On 14 April, the Global Fund signed its final Round 1 grant agreement. The $10 million HIV grant to Zimbabwe was originally approved three years ago. Two Round 2 grant agreements have not yet been signed, two and a quarter years after approval. These are with Malawi, for malaria, and with South Africa, for HIV/TB. One Round 3 grant agreement has not yet been signed, eighteen months after approval. This is for a malaria grant to a multi-country group in the Andes. Forty Round 4 grant agreements have not yet been signed, nine months after approval.