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Table 6 Capacity to survive, possible impacts, immediate responses and coping strategies, if GF were to wean-off its support

From: Thailand’s HIV/AIDS program after weaning-off the global fund’s support

Principal recipients

Capacity to survive after weaning-off

Possible impacts, immediate responses

Coping strategies

KI 01–03, PR

High, since GF sources play minor role, it has high capacity to mobilize resources

Staff cut, though unknown future funding for IDU and migrants

1. Merge GF program with existing governance body, mobilize local government budget

2. Transfer ARV finance to National Health Security Office

3. Mobilize other international funders

KI04, PR

Low

Severe impact on IDU and ART for non-Thai migrants

1. Scale down GF programme

2. Negotiate with GPO supporting ARV for non-Thai migrants

Local staff cut, scale down or termination of some projects.

KI05, PR

Very low

Termination of HIV prevention services for IDU

1. Change target KAP to other group that conform to Thai government regulations in order to be eligible to receive funding from other international sources

HIV incidence/prevalence among IDU may increase sharply

2. Scale down and prioritize the most affected areas

KI06, PR

Low

Abrupt termination of current program

1. A national focal point is essential to manage the new national pooled fund from domestic sources; requiring legislation or regulations

Interim: use of savings/or remaining budget

May be eligible for a 'ceiling budget’ from a single stream funding Round 10 targeting children

2. Others: public private partnership on HIV/AIDS

  1. Source: assessment by authors from interviews of KI.