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 CORE PRESENTATION SET ©
Introduction (June 2010)
Global Fund Guiding Principles
1. Operate as a financial instrument, not an implementing entity
2. Make available and leverage additional financial resources
3. Support programs that reflect national ownership and respect country-led
formulation and implementation
4. Operate in a balanced manner in terms of different regions, diseases and
interventions
5. Pursue an integrated, balanced approach to prevention, treatment and care
6. Evaluate proposals through independent review processes
7. 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.
8. Focus on performance by linking resources to the achievement of clear,
measurable and sustainable results.
GLOBAL FUND CORE PRESENTATION SET ©
Overview of the Global Fund (June 2010)
Global Fund: Key Milestones
- G8 endorsed
new AIDS, TB
and malaria
targets
2000
2001
- Global Fund created
at first Board meeting
- Round 1 proposals
approved at second
Board meeting
2002
- African leaders
committed to greater
response in Abuja
- UN General Assembly
endorses need for a
“global fund”
GLOBAL FUND CORE PRESENTATION SET ©
Overview of the Global Fund (June 2010)
2003
2004
- 1st voluntary Replenishment
- 2nd Replenishment: US$ 9.7 billion pledged
- Round 8 approved (US$
3.1 billion – largest so far)
2005
2006
2007
- Round 2 and 3
proposals
approved
- Annual Rounds for proposals started
- First Partnership Forum (Bangkok)
2008
2009
2010
- Twentieth Board
meeting: Round 9
approved
Cumulative
disbursements reach
US$ 10 billion
-- 3rd Replenishment
US$ 11.7 billion
pledged
Partnership Approach to Governance
A diverse partnership reflected in the Board
and Country Coordinating Mechanisms
• Donors
• Recipient
Countries
● Private Sector
• Private
Foundations
GLOBAL FUND CORE PRESENTATION SET ©
Overview of the Global Fund (June 2010)
Public Sector
(Governments
and Agencies)
Private
Sector
Civil
Society
Technical
Agencies
and
Partnerships
● NGOs from
Global North
● NGOs from
Global South
● Communities
living with, and
affected by, the
diseases
● WHO
● UNAIDS
● World Bank
● UNITAID
● RBM
● Stop TB
Partnership…
How money flows to people
GLOBAL FUND CORE PRESENTATION SET ©
Overview of the Global Fund (June 2010)
Grant Lifecycle Management Process
GLOBAL FUND CORE PRESENTATION SET ©
Overview of the Global Fund (June 2010)
Global Fund Approved Proposals
By Disease Component (Rounds 1 – 9)
Malaria
28%
HIV/AIDS
56%
TB
16%
Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
Global Fund Approved Proposals
By Region (Rounds 1-9)
Middle East &
North Affrica
6%
East Asia &
Pacific
14%
Eastern Europe
& Central Asia
7%
Sub-Saharan
Africa
57%
Latin America &
the Caribbean
7%
South Asia
9%
Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
Global Fund Financing
Contribution to International Financing for HIV/AIDS, 2008
The Global
Fund
contributed
19% of the
overall
international
HIV/AIDS
financing in
2008
Source: UNAIDS/Kaiser
Foundation Report, 2009
Global Fund
19%
Other Agencies
(PEPFAR,
World Bank,
other
Bilaterals, UN
Agencies)
81%
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
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
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
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
Other DAC
and multilaterals
13%
US (PMI,
USAID)
24%
Global Fund
57%
The World
Bank
6%
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
Global Fund Financing
HIV/AIDS Grants: Coverage by Country (Rounds 1-9)
140 countries
Source:
Global Fund
Grant Data
0
US$ 10.8 billion (Approved Grant Amount)
2,500
5,000
Kilometers
US$ 17.4 billion (Total Lifetime Budget)
´
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
Global Fund Financing
Tuberculosis Grants: Coverage by Country (Rounds 1-9)
112 countries
Source:
Global Fund
Grant Data
0
2,500
US$ 3.2 billion (Approved Grant Amount)
5,000
Kilometers
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
US$ 5.8 billion (Total Lifetime Budget)
´
OP/140709/2
Global Fund Financing
Malaria Grants: Coverage by Country (Rounds 1-9)
83 countries
Source:
Global Fund
Grant Data
0
US$ 5.3 billion (Approved Grant Amount)
2,500
5,000
Kilometers
US$ 8.3 billion (Total Lifetime Budget)
´
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
OP/140709/2
Global Fund Financing by Principal
Recipient Type (mid-2010)
Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
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
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
Key Performance Indicators (KPIs):
Framework Overview
■
The Key Performance Indicator (KPI) framework is 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.
CORPORATE
Performance
Impact
System
Effects
SECRETARIAT
Performance
Grant
Performance
Operational performance
- Portfolio management
- Administrative effectiveness
- Resource mobilization
GLOBAL FUND CORE PRESENTATION SET ©
Key Performance Indicators (June 2010)
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
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:
Raise it
“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)
GLOBAL FUND CORE PRESENTATION SET ©
Performance-Based Funding (June 2010)
PBF at the Global Fund
The Global Fund’s model of performance-based funding
was developed to:
1. Link funding to the achievement of
country-owned objectives and targets
5. Invest in measurement systems and
promote the use of evidence for
decision-making
2. Ensure that money is spent on
delivering services for people in need
6. Provide a tool for grant oversight and
monitoring within countries and by the
Global Fund Secretariat
3. Provide incentives for grantees to
focus on programmatic results and
timely implementation
4. Encourage learning to strengthen
capacities and improve program
implementation
GLOBAL FUND CORE PRESENTATION SET ©
Performance-Based Funding (June 2010)
7. Free-up committed resources from
non-performing grants for re-allocation to
programs where results can be achieved
Grant Performance by
Principal Recipient (end 2009)
Latest disbursement ratings for the 378 active grants evaluated as at 1 st January 2010.
GLOBAL FUND CORE PRESENTATION SET ©
Performance-Based Funding (June 2010)
A1
Exceeds expectations
A2
Meets expectations
B1
Adequate
B2
Inadequate but potential demonstrated
C
Unacceptable
Source:
Global Fund
Grant Data
Four Roles of the Private Sector
Contributor of
Resources
Supporter of
Advocacy &
Governance
Implementation
Partner
Provider of
Goods &
Services
GLOBAL FUND CORE PRESENTATION SET ©
Financing and Additionality (August 2010)
BG/290607/2