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Global Fund Observer


Issue 374: 26 February 2020

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1. NEWS: Global Fund Board approves $135.7m and €25.7m of portfolio-optimization awards for 23 countries

By: Adèle Sulcas

The Global Fund Board has approved funding for another batch of interventions from the Register of Unfunded Quality Demand. This large set of portfolio-optimization awards comprises $135.7 million and €25.7 million for 28 grants across 23 countries. These awards allow the Global Fund to fill gaps in services in countries whose original requests for funding from the 2017-2019 allocations did not cover all of their immediate needs.


2. NEWS: Implementation of Global Fund’s Sustainability, Transition and Co-Financing policy, is ‘transformative’, says thematic review

By: Andrew Green

A thematic review by the Technical Evaluation Reference Group of the implementation of the Global Fund’s Sustainability, Transition and Co-Financing Policy is now complete. The review found that the related activities carried out have been transformative, delivering “substantial gains” in helping lower middle-income countries with “non-high disease burdens” and upper-middle-income countries to better plan for and manage transitions. The report did find opportunities to improve support for lower middle-income countries with high disease burdens, and for low-income countries.


3. NEWS: OIG publishes news updates about Liberia and Tanzania investigations

By: Adèle Sulcas

The Office of the Inspector General, in following up issues identified in two country audits of Liberia and Tanzania performed in 2019 and 2017 respectively, has issued statements describing the results of the follow-up investigations instead of full investigation reports. The OIG published statements instead of full investigation reports due to “weaknesses of data management in supply chain operations” and missing records in the case of Tanzania, while in Liberia, the OIG’s preliminary assessment identified poor record keeping, and not systemic diversion, as the source of the stock reconciliation differences identified during the country audit.


4. NEWS: A ‘top 20’ ranking of countries with the largest Global Fund 2020-2022 allocations for the three diseases

By: Djesika Amendah

Using the Global Fund’s data service, Aidspan takes a look at which countries received increases in their total allocations of 50% or more, as well as the top 20 countries with the largest allocations for each of the three diseases in this 2020-2022 cycle (Mozambique, India and Nigeria for HIV, TB and malaria, respectively).


5. ANALYSIS AND COMMENTARY: Allocations increase of $780 million to West and Central Africa in 2020-2022 funding cycle will speed up progress towards achieving the Global Goals by 2030

By: Christelle Boulanger

Allocations for the next cycle will be the largest ever granted to recipient countries. The total amount available for country allocations for the 2020-2022 cycle is $12.71 billion, up 23% from the previous three-year period. This represents a substantial increase for West and Central Africa as the region will receive $780 million more than during the 2020-2022 cycle. How to ensure that these resources are well invested and that they allow for both strengthening health systems and saving lives? The next six months will be crucial to reflection on these questions, and to planning interventions that take into account lessons learned in the past, and recommendations outlined in numerous reports with a view to further improving the effectiveness and efficiency of Global Fund investments.


6. ANALYSIS: Global Fund grants’ co-financing used more to buy commodities than to strengthen health systems, in practice

By: Djesika Amendah

The Global Fund’s policy on sustainability, transition, and co-financing allows countries to spend part or all of their co-financing on strengthening their systems for health. A sample of Global Fund allocation letters for the 2020-2022 cycle reveals that countries and the Secretariat prefer to spend co-financing funds to purchase health commodities.


7. OF INTEREST: News for and about the Global Fund partnership

By: Adèle Sulcas

This edition’s ‘Of Interest’ focuses on value-for-money resources for applicants to the Global Fund, the Global Fund’s and Friends of the Fight Japan’s participation in the torch relay for the Tokyo Olympics, and the plenary lineup for AIDS 2020, announced by the International AIDS Society.


This is issue 374 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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