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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The Secretariat plans to strengthen the capacity and the voice of  “Resilient and Sustainable Systems for Health” in country dialogues, better integrate RSSH into its processes, differentiate and prioritize RSSH investments depending on the country’s development level, increase collaboration with Gavi, the Vaccine Alliance, and improve RSSH indicators’ measurement. Those are some of the changes the Secretariat presented at the 41st Board meeting, in response to evaluations and an audit of the Global Fund’s investments in RSSH.  The Secretariat remained silent on a couple of other issues.


Eight months after the Global Fund Board approved an unprecedented $5-million donation for ARV procurement and community monitoring in Venezuela, a new update report from ICASO and ACCSI documents a deteriorating social, political and economic situation in the country. Challenges with the rollout of the Global Fund donation are linked to obstacles in the supply chain and distribution, some politically motivated. The organizations call on the Global Fund to scale up investments that respond to human rights-related barriers to access and to assess the impact of Venezuela’s crisis on neighbouring countries, particularly for malaria. 


A report from the OIG on its investigation of Haiti confirms collusion and fraud on the part of the Principal Recipient for grants across all three diseases, Population Services International, through its local affiliate, the Organisation Haitienne de Marketing Social pour la santé. The wrongdoing, related to fraudulent procurement in the process of contracting a warehouse for bednets, involved $216,870 in non-compliant expenditures, about half of which the OIG recommends be recovered from the Principal Recipient. The OIG reviewed other expenditures by the local affiliate, which did not warrant further investigation.


The 41st Board Meeting of the Global Fund to Fight AIDS, Tuberculosis and Malaria held in May 2019 was an opportunity for the organization to pledge its commitment and support to the LAC region, where $2.2 billion has already been invested to date to fight the three diseases. Investments include technical assistance to build resilient health system infrastructures in 36 countries in the continent, while maintaining an emphasis on co-financing commitments to cover key transition risks that include uptake of services for key populations. A member of the Latin America and Caribbean delegation to the Board offers his perspective.


For the first time, in the Inspector General’s Advisory Report on Western and Central Africa, there is a transparent and multidisciplinary document available for further debate about new operational choices. In this region, 11 countries are classified as Challenging Operating Environments and should, under this category, benefit from flexibilities in their implementation to maximize impact. Two years after the policy was adopted by the Board, the OIG questions how it is being implemented, and calls for more country-by-country analysis.


This edition’s ‘Of Interest’ highlights new research from Georgetown University published in the peer-reviewed journal Annals of Global Health showing improved governance across a range of aspects in Global Fund-funded countries, and the Global Fund’s monthly Replenishment Update.


Christelle Boulanger joined Aidspan as the Editor of the Observateur du Fonds Mondial, the French version of the Global Fund Observer, effective May 2019. She will be responsible for developing research and editorial content relating to Western and Central Africa, and editing the OFM.