SHIFT (Sustainable HIV Financing in Transition) is a Global Fund regional program, working in transition countries in Asia – Indonesia, Malaysia, the Philippines and Thailand. SHIFT is a collaboration of AFAO, APCASO and APCOM (Asia Pacific Coalition on Male Sexual Health), and is a two-year program running over 2017–2018.
The program aims to ensure that the four identified countries currently in the process of transitioning have sustainable, cost effective, and strategically allocated funding for their HIV responses covering key populations and civil society. The program will focus on financing for all key populations of people living with HIV, men who have sex with men, people who use drugs, sex workers, transgender people and migrant populations.
The program will build a regional platform to engage stakeholders on issues of sustainability and transition, and lead capacity building, strategic information and advocacy at regional and country level.
Priority program areas include: transition planning, allocative efficiency, adequate fiscal space for HIV programming, sustainable funding mechanisms for community service organisations and key population networks, universal health coverage and the cost of criminalization.
Sustainable HIV financing is a critical issue in Asia. Donor funding priorities and commitments are changing and many countries in the region are entering middle-income country status.
While Asia has made huge gains in treatment coverage and service delivery for key populations, large and sometimes escalating epidemics among key populations remain in middle-income countries.
Ensuring effective transition to domestic government funding will be crucial to achieve the UNAIDS 90-90-90 targets under the Fast Track Strategy by 2020 and end AIDS by 2030 in Asia.