Replenishment round-up: U.S. announces pledge of up to $4.3 billion; Kenya raises the bar in Africa; and Sweden restores its 2016 cut
The Global Fund’s Fifth Replenishment Campaign received an important boost from its largest donor, the United States, with the announcement of a pledge of up to $4.3 billion for the 2017-2019 period. This compares to the $4.1 billion that the U.S. contributed for the last replenishment period.
En réponse aux ruptures de stock de médicaments antituberculeux survenus en 2014, et à des risques additionnels identifiés pour les médicaments utilisés contre les trois maladies, le Kenya a mis en place plusieurs mesures pour réduire le risque d’interruption de traitement.
In response to shortages of TB drugs experienced in 2014, and to risks that have been identified of additional shortages for drugs used for all three diseases, Kenya has put in place various measures to reduce the risk of treatment disruptions.
An audit of Global Fund grants to Kenya has found that the management of financial and fiduciary risks, and the management of health services and products risks has been generally effective.
However, the OIG said that there was room for improvement in the management of programmatic and performance risks, as well as governance, oversight and management risks. (In OIG parlance, these were rated “partial plan to become effective.”)
Kenya in 2013 formally decentralized a series of governance responsibilities to its 47 counties, including the provision of health care. But while the original goal of devolution was to improve efficiency in service delivery and permit greater ownership and engagement at the local level, in the health sector this has not translated as well as anticipated.
Dans le but d’adapter le programme de lutte contre le paludisme, le Kenya reçoit le feu vert pour reprogrammer 30 millions de dollars
Le Kenya va reprogrammer près de 30 millions de dollars issus d’une subvention paludisme existante pour renforcer l’accès universel aux interventions antivectorielles. Sur 30 millions de dollars, 22,5 proviennent de ce que le Kenya a reçu dans le cadre du nouveau modèle de financement et 7 millions qui restent d’une subvention précédente.
Kenya will be able to reprogram nearly $30 million within an existing malaria grant to support the scale-up of universal access to vector interventions and treatment. The $30 million consists of $22.5 million in new funding from the allocation Kenya received for malaria under the new funding model, plus about $7 million left over from an earlier malaria grant.
Innovation for greater impact: exploring domestic resource mobilization efforts in collaboration with the Global Fund
As Aidspan has explored previously, international aid for AIDS, tuberculosis and malaria is plateauing, and a critical transition is underway to find more sustainable approaches to health financing in implementing countries.
At around 11:30 every morning, Chiku begins her work day. Carefully gathering her syringes and needles, she'll work steadily preparing doses for her clients -- all of whom wait inside her tin-roofed shack in the slum known as Nigeria: one of Nairobi, Kenya's toughest neighborhoods. The money she earns will be enough to pay her rent, and feed her own heroin habit.
Aidspan has released a brief analysis of a survey conducted of sub- and sub-sub recipients of Global Fund grants in four East Africa countries: Kenya, Rwanda, Tanzania and Uganda. All four countries are classified by the Grants Management unit as High Impact Africa 1 countries.