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Will the Global Fund uphold its principles in this emergency context?
Global Fund pressures Democratic Republic of Congo, facing an Ebola epidemic, to fulfill its co-financing commitment
Penalty for non-compliance “for no justifiable reasons” can reduce the grants by up to 15%
The Global Fund has requested the Democratic Republic of Congo to prove that the country has fulfilled its co-financing commitment, or in other words, that the State had spent about $44.6 million on health during the year 2018 as part of a commitment to spend about 98.9 million during this grant cycle, as agreed during grant signing; otherwise the DRC risks losing up to $80 million, representing 15% of the value of the grants.
Interventions from the UQD Register worth $42.2 million also approved
On 16 August 2019, by electronic vote, the Global Fund Board approved funding for three country grants worth $32.7 million (Colombia HIV, Honduras TB/HIV and Kazakhstan TB). Domestic commitments for the programs included in the approved country grants amounted to $1.17 billion. Initiatives valued at $2.4 million were added to the Unfunded Quality Demand (UQD) Register. (See Table 1.)
Global Fund grants struggle in context of de-dollarization reforms
Global Fund Board approves new country and multi-country grants along with interventions on UQD Register
Largest single award was $13.2 million for a Burkina Faso malaria grant
On 13 May 2019, the Global Fund Board approved, by electronic vote, funding for five country grants having a total value of $25.2 million. Domestic commitments for the programs included in the approved country grants amounted to $937.9 million. The five country grants were for four countries: Gabon, Georgia, Peru and Serbia. The largest award ($9.3 million) was for a Georgia HIV grant. (See Table 1 for details.)
Some relate to Global Fund processes, others to political and economic context
The collaborative initiative, seeded by Tata Trusts, comes to the co-financing table
With an acute need to increase health budgets, innovative financing, especially mobilized within nations, is increasingly in the spotlight.
Transition to the new arrangements will happen in the first six months of 2019
New implementation arrangements have been put in place for the TB programs funded through Nigeria’s new TB and TB/HIV grants.
The Global Fund seeks the right balance between risk mitigation and grant implementation in Mali malaria grant
Because of Mali’s extreme malaria burden, its grant portfolio has been designated “high impact”
When it recommended a Mali malaria grant for approval recently, the Global Fund’s Grant Approvals Committee (GAC) acknowledged that there are implementation challenges associated with this grant and said that it welcomed the Secretariat’s plans “to identify bottlenecks, and holistically review and harmonize the controls in place with the aim of balancing risk mitigation and effective grant implementation.”
Three countries, three different applications of co-financing in Global Fund grants in sub-Saharan Africa
Inconsistent application of co-financing policy across countries