The Global Fund has recognized the importance of health systems in the response to the three pandemics since its inception, but building resilient and sustainable systems for health became a strategic pillar in the Global Fund’s 2017-2022 strategy "Investing to End Epidemics".
Global Fund Head of Resilient and Sustainable Systems for Health describes evolution in the approach to health systems strengthening
Viviana Mangiaterra, Head of Resilient and Sustainable Systems for Health at the Global Fund since 2014, spent most of her career working in the field of maternal and child health services at the WHO and later at the World Bank. Hired to conceptualize the Global Fund’s commitment to health system strengthening, she designed the tools and framework that underpin the RSSH pillar of the 2017–2020 strategy.
Le cadre de gestion et de suivi des investissements dans les systèmes de santé du Fonds mondial nécessite une nette amélioration, affirme le Bureau de l’Inspecteur général
The Technical Evaluation Reference Group (TERG), the Technical Review Panel (TRP), and the Office of the Inspector General (OIG), three Global Fund bodies that are independent of the Secretariat, have recently evaluated and audited the Global Fund investments in building “Resilient and Sustainable Systems for Health” (RSSH), which make up 27% of all Global Fun
Global Fund’s management and framework for investments in health systems need significant improvement, OIG says
The Office of Inspector General (OIG) conducted the first audit of the Global Fund’s Resilient and Sustainable Systems for Health (RSSH) investments aiming “to provide reasonable assurance on the adequacy and effectiveness of Global Fund processes for the management of RSSH activities”.
The amount of funding set aside for catalytic investments for 2020-2022, the next allocation period; which catalytic priorities will be funded; and to what extent they will be funded, will all depend on how much money is available for allocation following the Global Fund’s Sixth Replenishment pledging conference in October 2019.
L’examen stratégique 2017 du Fonds mondial identifie des déficiences dans plusieurs domaines programmatiques, notamment les démarches différenciées, la capacité d’absorption et les transitions
Un rapport préparé fin 2017 – mais publié en février 2019 seulement – est le résultat final d’un examen stratégique réalisé par le Groupe technique de référence en évaluation sur la manière dont le Fonds mondial a mis en œuvre, et continuera de le faire, ses plans stratégiques.
Global Fund’s Strategic Review 2017 identifies gaps in several program areas, including differentiated approaches, absorptive capacity and transitions
A report prepared in late 2017 – but not released until February 2019 – is the end product of a strategic review conducted by the Technical Evaluation Reference Group (TERG) on how well the Global Fund has been able, and will be able, to operationalize its strategic plans.
According to the Technical Review Panel (TRP), integration, both across the three diseases as well as more broadly to other health services such as RMNCAH (reproductive, maternal, newborn, child and adolescent health) –– a priority articulated in the Global Fund Strategy 2017–2022 –– is lacking in funding requests.
TRP identifies gaps in human resources for health interventions in funding requests to the Global Fund
“Many funding requests do not acknowledge or address the common problem of shortage or maldistribution of human resources for health (HRH),” the Technical Review Panel (TRP) says. “Some funding requests did not mention HRH challenges nor the risks these pose to meeting service delivery targets.”