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Johannesburg, South Africa Tatjana Peterson, Senior Fund Portfolio Manager

Overview of the Global Fund: Guiding Principles Grant Cycle / Processes & Role of Public Private Partnerships. Johannesburg, South Africa Tatjana Peterson, Senior Fund Portfolio Manager Southern Africa Regional Team 12th October 2010. Global Fund Guiding Principles.

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Johannesburg, South Africa Tatjana Peterson, Senior Fund Portfolio Manager

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  1. Overview of the Global Fund:Guiding PrinciplesGrant Cycle / Processes & Role of Public Private Partnerships Johannesburg, South Africa Tatjana Peterson, Senior Fund Portfolio Manager Southern Africa Regional Team 12th October 2010

  2. Global Fund Guiding Principles • Operate as a financial instrument, not an implementing entity • Make available and leverage additional financial resources • Support programs that reflect national ownership and respect country-led formulation and implementation • Operate in a balanced manner in terms of different regions, diseases and interventions • Pursue an integrated, balanced approach to prevention, treatment and care • Evaluate proposals through independent review processes • Establish a simplified, rapid and innovative grant-making process and operate transparently, with accountability.The fund should make use of existing international mechanisms and health plans. • Focus on performance by linking resources to the achievement of clear, measurable and sustainable results.

  3. Global Fund: Key Milestones • - Global Fund created at first Board meeting • Round 1 proposals approved at second Board meeting • 1st voluntary Replenishment - G8 endorsed new AIDS, TB and malaria targets • 2nd Replenishment: US$ 9.7 billion pledged • Round 8 approved (US$ 3.1 billion – largest so far) • Twentieth Board meeting: Round 9 approved - Round 2 and 3 proposals approved - African leaders committed to greater response in Abuja - UN General Assembly endorses need for a “global fund” • Cumulative disbursements reach US$ 10 billion • - 3rd Replenishment US$ 11.7 billion pledged • Annual Rounds for proposals started • First Partnership Forum (Bangkok) 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

  4. Partnership Approach to Governance A diverse partnership reflected in the Board and Country Coordinating Mechanisms • NGOs from Global North • NGOs from Global South • Communities living with, and affected by, the diseases • Donors • Recipient Countries Civil Society Public Sector (Governments and Agencies) • Private Sector • Private Foundations • WHO • UNAIDS • World Bank • UNITAID • RBM • Stop TB Partnership… Technical Agencies and Partnerships Private Sector

  5. How money flows to people

  6. Grant Lifecycle Management Process

  7. Global Fund Approved Proposals By Disease Component (Rounds 1 – 9) Source: Global Fund Grant Data OP/140709/2

  8. Global Fund Approved Proposals By Region (Rounds 1-9) Source: Global Fund Grant Data OP/140709/2

  9. Global Fund Financing Contribution to International Financing for HIV/AIDS, 2008 Global Fund The Global Fund contributed 19% of the overall international HIV/AIDS financing in 2008 19% Other Agencies (PEPFAR, World Bank, other Bilaterals, UN Agencies) Source: UNAIDS/Kaiser Foundation Report, 2009 81% OP/140709/2

  10. Global Fund Financing Contribution to International Financing for TB, 2009 Budgets The Global Fund accounted for 64% of overall international financing for tuberculosis in 2009 Source: WHO Stop TB Department, 2009 OP/140709/2

  11. Global Fund Financing Contribution to International Financing for Malaria, 2008 The Global Fund contributed 57% of the overall international financing for malaria in 2008 Source: Roll Back Malaria, 2010 OP/140709/2

  12. Global Fund Financing HIV/AIDS Grants: Coverage by Country (Rounds 1-9) 140 countries US$ 10.8 billion (Approved Grant Amount) US$ 17.4 billion (Total Lifetime Budget) Source: Global Fund Grant Data OP/140709/2

  13. Global Fund Financing Tuberculosis Grants: Coverage by Country (Rounds 1-9) 112 countries US$ 3.2 billion (Approved Grant Amount) US$ 5.8 billion (Total Lifetime Budget) Source: Global Fund Grant Data OP/140709/2

  14. Global Fund Financing Malaria Grants: Coverage by Country (Rounds 1-9) 83 countries US$ 5.3 billion (Approved Grant Amount) US$ 8.3 billion (Total Lifetime Budget) Source: Global Fund Grant Data OP/140709/2

  15. Global Fund Financing by Principal Recipient Type (mid-2010) Source: Global Fund Grant Data

  16. Additionality of Global Fund Financing • Global Fund should “make available and leverage additional financial resources” • NOT displace other donor or government commitments • Global Level: • Total official development assistance (ODA) disbursements for all three diseases have been increasing since 2002 • The Global Fund has provided substantial funding to fight AIDS, tuberculosis and malaria • Country Level: • Government expenditure on health as well as on TB and malaria control in Global Fund top disbursing countries has been mostly increasing or levelling

  17. Impact SystemEffects GrantPerformance CORPORATE Performance Operational performance • - Portfolio management • - Administrative effectiveness • Resource mobilization SECRETARIAT Performance Key Performance Indicators (KPIs): Framework Overview • The Key Performance Indicator (KPI) frameworkis designed to assess the core functions of the Global Fund Secretariat, grant performance and the effectiveness of Global Fund financing, and the impact achieved on the three epidemics. Ultimate measure of the success in fighting the 3 diseases and reaching the MDGs Assesses the development of sustainable (health) systems in Global Fund recipient countries Cornerstone of performance-based funding; measures grant results against their targets Measures the performance of the core functions of the Global Fund, including the Secretariat

  18. Raise it Invest it Prove it Performance-Based Funding (PBF) Performance-based funding (PBF) ensures that funding decisions are based on a transparent assessment of results against time-bound targets. PBF lies at the heart of the Global Fund’s operating model: “In making its funding decisions, the Global Fund will … focus on performance by linking resources to the achievement of clear, measurable and sustainable results”. Framework Document of the Global Fund (October 2003)

  19. PBF at the Global Fund The Global Fund’s model of performance-based funding was developed to:

  20. Grant Performance by Principal Recipient (end 2009) Source: Global Fund Grant Data Latest disbursement ratings for the 378 active grants evaluated as at 1st January 2010.

  21. Four Roles of the Private Sector Implementation Partner Contributor of Resources Provider of Goods & Services Supporter of Advocacy & Governance BG/290607/2

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