WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

New Funding Model

Overview

1

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

2

Timeline to change

2011

2012

New Global Fund

Strategy approved

Decisions on New

funding model

Implementation

Transition: create grants for a limited number of

countries based on funds available

Design and Agreement on all key features of the

new model, with timelines for implementation

Established the framework to replace “Rounds” with

a substantially changed funding model

When Key event Outcome

Full implementation of the new funding model after

replenishment

2013

2014

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

3

• Greater alignment with country schedules, context, and priorities

• Focus on countries with the highest disease burden and lowest ability

to pay, while keeping the portfolio global

• Simplicity for both implementers and the Global Fund

• Predictability of process and financing levels

• Ability to elicit full expressions of demand and reward ambition

Principles

of the new

funding model

Principles of the new funding model

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

4

How does the new model differ from the previous model?

• Timelines largely defined by the Global

Fund

• Timelines defined by each country

• Low predictability: timing of Rounds,

success rates and available funds • High predictability: timing, success

rates, indicative funding

• Cumbersome undifferentiated process to

grant signing with extended delays

• More active portfolio management to

optimize impact

• Hands-off Secretariat role prior to Board

approval

• Ongoing engagement by Secretariat

• Disbursement-ready grants with

differentiation

From previous model

To new funding model

• Passive role by the Secretariat in

influencing investments

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

5

Overview of the new funding model

2nd

GAC

Concept Note Grant-Making

Board

TRP

GAC

Key

funding

events

• Secretariat’s Grant

Approval Committee

(GAC) sets budget

ceiling

• TRP-approved funds

above ceiling are put in

queue in case new

funds are available:

unfunded quality

demand

• Country team and country

finalize grant agreement

documents

- Workplan & budget

- Performance framework

- Procurement plan

• Secretariat

communicates funding

amounts to countries:

indicative funding

• The pool of additional

incentive funding is

also available

Ongoing Country Dialogue

National

Strategic Plan

determined by

country

Grant

Implementation

3 years

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

The NFM compliments existing processes

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National

Strategic Plans

(NSPs)

Country

dialogue

The term used to refer to ongoing processes that occur at country level to

fight the three diseases and strengthen health and community systems. It is

country-specific and country-defined

Partnership

coordination

Country dialogue & the iterative processes of the NFM require more

intensive technical engagement & support at country level with the CCM,

key donors & technical partners

NSPs are the basis for Global Fund support

NSP Robust, prioritized

NSP

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

7

Implementation timelines

2013 2014 2015

Application, review & grant-making In-country preparation and national

strategy development

Replenishment

Full

roll-out

Application & funding decision

Derive lessons

Selection of

participating

countries

Transition

Primarily through

renewals, extensions, and

strategic reprogramming

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

Declining global trends in TB incidence, prevalence

and mortality

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Source: Global Tuberculosis Report 2013

HIV-positive TB

Incidence Prevalence TB Mortality

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

We are at a critical moment in history with

opportunity to capitalize on gains

Progress made by programs supported by the Global Fund

9

85% in 2011

0% 50% 100%

Increased from 69% in 2000 to...

11 MILLION treated for tuberculosis to date

0 2 10 4 6

Millions

2012 2013 So far this

year:

1.3 MILLION

people

treated for TB

People treated:

Treatment success:

1

2

8

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

Global TB burden

• After HIV, TB is the leading cause of death

from a single infectious agent (1.3 million in

2012)

• The number of TB deaths is unacceptably

large given that most are preventable

• HIV has fueled the spread of the disease, and

the leading cause of death among PLWH

• TB-HIV collaborative services expanding, but

global targets not yet in sight

• Progress towards targets for diagnosis and

treatment for MDR-TB is far off track

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Approx. 3 million

estimated TB cases

not notified Source: Global Tuberculosis Report 2013

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

• In 2012, 1.1 million (13%) of 8.6 million people who developed TB worldwide were HIV-

positive.

• In the same year, 1.3 million died from TB, of which 320, 000 were people living with HIV.

• The highest rates of TB and HIV co-infection are in Africa, where 43 percent of TB patients had

a positive HIV test result in 2012

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Joint TB and HIV applications

Countries with high co-infection rates of TB and HIV shall submit a single

concept note that presents integrated and joint programming for the two diseases

(GF/SIIC09/DP6)

Recognizing the importance of core TB-HIV collaboration services, the

Board’s Strategy, Investment and Impact Committee decided that:

WHO/TBTEAM Workshop on the

Global Fund’s New Funding Model

31 October 2013, Paris

Your questions...

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