An audit into grants to Mozambique undertaken by the Office of the Inspector General has concluded that both grant implementation arrangements and supply chain controls and assurance mechanisms “need significant improvement.”
“Needs significant improvement” is the second lowest rating in the OIG’s four tier rating scheme. The four tiers are effective; partially effective; needs significant improvement; and ineffective.
In preparation for the 36th Global Fund Board meeting that took place on 16 to 17 November 2016, the Africa constituencies Bureau convened from 31 October to 1 November 2016 in Kigali, Rwanda to look at critical issues brought to the attention of the board.
In its latest report, the Grant Approvals Committee (GAC) recommended approval of funding for a TB/HIV grant to Central Africa Republic. The report mentions, among other things, that “GAC partners highlighted the opportunity to put into place an action to strengthen the CCM [country coordinating mechanism].”
In a recent GFO commentary, Ralf Jürgens, Senior Human Rights Coordinator at the Global Fund, flagged the need for increased Global Fund investment in programs which reduce human rights barriers to HIV, TB, and malaria services.
In March 2016, Georgia’s country coordinating mechanism established a policy, advisory, and advocacy council (PAAC) to assist the CCM with the transition of TB and HIV programs from The Global Fund to domestic resources. The terms of the reference of the PAAC, including its role, composition, and members’ responsibilities, were approved by the general assembly of the CCM.
The specific responsibilities of the PAAC are as follows:
Kyrgyzstan CCM will likely be integrated into the government’s coordination council for public health
Global Fund stakeholders in Kyrgyzstan are discussing different options for integrating the country coordinating mechanism into a national level body leaded by the Prime Minister – known as the Governmental Coordination Council for the Public Health (CCPH). The rationale for this step is that the functions of these two bodies overlap significantly.
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.