Risk

Abstract: The Global Fund achieved positive results on lives saved and financial and operational performance in 2022. However, disease incidence reduction progressed to slowly. While there were generally positive trends on key performance, indicators for resilient and sustainable systems for health, final targets were not met for some of them. The OIG 2022 Annual Report warns that the confluence of many major global risks threatens the ability of the Global Fund to deliver on its mission against the three diseases. Attention must therefore be paid to the findings set out in that report. OIG has also drawn attention to the fact that inadequate risk assessment and prioritization of country level interventions have slowed progress in mitigating sexual exploitation, abuse and harassment. Also disappointingly, the Agreed Management Actions Progress Report shows a trend of increasing delays in AMA completion which poses risks for improved grant performance. Steps are needed to identify the reasons for those delays in order to take effective remedial action.

Abstract: The Global Fund’s Audit and Finance Committee met on 15 March 2023 to review the current position of resource mobilisation including: the status of the Sixth and Seventh Replenishments; lessons learned from the Seventh Replenishment; resource mobilization priorities for 2023; advocacy and communication activities; and anticipated risks. The meeting noted the need to continue to pursue all opportunities to identify and mobilize additional funding from both public and private sources. This will require the constant adaptation and implementation of a compelling advocacy and communication strategy that shows both the immediate life-saving outcomes of Global Fund financing as well as the effective support it provides to sustainable systems for health.

Abstract: This Office of the Inspector General investigation report on the 2019 LLIN mass distribution campaign in Guinea concludes that two critical data sets from the campaign were fraudulently manipulated. The OIG also found that insufficient controls and a lack of clear accountability for data accuracy contributed to the fraudulent data being used in the campaign; and that widespread data manipulation contributes to an environment in which commodity diversion becomes possible and may go undetected. Of major significance to the Global Fund and partners in the fight against malaria: the findings – and the agreed management actions – apply not only to Guinea but are relevant to mass distribution campaigns in other countries.

ABSTRACT The Global Fund’s risk management framework was reviewed last year in response to the increased risks posed by COVID-19. However, beyond the documents and tools put in place by the Global Fund, there is an urgent need to open the discussion within the institution, from the level of the Board to that of the field, in order to change perspectives: to move from a policy of repression to a reflection on the responsibility of the actors, and to place the cursor on the operational risk of implementation delays, which affect many countries to the detriment of beneficiaries.

ABSTRACT The Global Fund’s risk management framework was reviewed last year in response to the increased risks posed by COVID-19. However, beyond the documents and tools put in place by the Global Fund, there is an urgent need to open the discussion within the institution, from the level of the Board to that of the field, in order to change perspectives: to move from a policy of repression to a reflection on the responsibility of the actors, and to place the cursor on the operational risk of implementation delays, which affect many countries to the detriment of beneficiaries.

ABSTRACT International donors, including the Global Fund to Fight AIDS, Tuberculosis and Malaria, promptly made funds available to assist the fight of the COVID-19 pandemic. It is important to assess whether existing mechanisms, including the Global Fund’s “three-line defense model,” can be used to manage risk in the context of the COVID-19 crisis. Allegations of fraud and corruption are multiplying across countries. Aidspan relies on civil society organizations to help maintain accountability in this COVID-19 pandemic.

ABSTRACT An assessment conducted by the Multilateral Organisation Performance Assessment Network, a group of 18 donor countries, concluded that the Global Fund provides strong leadership and “fully meets the requirements of an effective multilateral organization.” The assessment also identified areas requiring improvements.

ABSTRACT The board approved additional funding of $37 million to allow a shortened HIV grant to Uganda to provide full services through to the end of 2017. The new funds will be used to purchase additional antiretrovirals.

ABSTRACT According to the Office of the Inspector General, the roll out of the Global Fund’s new assurance model requires more buy-in and a bigger push from senior management. In addition, the OIG said that the Fund has failed to tailor its grant implementation arrangements in countries where health services have been devolved to lower levels of government.

ABSTRACT According to the Office of the Inspector General, the roll out of the Global Fund’s new assurance model requires more buy-in and a bigger push from senior management. In addition, the OIG said that the Fund has failed to tailor its grant implementation arrangements in countries where health services have been devolved to lower levels of government.