Capacity issues and delays in implementation plague otherwise successful Global Fund grants to Zambia, OIG says
On 23 May 2017, Zambia submitted both TB/HIV and malaria funding requests, together worth just over $400 million. The TB/HIV funding request was for $306.8 million, of which $194.4 million constituted a within-allocation request, with a further $112.4 million as a prioritized above-allocation request (PAAR).
As reported in GFO #295, in August the Board approved $180 million in funding for 14 grants from 11 countries. The Board was acting on recommendations of the Technical Review Panel (TRP) and the Grants Approvals Committee (GAC). This article provides a summary of the some of the comments made by the GAC in its report to the Board.
Elimination 8 (E8) has set the formidable target of full malaria elimination in Botswana, Namibia, South Africa and Swaziland by 2020. Termed the “frontline four”, these countries are nearing elimination of the disease after achieving a 75% decline between 2000 and 2012.
« Finalement, le Fonds mondial est axé sur l'être humain » : le directeur exécutif Mark Dybul présente son rapport
S'éloignant du rapport typique d'un directeur exécutif, Mark Dybul, dans le rapport qu'il a présenté au Conseil d'administration à l'occasion de la 33e réunion de celui-ci, revient sur les six déplacements qu'il a effectués au cours du premier trimestre de 2015, des voyages qui lui ont apporté la preuve de ce qu'il appelle l'ampleur et la souplesse du nouveau modèle de financement.
Switching gears from a typical executive director's report to the Board during the Global Fund's 33rd meeting on 31 March, Mark Dybul reflected on the six trips he had made in the first quarter of 2015 that demonstrated what he said were the breadth and flexibility inherent in the new funding model.
A ministerial-level meeting took place on 25 March in South Africa, aiming to harmonize tracking, tracing, diagnosis and referrals for people affiliated with southern Africa's lucrative mining sector -- all of whom are at high risk for contracting tuberculosis.
All four principal recipients (PRs) implementing Rounds 1 and 4 Global Fund grants in Zambia, two of them government and two NGO, have shown evidence of significant financial management and control weaknesses, episodes of misappropriation and fraud, and losses of grant funds. This is the overarching finding of an audit conducted in 2009 by the Global Fund's Office of the Inspector General (OIG).
Ten months ago, the Global Fund put on hold about $95million in potential disbursements under four grants to the Zambia Ministry ofHealth, because of fraud within the ministry that was first reported by awhistleblower. Seven current or former ministry employees were charged by theZambian government in relation to the fraudulent appropriation of about$350,000 from one of the grants.