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national aids control program NACP Sindh pronvince werner buehler repression laws data explorer IDD integrity due diligence third party anti-corruption Bernard Rivers Global Fund Observer editor's Additional safeguard policy Exit strategy qualitative adjustments challenging operating environments COEs high-risk external risk index Additional safeguard Product(RED)JustGiving Private sector engagement covid-19 disruptions Bretton woods institution

Global Fund Secretariat and OIG report steady progress in the implementation of AMAs, but improvement still needed

ABSTRACT According to a joint progress report by the Secretariat and the OIG, the number of open and overdue Agreed Management Actions (AMAs) was at an all-time low since 2014 when the OIG started tracking closed AMAs systematically. However, some AMAs have remained overdue for years because of changing political environment in the affected countries, developments at the Global Fund, and unforeseen complexities in the implementation of the AMAs.

By Ann Ithibu

May 27, 2019

157

Malawi faces wide-ranging challenges in Global Fund grant implementation

ABSTRACT Malawi has made significant progress in the fight against HIV, tuberculosis (TB) and malaria since it started receiving Global Fund funding in 2003. Malawi faces significant challenges in implementing Global Fund grants, such as low domestic contributions to the health sector, low absorption of Global Fund grants, and a weak health system, which undermine achieving maximum impact against the three diseases. Some challenges relate to Global Fund processes while most relate to Malawi’s economic and political context. Solutions include increased country investments in health systems, addressing bottlenecks to effective absorption of funding, and increased oversight of grant implementation.

By Ann Ithibu

March 19, 2019

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