Global Fund Observer

Global Fund Observer is the leading independent voice providing insight, analysis and opinion about the Global Fund. For authoritative and credible explanations about the policies, practices and procedures at the Secretariat, to insider information about Global Fund Board meetings, to real stories capturing the impact and role of the Global Fund at the country level, subscribe to our free twice-monthly newsletter.

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The Grant Approvals Committee says it is very concerned that ambitious treatment goals in national programs are often not reflected in grant performance frameworks because of limitations in the allocations. The committee raised this issue in its report to the Board on the third batch of grant approvals for 2017-2019. The GAC called for urgent inter-agency discussions and it said that donor governments should be included in the talks.


The Global Fund Board has authorized funding of $2.83 billion for 62 grants to 29 countries, plus two multi-country grants for small island states and a hybrid grant. Included in this total were eight matching funds requests valued at $48.6 million. The $2.83 billion is the largest amount approved in a single batch since the start of the new funding model. This was the third batch of approvals from the 2017-2019 allocations. 


The Fund faces a tough global development environment going into its next replenishment drive. An update on resource mobilization prepared for the recent Board meeting reflected on lessons learned from the Fifth Replenishment and outlined high-level strategies for the Sixth Replenishment.


An audit conducted by the Office of the Inspector General of Global Fund grants to Burkina Faso documents a number of achievements and good practices, but also identifies a need to enhance the capacities of the three principal recipients. The largest PR, Programme d’Appui au Développement Sanitaire du Burkina Faso, lacks a program management unit.


Only three of six planned windows for the 2017-2019 allocations have passed, but already the Board has approved grants collectively valued at 83% of the total allocation. This front-end loading is not surprising, given that 70% of existing grants have an end date of 31 December 2017. We provide an update on the various funding modalities.  


A social contracting diagnostic tool developed in Latin America and the Caribbean is being used during transition planning to assess whether civil society organizations are able to use government resources to continue providing prevention, treatment and care services to key and vulnerable populations.


In advance of the Universal Health Coverage Forum scheduled for Tokyo, Japan on 13-14 December, several civil society organizations have prepared a statement calling for an end to the “business as usual” approach to achieving UHC. The CSOs said that countries continue to depend on unacceptable levels of out-of-pocket spending, in addition to fragmented and volatile donor funding.


We describe, In brief, a new debt swap donation from Spain; the latest PEPFAR results; sales in 2017 by Apple’s (RED) products; the World Malaria Report 2017; delays in the $9.5 billion USAID global health supply chain project; and an expansion of the Global Gag Rule.