2,650 MSM, as well as 636,264 young people and 272,684 women.

The growth of ANCS

The Global Fund investments in Senegal have not only contributed to the remarkable organisational development of ANCS, but also to the growth of the 750 non-governmental and community based organisations to which it onward grants financial and technical support.

ANCS have built significant internal capacity to manage Global Fund budgeting, reporting and other compliance requirements which are complex and nuanced.  They have updated their financial, administrative and M&E systems, and become adept at managing local partnerships – with their Sub-Recipients, with the Country Coordinating Mechanism and with the government. 

Massogui Thiandoum, Global Fund Programme Manager for ANCS said “We have 20 Sub Recipients who have differing levels of capacity around management and financial systems.  We are working closely with them – particularly to develop their capacity around risk management.  Whilst this capacity building work is important, it is also vital for ANCS to remain connected to the communities we support so that we can ensure the services our partners provide are of high quality and can be accessed by all.

Looking forward

Despite the huge opportunities presented by Global Fund investments, there are challenges ahead. The HIV prevalence rate among men who have sex with men is 21.8%, and among sex workers 18.5%. As part of its regular inspection visit in 2012, the Global Fund’s Office of the Inspector General (OIG) noted the increasing stigmatisation of sexual minorities and female sex workers to be an area ‘of great ongoing concern’ in terms of tackling AIDS in Senegal.
The reforms within the Global Fund, particularly criteria around fund allocation for most-at-risk populations within concentrated epidemics, are being monitored for their potential impact.  And in the last year ANCS has suffered from delays in grant implementation and disbursements.  This has caused upheaval and uncertainty for the three Principal Recipients and their grantees.  It is hoped that the simplified New Funding Model will help alleviate some of these issues.

So, there are considerable benefits to implementing Global Fund grants for civil society. They allow organisations to scale up their response and build their own capacity.  There are risks too but hopefully for ANCS, these are mitigated through being part of the Alliance and being able to access the wide ranging support systems that we have available for our Linking Organisations, as well as other civil society organisations.

  • Read more about the challenges, innovations and achievements of ANCS’s work with most at risk populations, particularly MSM, in this case study.