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– Achieve sustained impact on HIV/AIDS, TB,

and malaria

$14.9 billion dollars committed in 140 countries

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

Key Structures

The Board Country Coordinating Mechanisms Technical Review Panel Secretariat

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

Country Coordinating Mechanisms

CCM

Academia

FBOs

NGOs/CBOs

Government

Media

Multi & bilateral partners

Affected communities

Private Sector

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)

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

Technical Review Panel

35 Experts Reviews eligible grant proposals for

technical merit: – Soundness of approach– Feasibility; and – Potential for sustainability

Global Fund Secretariat

Office of the ExecutiveDirector

CorporateServicesCluster

CountryPrograms

Cluster

FinanceCluster

ExternalRelations

&Partner-

shipsCluster

Strategy,Performance

andEvaluation

Cluster

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

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

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

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. 

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

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?

QuickTime™ and a decompressor

are needed to see this picture.

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?