How, if at all, has the global pandemic affected domestic HIV/AIDS philanthropy?

QHow has U.S.-based philanthropy addressed
the burgeoning global pandemic? How, if at
all, has the global pandemic affected domestic
HIV/AIDS philanthropy?
The devastating international
HIV/AIDS pandemic is receiving
increased attention from the
philanthropic community, yet few
U.S.-based grantmakers fund
international HIV/AIDS efforts.
• Growth in HIV/AIDS philanthropy in
recent years has occurred primarily on
the international front through several
major initiatives by large foundations.
• The increased attention given to the
international HIV/AIDS pandemic has
had an impact on the domestic
response. In some cases it has overshadowed
the U.S. problem and provided
funders with justification for decreasing
or withdrawing their support. In other
cases it has kept attention on
HIV/AIDS in general, enabling some
to maintain or renew domestic efforts.
• The scope of the global pandemic is so
great that many grantmakers are at a
loss for how to apply their limited
resources to the problem in a meaningful
and effective way. This effect is particularly
true for smaller foundations
and for grantmakers that have never
funded outside of the United States.
• The growth in the international
HIV/AIDS pandemic is of great concern
to grantmakers yet, for many, they
cannot fund HIV/AIDS efforts in other
countries because of perceived or actual
restrictions in their funding guidelines.
• Many funders were unaware that there
are many U.S.-based agencies doing
work internationally that would be eligible
for domestic grantmaking.
International HIV/AIDS funding raises
questions of how to be most effective.
• Grantmakers are concerned about the
mechanics of international grantmaking
and how to work with local governments,
local organizations, international
institutions, other national governments
and other grantmakers to develop and
implement effective grantmaking strategies.
• Grantmakers questioned how to balance
their need for accountability in funding
with the larger need for local empowerment
and control of international
HIV/AIDS efforts.