An outbreak of HIV among children in Pakistan that began in April, in the province of Sindh, has caused outrage in the country and attracted worldwide media attention. So far more than 600 people, more than 80% of whom are children, have been infected with HIV most likely due to unsafe use of syringes, intravenous drips and unsafe blood transfusions.
Global Fund’s management and framework for investments in health systems need significant improvement, OIG says
The Office of Inspector General (OIG) conducted the first audit of the Global Fund’s Resilient and Sustainable Systems for Health (RSSH) investments aiming “to provide reasonable assurance on the adequacy and effectiveness of Global Fund processes for the management of RSSH activities”.
As reported in the last GF0 issue # 300 here, the OIG’s Progress report mentioned challenges it faced in 2016. The report also mentions some other issues which have emerged in the latter part of 2016 which if not addressed, could pose problems in achieving its operational objectives and targets into 2017.
Après un retard d’environ six mois, l’accord-cadre pour les subventions du Fonds mondial au Pakistan va enfin être signé.
D’après le nouveau modèle de financement, chaque pays doit signer un accord-cadre qui détaille les termes et les conditions pour toutes les subventions du pays en question. Ensuite, des documents de confirmation sont signées séparement pour chaque subvention approuvée par le Fonds mondial.
After a delay of about six months, the framework agreement for Global Fund grants to Pakistan is set to be signed the week of 22 February.
Under the new funding model, each country signs a framework agreement which spells out the terms and conditions for all grants to that country. Then, separate grant confirmation forms are signed for each grant for which The Global Fund Board has approved funding.
OIG audit of grants to Pakistan reveals weaknesses in implementation arrangements, and financial and procurement management
An audit by the Office of the Inspector General of grants to Pakistan concluded that while internal controls over programmatic activities are generally effective, there is considerable room for improvement in implementation arrangements, financial management, and procurement and supply chain management.
Pakistan is the first interim applicant in the transition phase of the new funding model (NFM) to be awarded money. On 3 May, the Global Fund Board approved funding in the amount of $8 million. This is the same amount that was identified for Pakistan when the interim applicants were announced (see GFO article).
The Global Fund Board has approved Phase 2 funding for two Round 9 HIV grants in Pakistan. Funding of $7.1 million was approved for one of the grants, for which the principal recipient (PR) is the National AIDS Control Programme. Funding of $11.3 million was approved for the other grant, for which the PR is the Nai Zindagi Trust.
The Global Fund Board has approved two of the nine Round 9 proposals whose original rejection had been appealed by the applicants. The newly approved proposals are an HIV proposal from Pakistan that will cost $11.9 million and a TB proposal from Ukraine that will cost $34.6 million (costs are for the first two years). The approvals are subject to a number of requests for clarification being successfully responded to in a timely manner.
The Global Fund Board has approved two of the twelve Round 6 proposals whose original rejection had been appealed by the applicants. The newly approved proposals are an HIV/AIDS proposal from Egypt that will cost $5.4 million over the first two years, and a TB proposal from Pakistan that will cost $22.6 million. The approvals are subject to a number of clarifications being successfully responded to in a timely manner.