The global strategy for fighting the spread and impact of TB is heavily supported by the Global Fund through multiple grants to national TB and HIV programs. This can represent up to three quarters of funding for programs in high-burden countries. A large proportion of those funds are used to buy medicine and other commodities.
Reports on audits of grants in Rwanda and Ecuador were released by the Office of the Inspector General (OIG) at the end of December.
The impact on upper-middle-income (UMI) countries of the decision to shift more resources to low-income countries remains the subject of heated and passionate discussions within the Global Fund ecology.
Senegalese national Mouhamadou Diagne will take up his new role as the Global Fund's inspector general from March 2015, replacing the outgoing IG, Martin O'Malley, it was announced in late December.
Aidspan's analysis of what accountability means in the context of global health cooperation was published in December by Globalization and Health.
Ghana's Ministry of Health spent some $3.8 million of a Global Fund grant on faulty condoms procured in a tender that was riddled with fraud, the Office of the Inspector General has found. In addition to developing a plan to recover the funds, the Secretariat will be placing all purchasing for Ghana under the pooled procurement mechanism and requiring greater oversight by the local fund agent.
There were huge obstacles confronting Democratic Republic of Congo as it navigated the new requirements of the Global Fund's new funding model (NFM): a lack of credible, national-level data; logistical hurdles to reach key populations in a nationwide consultation around a country with just 2,250 km of paved roads; and a leadership vacuum and entrenched disorganization.
Nigeria has met its counterpart financing requirement for malaria as well as for a joint HIV-TB concept note as required by the terms of the new funding model. The West African country is one of the largest beneficiaries of the NFM, allocated more than $1 billion for 2014-2017.
Restrictive policies that can sometimes prevent people from keeping their jobs could be compromising the effectiveness of Global Fund-supported opioid substitution therapy programs across Eastern Europe and Central Asia, civil society representatives from around the region told Aidspan.