amfAR Brief Examines Expanded Mexico City Policy’s Implications For Global Fund Investments

amfAR: Issue Brief: The Expanded Mexico City Policy: Implications for the Global Fund
This new amfAR brief examines the implications of the Trump administration’s expanded Mexico City policy for the Global Fund and estimates Global Fund investments that are subject to the policy. “…The Expanded Mexico City Policy (EMCP or the Policy) … restricts non-U.S.-based or foreign nongovernmental organizations (fNGOs) from receiving U.S. [global health assistance (GHA)] if they perform, counsel on, or refer for abortion, or advocate for its liberalization outside of limited exceptions. The EMCP restrictions apply only to fNGOs, meaning that U.S.-based organizations and multilateral institutions such as the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund or GF) are formally exempt from the Policy. However, because EMCP restrictions apply to the [foreign non-governmental] organization’s activities as a whole while receiving U.S. GHA, private and multilateral investments can be impacted when implementing partner networks overlap. Indeed, it is common for the Global Fund and the U.S. government (USG) to fund the same NGO, which has implications for that prime recipient as well as its sub-recipients…” (November 2019).