The Global Fund has failed to meet its 2015 targets on access to funding, value for money, resource mobilization, and human rights protection. The Fund is also unlikely to meet its 2016 target for health system strengthening.
This information was contained in a paper on the results of the Fund’s key performance indicator targets presented to the Board at its meting in Abidjan on 26-27 April.
Other measures of the organization’s performance are showing strong performance. For example, the Fund has already met and exceeded its 2016 target of having more than seven million people alive on antiretroviral therapy. As well, current data suggests that 95% of all service delivery targets will be achieved.
The results are not surprising; they had been predicted in previous updates.
The following information is about the KPIs whose targets have not been or will not be met.
KPI 7: Access to funding. This KPI measures time from concept note submission to first disbursement. The target for notes submitted in 2014 was to have disbursements made within 10 months for 75% of grants. For 2015, the target was to have disbursements made within eight months for 75% of grants. In 2015, only 55% of grants met the target.
KPI 10: Value for money. The Board has been told this KPI, which measures The Fund’s ability to make savings by leveraging its purchasing power, is below expectations and that improvements are needed in procurement forecasts. The 2015 target was to reduce spending by 8% per year for 2013-2015, However, only a 5.3% reduction was achieved.
KPI 12: Human rights protection. The Global Fund says it aspires to have all human rights complaints made against its supported programs identified through risk assessment tools. It also wants to see them all resolved through Secretariat procedures. Instead of year-on-year improvements towards a 100% success rate, in each of the past three years, only 30% of complaints have been resolve in the way the Fund expects.
KPI 13: Resource mobilization. This KPI measures the value of pledges to The Global Fund as a percentage of the replenishment target. It also monitors actual contributions as a percentage of the forecast contributions. The Board has been warned there is a risk that not all expected contributions will turn up by the end of the current replenishment period. At the end of 2015, 83% of The Fund’s target had been pledged, and 75% of pledged contribution had become actual contributions. Underperformance in this area is said to be a result of donors delaying contributions promised for 2015 until 2016.
KPI 5: Health systems strengthening. The Fund seeks to improve service availability in the countries where it operates, and has been gathering data which it has attempted to use to calculate a service availability and readiness score. Its target was to see 60% of countries’ scores show an improvement of at least five percentage points from 2014 to 2016. Only one country has been able to provide enough data to calculate a score, however, and that score only recorded a four percentage point increase. What’s more, that country is said to have started from a baseline that was higher than other countries surveyed. Survey results for nine other countries were supposed to have been collected by the end of 2015. Just one of those would have provided the repeat score needed to make the calculation, but it was not completed.
Editor’s note: The Board will soon be asked to approve a new KPI framework to replace the one currently being used, so the 2015 results need to be viewed in this context.
The Corporate Key Performance Indicators: 2015 End of Year Results, Board Document GF-B35-22, should be available shortly at www.theglobalfund.org/en/board/meetings/35.