Bill & Melinda Gates Foundation Male Circumcision funding Heather Harrison WHO meeting June, 2010

Gates Foundation MC funding Gates foundation MC funding to date = $52M Total committed through 2013 = $98M  Country specific funding:  Service delivery in Botswana, Zambia, Swaziland  OR, training, and advocacy in Kenya  Cross cutting funding  MC device development  Evaluation, research studies  International norms and guides © 2010 Bill & Melinda Gates Foundation | 2 April 18, 2015

Future Gates Foundation MC Strategy Gates Foundation finishing up our HIV strategy “refresh” © 2010 Bill & Melinda Gates Foundation | 3 April 18, 2015 Guiding Principles:  Take risks and fill gaps where others won’t play  Maximize leverage  Maximize flexibility  Exploit comparative advantage Major initiatives:  Vaccines  ARV based Prevention  Effectiveness and Efficiency  Diagnostics  TB/HIV  Male Circumcision

Gates Foundation MC specific strategy MC related activities  Continued support for ongoing grants  Catalytic bridge funding in special circumstances  Advocacy to encourage countries to request MC funding from existing available funding sources e.g., PEPFAR and Global Fund  Support the development of a safe MC device  Support of needed evaluation and OR studies  We will not provide long term service delivery dollars  Check-in points to examine progress and reexamine our role April 18, 2015© 2010 Bill & Melinda Gates Foundation | 4 Objective: Support the rapid scale-up of early infant and adult male circumcision in 13 target countries through advocacy, communications, and short-term bridge funding

Thank You © 2010 Bill & Melinda Gates Foundation. All Rights Reserved. Bill & Melinda Gates Foundation is a registered trademark in the United States and other countries.