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Strategies include strengthening capacity of the state PRs and engaging top-level management
CCM Evolution pilot lauded; country ownership needs strengthening
The Implementer Voting Group (ImG) of ten constituencies of the Global Fund Board met for its annual retreat in Dakar, Senegal, from September 11 to 13.
After 16 years, Churches Health Association of Zambia continues its success as Global Fund grant implementer
CHAZ leaders credit their success to “faith in God and in themselves”
In Zambia, one of the countries hardest hit by HIV/AIDS and where the disease is still the leading cause of death, the Churches’ Health Association of Zambia (CHAZ) has been an implementer of Global Fund grants, without interruption, since their inception in 2003.
Still, absorptive capacity has improved despite long-standing challenges
As the Global Fund approaches the replenishment of funds for the next implementation period, 2020 to 2022, the question of how well Global Fund grant funds are absorbed has become prominent. It is a topic, among others, in recent reports by the Global Fund’s Office of the Inspector General (OIG), the Secretariat and civil society organizations.
Some relate to Global Fund processes, others to political and economic context
“Significant improvement” needed in efforts to streamline oversight of small-allocation and low-disease-burden grants
Despite a 2016 strategic initiative to reallocate Secretariat staff for countries with smaller (Focused) portfolios to countries with larger (Core or High Impact) portfolios, and to reduce the administrative burden on Focused portfolios, “grant management processes and procedures in Focused portfolios remain largely the same” as for the larger portfolios.
The Global Fund seeks the right balance between risk mitigation and grant implementation in Mali malaria grant
Because of Mali’s extreme malaria burden, its grant portfolio has been designated “high impact”
When it recommended a Mali malaria grant for approval recently, the Global Fund’s Grant Approvals Committee (GAC) acknowledged that there are implementation challenges associated with this grant and said that it welcomed the Secretariat’s plans “to identify bottlenecks, and holistically review and harmonize the controls in place with the aim of balancing risk mitigation and effective grant implementation.”
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.
Independent research in Eastern and Southern Africa identifies opportunities to improve effectiveness of Global Fund processes
'Synthesis report' focuses on grants in Malawi, Tanzania and Zimbabwe
Program integration, and strengthening supply chain, infrastructure, and logistics must be prioritized
Guinea, a West African country of about 12 million people, faces several serious challenges in implementing its Global Fund grants. Some challenges have been related to the country’s political and epidemiological contexts. Others are related to the implementation of some Global Fund policies in the country.