Global Fund Observer

The Global Fund Observer is the leading independent voice providing insight, analysis and opinion about the Global Fund.

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In the latest batch of funding approvals from the Global Fund Board, three country grants and one multi-country grant received a total of $18.0 million in funding for initiatives on the Unfunded Quality Demand Register. The multi-country grant additional investment was funded by a private sector contribution, and the three country grants’ additional investments through portfolio optimization.


In a follow-up audit of Global Fund grants to the Democratic Republic of Congo, following a first country audit in 2016, the Office of the Inspector General acknowledged successes in disease and supply chain management, but found that stockouts or insufficient stocks of health commodities, the quality of data relating to people living with HIV on treatment or lost to follow-up, and concerns around financial management and the role of the fiscal agent need to be addressed.


Fiscal agents are part of the Global Fund’s financial risk management in countries with fiduciary risks. Fiscal agents have been successful at reducing financial risks originating from weak financial management of Global Fund grant implementers. However, fiscal agents are not effective in building implementers’ capacity, contrary to their mandate.  


A new analysis by Aidspan found that in ‘high-impact’ Asian countries, domestic contributions to the HIV, TB and malaria responses remain low, particularly for malaria. Domestic resources accounted for 64% of the total available funding for HIV, 55% for TB and 46% for malaria, in the 2015-2017 implementation period. The share of domestic resources rose, in the 2018-2020 period, to 81% for HIV, 63% for TB and 65% for malaria. Despite this increase, the countries still face huge gaps in funding in the current 2018-2020 period.


Viviana Mangiaterra became the Global Fund’s Head of Resilient and Sustainable Systems for Health in 2014, hired to design the Fund’s approach to health system strengthening. Soon to leave the Global Fund for an academic position, Ms. Mangiaterra spoke to the Observateur du Fonds Mondial about her five years at the Fund in this critical role.


The Office of the Inspector General’s 2018 annual report to the Global Fund Board included a section on changes in the global fraud landscape, on which the OIG’s Head of Investigations, Katie Hodson, commented further, in a blog on the OIG website. The GFO spoke further with Ms Hodson on the evolution of fraud, as observed by the OIG in the Global Fund’s grants. This is the first of two articles featuring the OIG’s work.


The International AIDS Society’s bi-annual conference on HIV science, held this year in Mexico City on 21-24 July, unveiled a number of pioneering clinical advances, including implantable, long-lasting pre-exposure prophylaxis, the potential for four-day-a-week antiretroviral treatment being as effective as everyday treatment in patients who are already virally suppressed, and clarification on the safety of using antiretroviral dolutegravir during pregnancy.


The Global Fund launches an ‘open letter’ to all 7-year-olds, everywhere – the latest element in its ‘Step up the Fight’ campaign in advance of the Sixth Replenishment funding conference in October.