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The Global Fund and Southern Africa

The Global Fund and Southern Africa. A review of the structures and grants in southern Africa. What is the Global Fund?. The Global Fund is an independent public-private partnership mandated to: Raise and to disburse substantial new resources Operate transparently and accountably

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The Global Fund and Southern Africa

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  1. The Global Fund and Southern Africa A review of the structures and grants in southern Africa

  2. What is the Global Fund? • The Global Fund is an independent public-private partnership mandated to: • Raise and to disburse substantial new resources • Operate transparently and accountably • Achieve sustained impact on HIV/AIDS, TB, and malaria • $14.9 billion dollars committed in 140 countries

  3. Guiding Principles… • Operate as a financial instrument, not an implementing entity • Make available and leverage additional financial resources • Support programs that reflect national ownership • Operate in a balanced manner in terms of different regions, diseases and interventions • Pursue an integrated and balanced approach to prevention and treatment • Evaluate proposals through independent review processes • Establish a simplified, rapid and innovative grant-making process and operate transparently, with accountability

  4. Key Structures • The Board • Country Coordinating Mechanisms • Technical Review Panel • Secretariat

  5. The Board • Donors (8) • Recipients (7) • NGOs North • NGOs South • Communities living with the diseases Governments Civil Society • Private sector • Private Foundations • WHO • UNAIDS • World Bank Private Sector Technical Partners (Non-Voting)

  6. Country Coordinating Mechanisms Private Sector Academia CCM Affected communities FBOs Media Multi & bilateral partners NGOs/CBOs Government

  7. CCM Responsibilities • Coordinate the submission of a coordinated country proposal • Ensure that its members have a supportive environment to perform their tasks • Select one or more appropriate organization(s) to act as Principal Recipient(s) (PR) for the Global Fund grant(s) • Oversee implementation of approved grants and performance of the PR(s)

  8. CCM Requirements • Membership of people living with and/or affected by the diseases • Documented and transparent selection process for CCM membership of non-governmental representatives • Transparent and documented process to solicit and review proposal submissions • Documented and transparent process to nominate the PR and oversee grant implementation • Ensure the input of a broad range of stakeholders into proposal development and grant-oversight • Written conflict of interest plan when the Chair and/or Vice chair of CCM are from same entity as PR

  9. Technical Review Panel • 35 Experts • Reviews eligible grant proposals for technical merit: • Soundness of approach • Feasibility; and • Potential for sustainability

  10. Global Fund Secretariat Office of the Executive Director Corporate Services Cluster Country Programs Cluster Finance Cluster External Relations & Partner- ships Cluster Strategy, Performance and Evaluation Cluster

  11. The Global Fund Process: Rounds-based Proposals • Global Fund calls for proposals • CCM collaborates to prepare proposals • CCM submits proposals to the Global Fund and recommends principal recipients • Secretariat screens the proposals for eligibility • Technical review panel reviews proposals and submits to the Global Fund Board for approval • Board approves proposals based on availability of funding

  12. The Global Fund Process: Rounds-based Proposals • Secretariat appoints a Local Fund Agent (LFA) • LFA assesses capacity of principal recipients (PR) • Secretariat negotiates a grant agreement with PR • Secretariat signs a two-year grant agreement • Disbursements are made to PR on the basis of performance in a form of progress updates • PR may disburse to sub-recipients as implementers

  13. Regional proposals • Submitted by a regional CCM or Regional organization • Must be endorsed by CCMs in all countries with proposed programmatic activities • Must show clear value added by a regional approach

  14. Non-CCM Proposals • Only possible under very limited circumstances • A country without a legitimate government; • A country in conflict/at war, facing a wide-scale natural disaster, or in a complex emergency situation (as identified by the Global Fund through the United Nations Office for the Coordination of Humanitarian Affairs); or • Countries that suppress or have not established partnerships with civil society and non-governmental organizations. 

  15. Other funding windows • Rolling Continuation Channel • Good-performing grants only • CCM must be invited to apply • National Strategy Applications • Currently being piloted in six countries

  16. In Southern Africa… • 25 HIV Grants in 10 Countries worth more than $2.6 billion • All countries have had at least one grant, nine have active HIV grants • But how many address the HIV-related needs of LGBT individuals and communities?

  17. MSM in Southern Africa HIV Proposals • Angola - R4 • Produce and Distribute IEC materials for MSM • Lesotho - R8 • Targeted interventions for MSM, including participatory assessments to identify HIV-related needs; community outreach efforts; peer education, training and support; and SRH education • Recognizes that NGOs are best-placed to meet needs of the community • Include MSM in sentinel surveillance • Zimbabwe - R8 • Developing an approach to provide for improved access of MSM to PITC, OI/ART. Will specific programs be implemented?

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