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Global Fund Observer


Issue 348: 16 January 2019

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1. REPLENISHMENT: Global Fund Executive Director discusses priorities laid out in his first Report to the Board

By: Adèle Sulcas

In his first interview with the Global Fund Observer, and in the runup to the Sixth Replenishment, Global Fund Executive Director Peter Sands spoke about a fully-funded Fund’s crucial role in accelerating the delivery of SDG 3, the Fund's new framework agreement with WHO, domestic financing, absorptive capacity, and more.


2. NEWS: Global Fund Board approves $229 million in funding for country grants

By: David Garmaise

The Global Fund Board has approved another $229.4 million in funding for 16 country grants. The grants emanated from funding requests submitted by nine countries. The Board also approved $24.0 million for three multi-country grants. Interventions worth $127.4 million were added to the Unfunded Quality Demand Register. Of the $229.4 million for country grants, Nigeria led the way with three grants valued at $71.2 million. 


3. NEWS: Global Fund Board approves $36 million for Middle East Response

By: Charlie Baran & David Garmaise

The Board approved $36.4 million for the Middle East Response 2, a multi-country grant that is six-country initiative aimed at HIV, TB, and malaria services for refugees and people in conflict areas in and around Iraq, Jordan, Lebanon, Palestine, Syria and Yemen. This funding is a continuation of a prior grant.


4. NEWS: OIG investigation in Mozambique finds embezzlement of funds by CCM Executive Secretary

By: Adèle Sulcas

The Executive Secretary of Mozambique’s Country Coordinating Mechanism was found to have embezzled $22,593 from Global Fund grant monies and was responsible for ‘non-compliant expenditures’ of $26,020 overall, including payments not supported by appropriate documentation. The OIG released a report on its investigation into the misappropriation of funds on 13 November 2018. The Secretariat is seeking the recovery of $24,587, which takes into account one reimbursement already made by the Executive Secretary.  


5. NEWS: Funding requests to the Global Fund in next allocation period will need to scale up investments in RSSH, TRP says

By: David Garmaise

The Technical Review Panel recently released a report on RSSH investments in the 2017–2019 allocation period. Although there has been progress, the TRP found, a greater focus on resilient and sustainable systems for health will be required in the 2020–2022 allocation period if the Global Fund is to achieve its RSSH-related strategic objectives. The TRP analyzed 50 funding requests from Windows 1–5. This overview is one of three GFO articles on the report; the other two, on integrated health systems and human resources for health, will be published in a future edition of the GFO. 


6. NEWS: OIG audit praises Kenya’s procurement and supply chain processes, identifies implementation challenges

By: Ann Ithibu

An audit by the Office of the Inspector General (OIG) shows that Kenya has made significant progress against HIV, TB and malaria. This is partly due to the country’s ability to successfully procure and distribute Global Fund-supported health products.  The OIG, however, found issues in the quality of services, measurement of grant performance and grant implementation in the context of devolution of health services from the central government to 47 county governments following constitutional changes in 2010.


7. ANALYSIS: Three countries, three different applications of co-financing in Global Fund grants in sub-Saharan Africa

By: Djesika Amendah

Kenya, Uganda and Guinea are three African countries at different levels of economic development, and with different epidemiology for the HIV, tuberculosis and malaria. The application of co-financing within their programming for the three diseases differs largely by country. It is important that the Secretariat harmonizes the application of the policy across countries despite the need for customization.   


8. REPORT: New report finds improvements in Malawi’s Global Fund program for key and vulnerable populations, credits community engagement

By: Gemma Oberth & Emma Gausi

A new report from ICASO published on January 8, 2019, highlights improvements in Malawi’s Global Fund program during the 2017-2019 funding cycle. The authors summarize the report’s findings for the GFO. The total funding requested for key and vulnerable populations rose dramatically, and service packages for these groups were defined in greater detail. According to the report, a broad and systematic community engagement process contributed to these positive changes. However, community monitoring initiatives are direly needed to ensure greater accountability during grant implementation.  


9. NEWS: Global Fund announces $14 billion target for Sixth Replenishment

By: Aidspan Staff

On January 11, 2019, the Global Fund Secretariat and French President Emmanuel Macron announced the Fund’s $14-billion target for its next three-year funding cycle, at a high-level meeting in Paris. The announcement comes ahead of the preparatory meeting for the Replenishment to be hosted by the Indian government in New Delhi on February 8, 2019. 


10. MESSAGE TO READERS: Mobile apps for Global Fund Observer and Observateur du Fonds Mondial now available

By: Aidspan Staff

Aidspan has launched a mobile app for its English and French newsletters, the Global Fund Observer and the Observateur du Fonds Mondial, now accessible for both iOS and Android users. The app is available free of charge in the Google Play and Apple stores. 


This is issue 348 of the GLOBAL FUND OBSERVER (GFO) Newsletter. Please send all suggestions for news items, commentaries or any other feedback to the GFO Acting Editor at To subscribe to GFO, go to

GFO Newsletter is a free and independent source of news, analysis and commentary about the Global Fund to Fight AIDS, TB and Malaria (

Aidspan ( is a Kenya-based international NGO that serves as an independent watchdog of the Global Fund, aiming to benefit all countries wishing to obtain and make effective use of Global Fund resources. Aidspan finances its work through grants from foundations and bilateral donors. Aidspan does not accept Global Fund money, perform paid consulting work, or charge for any of its products.

GFO Newsletter is now available in English and French.

GFO Acting Editor: Adèle Sulcas ( Aidspan Executive Director: Ida Hakizinka (

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