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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India is preparing to transition away from Global Fund support –– gradually, over a nine-year period. Some transition measures have already been adopted. India’s transition plans were described at some length in grant documents related to the country’s 2017 funding requests for TB, HIV and malaria. We provide a summary.


Since the last audit in 2015, there have been significant improvements, the Office of the Inspector General says in a follow-up audit recently concluded. But there are still many problems that need to be resolved, and some of the mitigation measures already implemented need more time to become effective. The follow-up audit covered the period from July 2016 to September 2017.


Global Fund grants to Guinea, which are managed under the Additional Safeguard Policy, face numerous challenges. The Global Fund Board has approved an HIV grant with a new principal recipient, the Ministry of Health. The grant complements a TB/HIV grant approved in December 2017.


The Global Fund Board recently approved three TB and HIV grants for Tanzania, two of which have a government principal recipient (the Ministry of Finance and Planning). The third PR is AMREF Health Africa. The Technical Review Panel cited numerous strengths in the funding request, including the fact that the request identified key populations for TB: i.e. HIV-positive adults and children, mining communities, elderly persons, prisoners, people with diabetes, people who inject drugs, health workers and people living in urban slums.


Since the Kenya Red Cross Society became a principal recipient for an HIV grant in 2011, the grant has been consistently rated A1 or A2. This article describes the reasons for the society’s success.


An evaluation of France’s 5% Initiative says that it “is relevant in the context of specific difficulties linked to the implementation of Global Fund grants in the French-speaking region.” The evaluation also refers to the initiative as “a creative mechanism combining a bilateral approach within a multilateral framework.” At the same time, evaluators called for some improvements in the operations and oversight of the initiative.


There will be 16–19 multi-country grants from catalytic funding for 2017–2019, fewer than the 24 regional grants from 2014–2016 that are still active. We provide a mapping.


SHIFT is a two-year regional advocacy program in Southeast Asia that aims to empower civil society organizations and key population communities to advocate for sustainable HIV financing. The four countries are Malaysia, Indonesia, the Philippines and Thailand, all of which have started to plan for transition away from Global Fund support. 


In this “OF INTEREST” article, we draw attention to an interview on the financial gap for tackling malaria in Nigeria; another article about the Global Fund’s partnership with Heineken; and a guide on gender-transformative programming developed by the International HIV/AIDS Alliance.