Zimbabwe

Cet article analyse le rapport annuel 2024 du Bureau de l'inspecteur général (BIG) du Fonds mondial, qui a été présenté lors de la 53e réunion du Conseil d'administration, du 7 au 9 mai 2025, à Genève. Le rapport souligne les progrès réalisés par le Fonds mondial dans un contexte d'incertitude mondiale, identifie les principaux risques liés à la gouvernance et appelle à des réformes opérationnelles audacieuses pour maximiser l'efficacité et préserver les milliards investis dans la lutte contre le VIH, la tuberculose et le paludisme.

Ce nouveau numéro d’OFM est entièrement consacré à la 53ème réunion du Conseil d'administration du Fonds mondial, qui s'est tenue du 7 au 9 mai 2025 à Genève, révélant un moment charnière pour l'institution, confrontée à d'importants déficits de financement, à des défis de gouvernance et à l'urgente nécessité d'une réforme. De l'appel à l'unité et au réalisme lancé par le directeur exécutif aux débats sur la reprogrammation des subventions, la gestion des risques et le contrôle éthique, la réunion a mis en évidence l'équilibre fragile entre ambition et contrainte.

This new issue of the GFO is devoted entirely to the 53rd meeting of the Global Fund Board, which took place from May 7 to 9, 2025, in Geneva, revealing a pivotal moment for the institution as it confronts major funding gaps, governance challenges, and the urgent need for reform. From the Executive Director’s call for unity and realism to debates over grant reprogramming, risk management, and ethical oversight, the meeting underscored the fragile balance between ambition and constraint.

This article analyses the Global Fund’s 2024 OIG Annual Report, which was presented at the 53rd Board Meeting, from May 7 to 9, 2025, in Geneva. The report highlights the Global Fund’s progress amid global uncertainty, identifies key governance-related risks, and calls for bold operational reforms to maximize efficiency and safeguard billions in the fight against HIV, tuberculosis, and malaria.

ABSTRACT This article examines two challenges that arose during the development of Zimbabwe’s funding request: (1) There was not much room to maneuver with respect to the program interventions that were included in the request; and (2) A group of donors criticized the process for developing the funding request and the outcome.

ABSTRACT A new report on HIV prevention in Southern Africa points out that the needs of the most important population groups are not being addressed. Generalized prevention programs are unlikely to reach or cater to the needs of younger people and key populations. Targeted and increased prevention funding is necessary to accelerate change. The report provides a contemporary overview of HIV prevention funding in Southern Africa in ten selected countries. Its purpose is to support advocacy efforts that increase spending to the requisite levels and end the epidemic.

ABSTRACT The Office of the Inspector General's fourth audit of Global Fund grants to Zimbabwe rates the HIV program and supply-chain management as 'partially effective’. Despite the progress Zimbabwe has made in the fight against HIV, the OIG noted anomalies in HIV data and poor performance in HIV testing, especially viral-load testing and testing for infants. Also, the OIG noted low storage capacity at the central warehouse, which has hindered good inventory management.

ABSTRACT Zimbabwe has recently undertaken reforms to reduce the ‘dollarization’ of its economy, and has just outlawed the use of any foreign currency. The change in monetary policy has negatively affected Global Fund grants, causing delays in aspects of grant implementation, increasing grants’ transaction costs, prompting accountability challenges, lowering healthcare worker morale, and reducing the state’s ability to procure ARVs.

ABSTRACT Southern African countries with large mining communities and thus high exposure to TB risk have developed a joint approach to address screening, tracking, tracing and treatment among the highly mobile population.

ABSTRACT The Health Economics and HIV and AIDS Research Division of the University of Kwazulu-Natal has just published a report synthesizing findings from three country case studies from Eastern and Southern Africa, commissioned by the Bill & Melinda Gates Foundation, as part of its work to support initiatives improving the impact of HIV programmes in the region.