THE HITCHHIKER’S GUIDE TO THE GLOBAL FUND

(AND USG ENGAGEMENT WITH THE GLOBAL FUND)

Today’s Objectives: You’ll get to know…

1.The basics of the Global Fund to fight AIDS, TB and malaria

2.How the USG engages with the Global Fund

3.How the USG provides Technical Assistance for Global Fund grants

Global Fund -- Founding Principles

• The Global Fund is a financing mechanism, not an implementing mechanism for country-led efforts to combat HIV/AIDS, tuberculosis, and malaria.

• Public-private partnership

• Can be accessed by all affected countries

• The Global Fund evaluates proposals through independent review processes based on technical merit.

• Scale – aims to expand successful interventions

Global Fund structures

Board

Secretariat

TRP

OIG

LFA

Proposal

Grant Agreement Sub

Agree-ments

CCM

PR

SRSR

SSRSSRSSR

PR

SRSR

SSRSSRSSR

The Board: Issues call for proposals

CCM: Coordinates proposal development and submission

Secretariat: Screens for eligibility

Technical Review Panel: Reviews and recommends for funding

The Board: Approves funding for the first two years

Principal Recipient: Signs grant, sets targets, implements

Global Fund Proposals – The Process

• Global Fund grants cover a 5-year period

• 2 Phases: Phase I – two years, Phase II – next 3 years

• Before end of Phase I – PR must submit a Request for Continued (Phase II) Funding

• Phase II request reviewed by LFA, CCM, Secretariat

• Secretariat recommendation on Phase II funding goes to Board for approval

Global Fund Grant – Lifespan

Performance-Based Funding

• Grant recipients report regularly on results & expenditures (quarterly or semi-annually)

• Local Fund Agents (LFAs) verify reported results & expenditures

• Performance evaluated and rated at every progress update

• Performance influences disbursement & future funding decisions

• Conditions Precedent (CPs) to disbursement

• Corrective actions for poor performance – Time Bound Actions (TBA) or Suspensions

Nine rounds of grant-making to date (Review of Round 10 is underway)

780 Grants

144 countries

for $19.4 billion

$11.6 billion disbursed to date

Portfolio breakdown by disease

AIDS43%

TB28%

Malaria28%

Key Results to September 2010

0% 10% 20% 30% 40% 50% 60%

MALARIA: ITNs

TB: DOTS Treatment

HIV: People on ARVs 2.8 million

7 million

124 million

Source: The Global Fund

USG ENGAGEMENT

Global Fund – Top 10 Donors to Date

1. United States

$5.1 billion

2. France $2.187 billion

3. Japan

$1.288 billion

4. European Commission

$1.204 billion

5. Germany

$1.185 billion

6. United Kingdom

$1.177 billion

7. Italy $1.008 billion

8. Canada

$844 million

9. Gates Foundation

$650 million

10. Spain

$583 million

Global Fund Structures

Board

Secretariat

TRP

OIG

LFA

Proposal

Grant Agreement Sub

Agree-ments

CCM

PR

SRSR

SSRSSRSSR

PR

SRSR

SSRSSRSSR

USG TECHNICAL ASSISTANCE

USG-funded Technical Assistance (TA)

• Congress authorized Global AIDS Coordinator to withhold up to 5% of Global Fund appropriations for Global Fund TA

• TA for Grant signature and implementation issues (not proposal development)

• TA for disease-specific technical assistance and for management issues

• Short-term (bottleneck removal)

• Demand-driven (CCMs, PRs, and sub-recipients)

USG TA Portfolio

• Disease Specific TA

– Malaria (Malaria Action Committee, RBM)– TB (STOPTB and the Green Light Committee)– HIV/AIDS (UNAIDS Secretariat and TSFs)

• TA for Management issues– Grant Management Solutions (GMS) project– The US Global Fund Liaisons

• -$94.7 million approved to date (since FY 2005)

Global Fund Liaisons

• Round 1 (FY 2007)– DRC – Eteni Longondo– Indonesia – Jeff Muschell– Malawi– Mozambique – Chantal Auger– West Africa (regional) – Fatimata Sy– Haiti

• Round 2 (FY 2008)– Cambodia– East Africa (regional)– Zimbabwe– Central America (regional)– Central Asia (regional)– South Sudan– India

Grant Management Solutions (GMS)

• USAID Contract with MSH (managed from OGAC)

• Urgent, short-term technical support to CCMs & grants to unblock bottlenecks & systemic problems hindering performance, assist CCMs & PRs to meet GF conditions precedent & deadlines

• Build capacity of CSOs to participate

• Focus on 4 areas of TA:– CCM governance and leadership– PR program and financial management – Procurement and Supply Management (PSM)– Monitoring and evaluation (M&E)

The GMS approach

• Participative • Offering multiple options• Facilitating decision making

by CCMs and PRs• Assisting PRs to meet GF

deadlines• Measuring success by GF

performance markers

LAC E. Europe & Middle East

Anglophone Africa Franco/Luso Africa Asia, SW Asia

COPRECOS (1)

Honduras (3)

Guatemala Mexico (6)

Nicaragua (2)

Peru (2)

Albania (2)

Armenia (5)

Djibouti JordanKazakhstanKyrgyz Rep.Mauritania (4)

Morocco (3)

NigerSerbiaTunisiaUkraineYemen

Ghana (2)

LesothoLiberiaNamibia (3)

Nigeria (4)

Sierra Leone (5)

Southern SudanSwaziland (3)

West Africa Corridor (5 countries)

ZambiaZimbabwe (3)

Angola (2)

BurundiCameroun (3)

Central African Republic (7)

Comoros (2)

Cote d’Ivoire (3)

Democratic Republic of Congo (8)

GuineaMadagascarMaliMozambique (3)

Rep of CongoSao Tome y PrincipeSenegal (4)

Togo

Afghanistan (3)

Bangladesh (2)

Bhutan (4)

Cambodia (2)

East TimorFiji (3)

India (4)

Indonesia (5)

Laos PDR (2)

MongoliaNepal (6)

Pakistan (6)

Papua New GuineaPhilippines (5)

GMS Countries to date

GMS work has affected 237 grants (27% of all grants) worth $3.07 billion (26.4% of all funds approved to date)

GMS Results

Outcome As of August 31, 2010

# of new grants signed 15

# of Phase II and RCC signed 10

Total value of grants and phases signed with GMS assistance

$ 514 million

# of grants for which dashboard was developed for CCM oversight

32

# of Conditions Precedent met after GMS

57

Pearls: Primary Global Fund Principle - Performance-based Funding

Where to go to get more info…

• www.theglobalfund.org

• www.aidspan.org

• www.gmsproject.org

THE END