Global Fund Observer

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The Global Fund held its 42nd Board Meeting on 14-15 November at the Global Health Campus in Geneva. This article gives an overview of the main decisions made by the Global Fund Board at this meeting, including those taken through electronic voting prior to the meeting, and summarizes discussions on two other topics that featured during the Board ‘pre-day’.


At the Global Fund’s 42nd Board meeting, Executive Director Peter Sands delivered his second annual report to the Board, taking stock of the Global Fund’s progress against 2019 priorities, its priorities for 2020 and beyond, and adding his own observations. These included the need for maximum impact in the next grant cycle, co-financing, Country Coordinating Mechanism evolution, a step up in HIV prevention modes and efforts, and removing in-country legal and human-rights barriers to treatment access. 


At its 42nd Board meeting, the Global Fund Board discussed the Sustainability, Transition, and Co-financing policy, based on an update to the Boarding bringing together lessons learned, independent reviews, and reports from three independent institutions of the Global Fund. Implementation of this policy will be a priority in the 2020-2022 allocation period, the Board said, given the critical role the STC policy plays in the Global Fund 2017-2022 Strategy.


In a progress update provided to the Board at its 42nd Board meeting, the Secretariat noted that Country Coordination Mechanisms (CCMs) that took part in the CCM Evolution pilot have demonstrated an enhanced capacity to oversee grants and engage with other national structures and coordination platforms. However, these CCMs are still falling short ensuring meaningful engagement of CCM civil society constituencies in key CCM processes and improving their internal functioning. The Secretariat plans to incorporate the lessons learnt and roll out CCM Evolution across 115 CCMs globally, starting with 90 countries in 2020.


The Global Fund Board considered several aspects of its Supply Operations, including a review of the Market Shaping Strategy and a decision to expand, the online procurement tool. The Board's decision makes available for non-Global Fund-financed orders by governments and non-government development organizations, in Global Fund-eligible and -transitioned countries, for all products, services and functionalities – with an initial $50-million cap.


Dianne Stewart has been heading the Donor Relations department at the Global Fund for the last two years. She has known the institution since its beginnings, having worked at the Global Fund from 2002 to 2008, and then joined the World Bank to collaborate on topics related to global health. Stewart agreed to discuss with the GFO the issues that this historic Replenishment has faced, and to reflect on 16 months of a memorable campaign.