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COVID-19 derails implementation of agreed management actions, the Global Fund Board hears Outstanding AMAs have had lower than expected progress
Some relate to Global Fund processes, others to political and economic context
OIG audit praises Kenya’s procurement and supply chain processes, identifies implementation challenges
Gaps in service delivery, grant implementation and measurement of grant performance
Kenya has made significant progress against HIV, TB and malaria. This is partly due to the country’s ability to successfully procure Global Fund-supported health products, despite not using the Global Fund Pooled Procurement Mechanism (PPM). The country also ensures that health products are available to health facilities as needed.
Limited oversight, compliance monitoring and performance management by Secretariat cited by OIG
The Global Fund has improved its controls, management and oversight of procurement processes at the Secretariat level, in response to issues identified in an audit of procurement and supply chain management carried out in 2015.
Medical supplies authority obtains competitive prices that are often lower than international averages
The Kenya Medical Supplies Authority (KEMSA) successfully procures and distributes government, Global Fund, and other donor-funded commodities. Prices obtained by KEMSA are competitive compared to prices obtained by the Global Fund’s Pooled Procurement Mechanism (PPM), stock-outs of health commodities occur rarely, if ever, commodities are delivered in a timely fashion, and inventory is properly managed at all stages of the supply chain.
OIG investigation of Global Fund PR in Bangladesh reveals fraud and misuse of funds amounting to about $100,000
The PR, the National TB Control Program, has come under scrutiny in previous OIG probes
Staff from the National Tuberculosis Control Program (NTP) in Bangladesh falsified documents to support training-related expenditures between July 2015 and September 2016, according to an investigation conducted by the Office of the Inspector General (OIG). The NTP was principal recipient (PR) for a TB grant (BGD-T-NTP) worth $31.7 million.
Ukraine starts transition away from Global Fund support without a detailed transition plan, OIG says
Audit gives Ukraine a mixed report card
Principles provide more flexibility regarding the timing for re-tendering LFA contracts
The Global Fund Board has adopted a set of “principles” governing the selection of LFAs (some of the principles are really policies); has delegated to the Audit and Finance Committee (AFC) the authority to modify the principles; and has delegated to the Secretariat the authority to establish the procedures for procurement of LFA services. The principles were recommended by the Secretariat and endorsed by the AFC.
OIG reports good progress in implementing Global Fund grants to Ethiopia, but several problems remain
Audit identifies inefficiencies in grant management, absorption, quality of services, and procurement and the supply chain
Philippines’ HIV funding request to the Global Fund contains a good mix of prevention and treatment: TRP
However, the country’s matching funds request was sent back for iteration
The Philippines’ HIV funding request was strategically focused with appropriately targeted investments towards HIV prevention programs for key populations, and access to testing and treatment services. This was the conclusion of the Technical Review Panel (TRP) and the Grant Approvals Committee (GAC) when they reviewed the request.