Executive Director Mark Dybul provided the Board with a report that celebrated the Global Fund’s achievements but also challenged the Fund to do better on a number of fronts.
The Global Fund has approved the framework for the next strategy. The strategy itself, which will cover the period 2017-2022, will be approved at the first Board meeting in 2016.
An audit by the Office of the Inspector General on grants to South Sudan concluded that while financial and fiduciary controls are at the level of the principal recipients were effective, there are weaknesses in the management of programs and health services and products, and in governance and oversight. A report on the audit was released on 5 October.
A new performance-based financing system will be implemented in the Democratic Republic of Congo, through a partnership involving the Global Fund, GAVI, Unicef and the World Bank. In 2016-2017, the Global Fund will allocate $20 million to finance health centers and their staff on the basis of the quantity and the quality of services provided.
Violent clashes between demonstrators and security forces in Burundi sent tens of thousands of people fleeing both inside and beyond the borders of the central African state. These displacements were only one consequence of the crisis in the capital that stretched the capacity of an already-strapped health system: demonstrating a need for flexibility in resourcing in so-called challenging operating environments.
Reports on audits of grants in Rwanda and Ecuador were released by the Office of the Inspector General (OIG) at the end of December.