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Global Fund Observer


Issue 367: 06 November 2019

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1. COMMENTARY: The Global Fund Board should emphasize transition planning and outcomes

By: Aidspan team

The Global Fund Board will discuss the Sustainability, Transition and Co-Financing policy next week at its 42nd Board meeting. Planning transition from Global Fund support, transition implementation, and outcomes, deserves the attention of the Board. The fact that countries that had transitioned away from the Global Fund grants witness a spike in HIV infections and that some of those countries apply anew for support is a worrisome trend.


2. NEWS: Technical Review Panel publishes observations on 2017-2019 Allocation Cycle as aid to countries’ funding requests for 2020-2022

By: Adèle Sulcas

In advance of the next Global Fund Board meeting, where allocations for the 2020-2022 funding cycle will be confirmed following the Sixth Replenishment’s confirmation of a $14.02 billion budget, the Technical Review Panel has published a detailed report about the 2017-2019 funding cycle on the Global Fund website, including observations, trends, and recommendations for countries as they develop their new funding requests.


3. NEWS: Global Fund Board to discuss ongoing piloting of country-specific performance on several Key Performance Indicators

By: Andrew Green

The Global Fund Board is expected to discuss the continuation of a pilot initiative reporting on country-specific results on Key Performance Indicators (KPIs). Previously, the KPIs were reported in aggregate and, when it was relevant, at the regional level, and the Secretariat did not report any country-specific results to the Board or to Committees. The change came earlier this year in response to requests from constituencies for country-specific analysis at the country and grant level to better understand challenges and performance.


4. ANALYSIS AND COMMENTARY: Are Country Coordinating Mechanisms a modus operandum, a governance ideal or a tool for countries to progress towards universal health coverage?

By: Christelle Boulanger and Atiqa Chajai

The Secretariat has assessed the first results of the CCM Evolution strategy, and plans to scale up the initiative to 48 new CCMs in 2020. Unfortunately, some of the key challenges to CCMs have not been addressed and should be openly discussed if we want CCMs to meaningfully contribute to our common objectives to eliminate the pandemics. In particular: the moral and legal character of the CCM and its positioning, to enable efficient dialogue with Ministries of Finance and Health, the role of Civil Society Organizations, in particular in criminalizing environments, and the composition of the CCM according to the role it is given: Is it a governance platform or a group of skilled professionals aiming to challenge the PR and the SR? Do we want CCM to be an instrument of grant management, or a governance ideal?


5. NEWS: First OIG audit of Liberia’s Global Fund grants highlights that financial management arrangements need ‘significant improvement’

By: Adèle Sulcas

In the first country audit by the Office of the Inspector General of Global Fund grants in Liberia, while acknowledging the challenges imposed on the country by long periods of civil war and the 2014-2016 Ebola epidemic, the OIG points out some critical issues needing improvement, including sub-recipient oversight, financial management and tracking of grant assets, weak supply chain structures, and gaps in linkages to HIV and TB services.


6. NEWS: OIG audit of Global Fund grants to Papua New Guinea highlights increasing malaria prevalence and inadequate internal controls

By: Ann Ithibu

In an audit of Global Fund grants to Papua New Guinea (PNG), the Office of the Inspector General acknowledged PNG’s success in expanding HIV services to key populations but raised concerns around an increase in malaria prevalence, a reduction in HIV testing among key populations, and the lack of actual TB burden estimates. The OIG also noted some instances of financial non-compliance and opportunities for greater efficiencies within the grants.


This is issue 367 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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