“The Global Fund provides strong leadership for the response to HIV and AIDS, tuberculosis and malaria…. The Fund fully meets the requirements of an effective multilateral organization. It is fit for purpose and able to adapt to future needs.”
On 3 August 2016, the Board approved additional funding of $37 million to ensure that all essential services for a shortened HIV grant to Uganda can be provided through to 31 December 2017. The money will come from the $700 million which the Fund has identified as being available for portfolio optimization. The Board was acting on recommendations of the Technical Review Panel (TRP) and the Grant Approvals Committee (GAC).
As happens at many Board meetings, a topic that was not on the official agenda was prominent in corridor discussions. Last meeting it was the allocations methodology. This meeting it was concerns about the performance of grants to Nigeria.
OIG audit reveals significant weaknesses in how CCMs are managed, and how CCMs coordinate and oversee grants
The Office of the Inspector General has identified significant weaknesses in (a) the adequacy of the country coordinating mechanism model in coordinating and overseeing grants; and (b) the effectiveness of CCM policies and procedures at the Global Fund Secretariat level and at the country level.
According to the Office of the Inspector General, insufficient progress has been made in assurance and risk management.
In its semi-annual progress report to the Board, the OIG said that its audit work has revealed that despite Global Fund investments in this area, assurance measures have had limited effectiveness and are still not being tailored to the country context.
An audit of Global Fund grants to Kenya has found that the management of financial and fiduciary risks, and the management of health services and products risks has been generally effective.
However, the OIG said that there was room for improvement in the management of programmatic and performance risks, as well as governance, oversight and management risks. (In OIG parlance, these were rated “partial plan to become effective.”)
Bosnia and Herzegovina (BiH) will from December 2015 no longer be eligible for Global Fund financing as it is currently designated an upper middle-income country with low burden of disease.
Ukraine's HIV community including principal recipients of Global Fund grants have formally requested that grant signing for Phase 2 of a Round 10 HIV grant be expedited to mitigate the potential impact of the current political turmoil roiling the country.
Deficiencies in the oversight of procurement and supply management (PSM) arrangements may be exposing Global Fund grants to unnecessary and unacceptable risks. This is one of the conclusions of an audit report released by the Fund's Office of the Inspector General (OIG) in April 2010.
The Global Fund Secretariat acknowledges that it has not done all it could have done to systematically tackle issues related to its grant-management processes raised by the Office of the Inspector General (OIG). But it says that it has acted quickly and decisively whenever Global Fund monies were at risk.