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Global Fund Observer


Issue 360: 10 July 2019

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1. NEWS: Qualitative adjustments process decision expected from Global Fund’s July Committee meetings

By: Adèle Sulcas

At the most recent Global Fund Board meeting held in Geneva in May 2019, the Board approved a Decision Point updating the Allocation Methodology for the 2020-2022 allocation period, but asked the Strategy Committee to review and approve the Qualitative Adjustments process. Qualitative adjustments are the final step in the allocations process, tailoring allocations-by-formula to specific country contexts and issues. The July Strategy Committee meeting will finalize and approve the process, as requested by the Board.


2. NEWS: Heads of global AIDS, TB and malaria agencies reinforce call to ‘get back on track’ for Global Fund’s Sixth Replenishment

By: Dr Abdourahmane Diallo, Dr Lucica Ditiu and Gunilla Carlsson

In a joint opinion piece, the heads of three of the world’s leading global agencies on AIDS, TB and malaria call for donor commitment to ‘get back on track’ in support of the Global Fund’s Sixth Replenishment. The writers recap the current state of the three diseases, the world’s successes against them, and the threats of epidemic resurgence, as context for the Global Fund’s aim to attract ‘at least’ $14 billion in funding.


3. NEWS: Global Fund civil society implementers in English- and Portuguese-speaking African countries create forum to share experience

By: Djesika Amendah

The Eastern Africa National Networks of AIDS Service Organizations (EANNASO) convened a meeting of Global Fund civil society implementers from Anglophone and Lusophone Africa. Participants shared experience of the challenges of grant implementation, grant absorption, and tested solutions. At the end of the two-day meeting, participants welcomed the setup of a Community of Practice to continue learning from each other. Aidspan’s policy team reports.


4. NEWS: Challenges at Global Fund Secretariat and implementer levels found to impede grant absorption

By: Ann Ithibu

The Global Fund is on track to meet an 'absorptive capacity' target of 75% by 2022. However, some countries are still grappling to ensure that they spend their allocated funds within the agreed-upon timeframes. Absorption issues are especially evident for countries that are ‘challenging operating environments’, for less commoditized grants, and for government implementers. Challenges at the Global Fund Secretariat and implementer level often impede a country’s ability to spend all its funds.


5. ANALYSIS AND COMMENTARY: How can the Global Fund finance innovation to improve health product supply chains in resource-limited settings?

By: Dr. Alassane Ba and Dr Karl Hounmenou

Access to medicines and quality health products to ensure healthy populations is a global issue. As 60% of the Global Fund’s financial resources are earmarked for health products, managing the supply chain is crucial given the increase in demand (the scaling-up of ARV treatments, changes in treatment directives, new diagnostic technologies and a growing number of treatment centers). This will necessarily involve reforming the supply chain, aligning partners with a common roadmap and government leadership in developing countries, say senior experts from the Centre Humanitaire des Métiers de la Pharmacie.


6. OPINION: Kenyan High Court upholds criminalization of same-sex relations

By: Allan Maleche and Tabitha G. Saoyo

In an article first published in the Health and Human Rights Journal in June 2019, Allan Maleche, winner of the 2018 Elizabeth Taylor Human Rights Award and Executive Director of the Kenya Legal and Ethical Issues Network, and Tabitha G. Saoyo, the network’s Deputy Director, comment on the Kenyan High Court’s recent dismissal of the challenge to the country’s criminalization of same-sex sexual acts.


7. OF INTEREST: Other news relating to the Global Fund partnership

By: Adèle Sulcas

This GFO’s ‘Of Interest’ column highlights the UK’s £1.4 billion pledge to the Global Fund, the Global Fund and UNAIDS’ signing of a new strategic framework on support to countries, the Global Fund’s July Replenishment Partner Update, and the establishment of the World Health Organization’s Academy, an institution that offers the promise of democratizing health-related learning.


This is issue 360 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 For issues relating to Francophone countries or the French edition of the GFO, the Observateur du Fonds Mondial (OFM), please contact OFM Editor Christelle Boulanger at To subscribe to GFO/OFM, 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 does not fund any other organizations. 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. The Board and staff of the Global Fund have no influence on, and bear no responsibility for, the content of GFO or of any other Aidspan publication.

GFO Newsletter is now available in English and French. The French-language edition becomes available within one week after the publication of the English edition.

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

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