The Global Fund- structure, function and evolution

1
The Global Fund- structure, function and evolution

• February 18, 2008

2
Simplifying the Global Fund
BG/290607/4
3

• What is the Global Fund
• What has it achieved together with countries
• Architecture - How does it work
• The Global Fund process from proposal development
  to implementation

4
The Global Fund is an independent public-private
partnership mandated - To raise and to
disburse substantial new resources - To
operate transparently and accountably- To
achieve sustained impact on HIV/AIDS, TB, and
malaria
What is the Global Fund?
BG/111006/1
5
Guiding Principles

• Operate as a financial instrument, not an
  implementing entity
• Make available and leverage additional financial
  resources
• Support programs that reflect national ownership
• Operate in a balanced manner in terms of
  different regions, diseases and interventions
• Pursue an integrated and balanced approach to
  prevention and treatment
• Evaluate proposals through independent review
  processes
• Establish a simplified, rapid and innovative
  grant-making process and operate transparently,
  with accountability

BG/290607/2
6
A new way of doing business

• Supports programs that evolve from national plans
  to fill critical gaps at country level
• Recognizes only a country driven, coordinated
  approach for proposal development and
  implementation
• Its core function remains that of financing,
  disbursing and managing new funds
• Relies on its partnerships with other development
  and technical partners, civil society and the
  private sector to support countries in delivering
  effective programs and services to communities in
  need

7
Countries with Global Fund Grants
BG/261107/6
8
Global Fund Achievements

• 8.1 billion committed to the fight against AIDS,
  TB and malaria
• 5.1 billion disbursed to date
• 60 of these funds are channeled to low-income
  countries and committed to Africa
• The Global Fund has approx 300 staff and is
  supporting more than 500 programs in approx 133
  countries

9
Disease Components DistributionRounds 1-7,
(December 2007)
Global Fund Resources by Disease Component
100 9.98 billion USD Percentages of total
funds approved by the Board, including Phase 2
OP/071207/3
10
Results in 2007 rapid stage of scale up
Intervention Results 2007 increase over year
HIV People on ARV treatment 1,400,000 88
TB People treated under DOTS 3,300,000 65
Malaria Insecticide-treated nets distributed 46,000,000 155
Exceptional challenges 20-40 of international
targets
11
Key Structures of the Global Fund

• The Board
• Country Coordinating Mechanisms (CCMs)
• Technical Review Panel
• Secretariat of the Global Fund

12
Partnership - The Board

• Donors (7)
• Recipients (7)

• NGOs North
• NGOs South
• Communities living
• with the diseases

Civil Society
Public Governments

• Private sector
• Foundations

• WHO
• UNAIDS
• World Bank

Technical Partners
Private Sector
13
Global Fund Country Governance(Country
Coordinating Mechanisms)
Private Sector
CCM
Academic
Affected communities
Faith-based
Media
Multi/bilateral partners
NGOs/CBOs
Government
14
Role of the CCM

• Coordinate national proposal submission for grant
  funding
• Ensure linkages of Global Fund assistance with
  development partners and initiatives
• Ensure clear strategies that meet the needs of
  most affected marginalised people.
• Consultation with constituents while providing
  transparency to the general public

15
The Process Used by the Global Fund

• Global Fund calls for proposals (March 1st)
• CCM collaborates to prepare proposals
• CCM submits proposals to the Global Fund and
  recommends principal recipients
• Secretariat screens the proposals for elegibility
  
• Technical review panel reviews proposals and
  submits to the Global Fund Board for approval

16
The Process Used by the Global Fund

• Global Fund appoints a Local Fund Agent (LFA)
• LFA assesses capacity of principal recipients
  (PR)
• Secretariat negotiates a grant agreement with PR
• Global Fund signs a two-year grant agreement
• Disbursements are made to PR on the basis of
  performance in a form of progress updates
• PR may disburse to sub-recipients as implementers

17
Who Implements Global Fund Grants?
Estimates from Rounds 2-6 proposals 100 4,1
billion USD
OP/290607/5
18
The Global Funds model for grant accountability

• Rely on local stakeholders at the country level
  to implement programs and manage grant proceeds

• As far as possible encourage the use of existing
  standards and processes

• Monitor and evaluate programs and make decisions
  on future funding based on performance and
  accountability

• Promote rapid release of funds to assist target
  populations

19

• Thank you!