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resilient and sustainable systems for health
Global Fund grants’ co-financing used more to buy commodities than to strengthen health systems, in practice
In low-income countries co-financing should focus more on building self-sustaining health systems
Rwanda was quick to respond to the opportunity the Global Fund presented to strengthen its health system
The Global Fund has recognized the importance of health systems in the response to the three pandemics since its inception, but building resilient and sustainable systems for health became a strategic pillar in the Global Fund’s 2017-2022 strategy "Investing to End Epidemics".
Global Fund Head of Resilient and Sustainable Systems for Health describes evolution in the approach to health systems strengthening
Viviana Mangiaterra, Head of Resilient and Sustainable Systems for Health at the Global Fund since 2014, spent most of her career working in the field of maternal and child health services at the WHO and later at the World Bank. Hired to conceptualize the Global Fund’s commitment to health system strengthening, she designed the tools and framework that underpin the RSSH pillar of the 2017–2020 strategy.
Global Fund’s management and framework for investments in health systems need significant improvement, OIG says
Risk mitigation measures for health system activities deemed ‘partially effective’
The Office of Inspector General (OIG) conducted the first audit of the Global Fund’s Resilient and Sustainable Systems for Health (RSSH) investments aiming “to provide reasonable assurance on the adequacy and effectiveness of Global Fund processes for the management of RSSH activities”.
“TB and HIV disease programs still tend to operate through vertically implemented activities”
According to the Technical Review Panel (TRP), integration, both across the three diseases as well as more broadly to other health services such as RMNCAH (reproductive, maternal, newborn, child and adolescent health) –– a priority articulated in the Global Fund Strategy 2017–2022 –– is lacking in funding requests.
TRP identifies gaps in human resources for health interventions in funding requests to the Global Fund
Often, large requests for HRH initiatives were made at the expense of other essential RSSH investments, TRP says
“Many funding requests do not acknowledge or address the common problem of shortage or maldistribution of human resources for health (HRH),” the Technical Review Panel (TRP) says. “Some funding requests did not mention HRH challenges nor the risks these pose to meeting service delivery targets.”
Funding requests to the Global Fund in next allocation period will need to scale up investments in RSSH, TRP says
TRP releases report on RSSH investments from 2017 to 2019
Despite the progress that has been made, a greater focus on resilient and sustainable systems for health (RSSH) will be required in the 2020–2022 allocation period if the Global Fund is to achieve its RSSH-related strategic objectives, the Technical Review Panel (TRP) says in a report released recently on RSSH investments in the
La nouvelle stratégie pour 2017-2022 reflète l'évolution de l'approche du Fonds mondial sur le renforcement des systèmes de santé
Mettre en place des systèmes résilients et pérennes pour la santé, l'un des quatre objectifs stratégiques de la Stratégie du Fonds mondial pour 2017-2022, articule une mise au point nouvelle et ciblée pour renforcer les systèmes de santé.
New Strategy for 2017-2022 reflects The Global Fund’s evolving approach to health systems strengthening
Building resilient and sustainable systems for health, which is one of the four strategic objectives in The Global Fund’s Strategy for 2017-2022, articulates a new and targeted focus for strengthening health systems. The Board adopted the new Strategy at its meeting in Abidjan on 26-27 April (see GFO article.)