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The Global Fund and Southern Africa
A review of the structures and grants in southern Africa
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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
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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
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Key Structures
The Board Country Coordinating Mechanisms Technical Review Panel Secretariat
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The Board
• Donors (8)• Recipients (7)
• Private sector• Private Foundations
• NGOs North• NGOs South• Communities living with the diseases
• WHO• UNAIDS• World Bank
CivilSociety
TechnicalPartners
(Non-Voting)
PrivateSector
Governments
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Country Coordinating Mechanisms
CCM
Academia
FBOs
NGOs/CBOs
Government
Media
Multi & bilateral partners
Affected communities
Private Sector
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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)
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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
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Technical Review Panel
35 Experts Reviews eligible grant proposals for
technical merit: – Soundness of approach– Feasibility; and – Potential for sustainability
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Global Fund Secretariat
Office of the ExecutiveDirector
CorporateServicesCluster
CountryPrograms
Cluster
FinanceCluster
ExternalRelations
&Partner-
shipsCluster
Strategy,Performance
andEvaluation
Cluster
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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
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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
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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
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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.
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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
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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?
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QuickTime™ and a decompressor
are needed to see this picture.
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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?