The Global Fund has continued to make good progress in the implementation of Agreed Management Actions (AMAs), the jointly reached, time-bound ‘next steps’ that follow a country audit or investigation by the Office of the Inspector General (OIG). For the second year in a row, the Global Fund has reported an all-time low number of open and overdue AMAs, according to a joint progress report by the Global Fund Secretariat and the OIG.

In the first ‘routine’ audit by the Office of the Inspector General (OIG) of Global Fund grants to Niger, the OIG found that Niger has made “significant progress against the three diseases,” with the quality of all three disease programs having improved over the last two years despite a challenging operating environment.

The Kenya Medical Supplies Authority (KEMSA) successfully procures and distributes government, Global Fund, and other donor-funded commodities. Prices obtained by KEMSA are competitive compared to prices obtained by the Global Fund’s Pooled Procurement Mechanism (PPM), stock-outs of health commodities occur rarely, if ever, commodities are delivered in a timely fashion, and inventory is properly managed at all stages of the supply chain.

A follow-up audit of three grants to Tanzania has found that although Tanzania continues to make progress against the three diseases, quality of service issues persist, particularly in the HIV program. The audit also found that men who have sex with men (MSM) continue to face major barriers accessing services.