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West and Central Africa
Community engagement to end TB in West and Central Africa
Fiscal agents reduce financial risks within Global Fund grants but do not build implementer capacity
Concept is sound but ‘model’ could be improved
Fiscal agents have been part of the Global Fund Financial management system in countries with high or moderate fiduciary risks since 2012. According to the Global Fund Guidelines on Financial Risk Management, fiscal agents reduce financial risks originating from weak financial management of principal or sub-recipients of Global Fund grants.
Two grants in the EECA and one in West and Central Africa were valued collectively at $24 million
Among the grants approved by the Global Fund Board on 21 December 2018 (see GFO article) were three multi-country grants. Two of the grants were for Eastern Europe and Central Asia (EECA); the third was for West and Central Africa. (See table.)
Participants were not comfortable with the proposed concept of differentiated models for CCMs
The consultation in Abidjan, Côte d’Ivoire on the evolution of the country coordination mechanism (CCM) model provided a valuable opportunity for CCM members to share a dialogue among peers and with the Global Fund Secretariat. Participants took advantage of the opportunity to voice their concerns about the challenges they face in ensuring their CCMs function effectively.
Roadblocks include inadequate human resource capacity, procurement difficulties and gaps is data collection and analysis
In raising concerns about the ability of countries to achieve full absorption of Global Fund grants, delegations from the African constituencies on the Global Fund Board pointed to a range of challenges they said need to be addressed, including several that consistently appear at the country level.
As a result of Niger's participation in the ITP, the country is now seeing increased absorption rates of some grants. The country is one of those participating in the Global Fund’s Implementation Through Partnership (ITP) initiative on which a separate article in this issue here, provides a further description.
A transitional plan is currently in place
The Global Fund has been aware for at least the past six years that salary incentives paid to workers in the Democratic Republic of Congo (DRC) were problematic, but has struggled to find a way to move forward without them.
Les pays d'Afrique occidentale et centrale fixent de nouveaux objectifs ambitieux pour décembre 2017
Les pays répondent aux problèmes d'absorption des financements et de mise en œuvre des subventions auxquels ils font face
⇒ Doubler la couverture de ART en 2017.
The countries are responding to problems in absorbing funding and implementing grants
- Double the coverage of ART in 2017.