The Republic of Fiji was the recipient of a Global Fund grant to support Fiji’s national tuberculosis plan from 2010 to 2018.
In the beginning, there was performance-based funding. It was the outcomes-based mechanism of choice for the Global Fund and forms the foundation on which the Global Fund’s grant architecture was built. The idea was simple. Release funding in tranches, whereby recipients were required to reach specific targets before the rest of the grant would be disbursed.
In anticipation of The Global Fund’s new strategy (2017-2022), many are calling for clarity on how the Fund will ensure the sustainability of its investments. This is particularly relevant as the Fund transitions out of many upper-middle-income countries.