Global Fund Observer

The Global Fund Observer is the leading independent voice providing insight, analysis and opinion about the Global Fund.

Subscribe to our free, twice-monthly newsletter for authoritative and credible explanations about the policies, practices and procedures at the Secretariat, insider information about Global Fund Board meetings, analysis on reports from the Office of the Inspector General, and real stories capturing the impact and role of the Global Fund at the country level, 

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At the most recent Global Fund Board meeting held in Geneva in May 2019, the Board approved a Decision Point updating the Allocation Methodology for the 2020-2022 allocation period, but asked the Strategy Committee to review and approve the Qualitative Adjustments process. Qualitative adjustments are the final step in the allocations process, tailoring allocations-by-formula to specific country contexts and issues. The July Strategy Committee meeting will finalize and approve the process, as requested by the Board.


In a joint opinion piece, the heads of three of the world’s leading global agencies on AIDS, TB and malaria call for donor commitment to ‘get back on track’ in support of the Global Fund’s Sixth Replenishment. The writers recap the current state of the three diseases, the world’s successes against them, and the threats of epidemic resurgence, as context for the Global Fund’s aim to attract ‘at least’ $14 billion in funding.


The Eastern Africa National Networks of AIDS Service Organizations (EANNASO) convened a meeting of Global Fund civil society implementers from Anglophone and Lusophone Africa. Participants shared experience of the challenges of grant implementation, grant absorption, and tested solutions. At the end of the two-day meeting, participants welcomed the setup of a Community of Practice to continue learning from each other. Aidspan’s policy team reports.


The Global Fund is on track to meet an 'absorptive capacity' target of 75% by 2022. However, some countries are still grappling to ensure that they spend their allocated funds within the agreed-upon timeframes. Absorption issues are especially evident for countries that are ‘challenging operating environments’, for less commoditized grants, and for government implementers. Challenges at the Global Fund Secretariat and implementer level often impede a country’s ability to spend all its funds.


Access to medicines and quality health products to ensure healthy populations is a global issue. As 60% of the Global Fund’s financial resources are earmarked for health products, managing the supply chain is crucial given the increase in demand (the scaling-up of ARV treatments, changes in treatment directives, new diagnostic technologies and a growing number of treatment centers). This will necessarily involve reforming the supply chain, aligning partners with a common roadmap, and government leadership in developing countries, say senior experts from the Centre Humanitaire des Métiers de la Pharmacie.


In an article first published in the Health and Human Rights Journal in June 2019, Allan Maleche, winner of the 2018 Elizabeth Taylor Human Rights Award and Executive Director of the Kenya Legal and Ethical Issues Network, and Tabitha G. Saoyo, the network’s Deputy Director, comment on the Kenyan High Court’s recent dismissal of the challenge to the country’s criminalization of same-sex sexual acts.


This GFO’s ‘Of Interest’ column highlights the UK’s £1.4 billion pledge to the Global Fund, the Global Fund and UNAIDS’ signing of a new strategic framework on support to countries, the Global Fund’s July Replenishment Partner Update, and the establishment of the World Health Organization’s Academy, an institution that offers the promise of democratizing health-related learning.