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Involvement of Supreme Audit Institutions (SAIs) in Global Fund Grants Oversight

The Global Fund to fight HIV, Tuberculosis and malaria (thereafter the Global Fund) was created in 2002 as a financing institution to defeat those three diseases as epidemics. Over the course of its 15 years of existence, the Global Fund has invested US$33.8 billion in over 100 countries. The Global Fund has set an elaborate system both in countries and in the headquarters to prevent frauds, theft etc. and foster good management practices. However, over the years, monies, medications, mosquito nets and other medical supplies purchased with the Global Fund grants are sometimes lost to mismanagement, thefts and other types of fraud according the reports by the Office of the Inspector General of the Global Fund. Those corrupt acts occur also in grants managed by the State principal recipients which are in principle audited by the country’s Supreme Audit Institution.