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Financial sustainability of the GFATM HIV/AIDS project: the Croatian experience of increasing domestic resources

Description of implementation of Global Fond project in Croatia the experiences acquired during the implementation of the project financed by the Global Fund to Fight AIDS, TB and Malaria (GFATM) “Scaling-up HIV/AIDS Response in Croatia (2003- 2006) and the transition to national financing following the completion of the project.The article show the main achievements, drawbacks and challenges of the implementation of the GFATM project in Croatia and of the transition of preventive project activities to financing from national sources through the budget of the Ministry of Health. Program sustainability (the majority of program activities are continuously being implemented through stakeholder network) is an example of good practice model and can be an indicator for strategies and for ensuring sustainability of similar projects and preventive HIV/AIDS programs particularly for countries using the support and financing of the Global Fund. The project and its continuing activities have confirmed the importance of joint work and multidisciplinary collaboration and collaboration of government institutions and civil society organizations which can significantly contribute to a successful implementation of projects and prevention programs in the field of HIV/AIDS. The GFATM donation contributed significantly to the financing of activities aimed at improving HIV/AIDS, HBV, HCV and STIs surveillance system(s) through establishing voluntary, anonymous and free HIV testing sites, promoting health education, supporting national campaigns to reduce risk behaviours, conducting biobehavioural research, providing psychosocial support for persons affected by HIV, initiating harm reduction programmes and NSPs for people who inject drugs and creating a system for collecting indicators and monitoring and evaluating HIV/AIDS programmes/ activities. These services garnered intersectoral collaboration and support, including a large contribution from NGOs and CSOs involved in HIV prevention activities targeted at key populations in Croatia (e.g. MSM, SWs, migrants and people who inject drugs).After successful implementation of the GFATM project in 2003–2006, the countryreached almost a 100% transition to financing a toolbox of activities via domestic resources. Despite limited resources owing to the long-term financial crisis in Croatia, all GFATM project components were fully transitioned to domestic financing sources except for one.

HIV prevention ; global fond ; transition to domestic financing ; Croatia

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