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Problems operationalizing safeguards to mitigate financial risks create delays in implementing Global Fund’s malaria grant to Cambodia, OIG says
Finding the right balance between mitigating fiduciary risks and program risks is a challenge
OIG audit of two Global Fund grants to Guinea finds significant weaknesses in supply chain management
Improvements also required in grant implementation
Nevertheless, Guinea has made significant progress in the fight against the diseases
Although Guinea has made significant progress in the fight against the three diseases, despite a challenging operating environment, there are significant weaknesses in supply chain management and there are areas related to managing grant implementation that require improvement. These were the findings of an audit of Global Fund grants to Guinea conducted by the Office of the Inspector General (OIG).
This OIG initiative encourages implementers and the Secretariat to denounce fraud and other wrongdoing
The Global Fund’s anti-corruption initiative, the I Speak Out Now! campaign, is now into its second phase. The purpose of the campaign is to encourage grant implementers and the Secretariat to denounce fraud, abuse and human rights violations in programs financed by the Fund.
Initiatives to address supply chain problems fail to get at the root causes
Fund is developing a supply chain strategy
According to the Office of the Inspector General (OIG), in-country supply chain mechanisms are neither adequate nor effective in ensuring that the right products are delivered in the correct quantities and condition, at the right place and time, and for the best value cost.
The Global Fund is developing a comprehensive supply chain strategy that will define a scope of responsibility, oversight, and necessary initiatives to address supply chain challenges.
Mozambique is a difficult operating environment
An audit into grants to Mozambique undertaken by the Office of the Inspector General has concluded that both grant implementation arrangements and supply chain controls and assurance mechanisms “need significant improvement.”
“Needs significant improvement” is the second lowest rating in the OIG’s four tier rating scheme. The four tiers are effective; partially effective; needs significant improvement; and ineffective.
Global Fund issues an update on sourcing and supply chain matters
In-country supply chains for many drugs and health products currently face end-to-end challenges, including issues related to forecasting and quantification, storage and inventory management, distribution, quality assurance, and information management and reporting.
OIG and Secretariat issue separate reports to the Board
For the first 10 months or so of 2017, 91 agreed management actions (AMAs) were closed and 73 new ones were opened. As of 10 October 2016, there were 17 long overdue AMAs (defined as being more than 180 days late).
AMAs are actions that the Secretariat has agreed to implement following discussions with the Office of the Inspector General (OIG) about problems identified in OIG audits and investigations.
In preparation for the 36th Global Fund Board meeting that took place on 16 to 17 November 2016, the Africa constituencies Bureau convened from 31 October to 1 November 2016 in Kigali, Rwanda to look at critical issues brought to the attention of the board.
Findings conducted by The Observer, a Kampala based newspaper, indicate that instances of expired medicines and health supplies in Uganda is still rampant, and that expired drugs were still on the shelves at various health facilities during a recent survey conducted by the newspaper.