Kenya

RÉSUMÉ Le résumé par notre équipe éditoriale de ce que vous lirez dans ce numéro de l’Observatoire du Fonds mondial

RÉSUMÉ Ce long article traite du rapport d'audit du bureau de l’Inspecteur Général sur les subventions du Fonds mondial au Kenya. Il s'agit d'un rapport inquiétant qui révèle un système d'approvisionnement et de chaîne d'approvisionnement inefficace et un gouvernement qui ne respecte pas son engagement de cofinancement. Il est également préoccupant de constater qu'au rythme actuel des progrès, les actions de gestion convenues prendront trop de temps pour remédier à la situation pour les subventions actuelles. Cet article est un signal d'alarme.

ABSTRACT This long article deals with the Office of the Inspector General’s audit report on the Global Fund grants to Kenya. It is a worrisome report revealing an ineffective procurement and supply chain system and a government failing to meet its co-financing commitment. It is also of concern that, at the present rate of progress, the Agreed Management Actions will take too long to remedy the situation for the current grants. This article is a wake-up call.

ABSTRACT Our editorial team’s summary of what you can expect from this issue of the Global Fund Observer. Our focus this week is on the health targets used to determine national health budgets and contributions to the Seventh Replenishment, as well as two Office of the Inspector General reports.

ABSTRACT Results from Phase 1 of the multi-donor Joint Learning Agenda on Health Financing and Universal Health Coverage were presented at a recent webinar. This innovative capacity building program is aimed at civil society in ten Anglophone and ten Francophone countries and aims to build community capacity to advocate for greater domestic resources allocations for health. The need to empower communities to advocate strongly for bigger health budgets will be even more important in this Seventh Replenishme

ABSTRACT An audit by the Office of the Inspector General (OIG) shows that Kenya has made significant progress against HIV, TB and malaria. This is partly due to the country’s ability to successfully procure and distribute Global Fund-supported health products. The OIG, however, found issues in the quality of services, measurement of grant performance and grant implementation in the context of devolution of health services from the central government to 47 county governments following constitutional changes in 2010.

RÉSUMÉ Les 18 premiers mois de la distribution par COVAX des vaccins COVID-19 aux pays en développement ne se sont pas déroulés comme prévu. Alors que les pays riches distribuent des vaccins de rappel, 98 % des habitants des pays à faible revenu ne sont toujours pas vaccinés. Le déploiement du vaccin COVID-19 est incroyablement inégal : 84,3 % des vaccins sont allés aux pays à revenu moyen supérieur et à revenu élevé, tandis que seulement 0,4 % sont allés aux pays les plus pauvres du monde. L'ambitieux programme COVAX n'a fourni que 5 % de tous les vaccins administrés dans le monde et a récemment annoncé qu'il n'atteindrait pas son objectif de deux milliards de doses en 2021. Cependant, même si les vaccins sont largement disponibles, les pays africains sont confrontés à des problèmes d'infrastructure et de perception du public qui devront être résolus pour que les plans nationaux de déploiement soient efficaces.

ABSTRACT The first 18 months of COVAX distribution of COVID-19 vaccines to developing countries have not gone as hoped. As richer countries roll out booster shots, 98% of people in low-income countries remain unvaccinated. The astoundingly unequal COVID-19 vaccine rollout has seen 84.3% of vaccines go to upper-middle- and high-income countries, while just 0.4% go to the world’s poorest. The ambitious COVAX program has contributed just 5% of all vaccines administered globally and recently announced it would miss its two billion target for 2021.. However, even if vaccines are made widely available, African countries still face infrastructure and public perception challenges that will need to be overcome for national roll-out plans to be effective.

ABSTRACT This article, the sixth in a series of several, highlights Kenya’s successes, challenges and lessons learned applying for and implementing COVID-19 funding from the Global Fund’s COVID-19 Response Mechanism. The Global Fund allocated Kenya a total of $37 million, spread out in three allocations, in 2020 and more than $100 million in the second phase, which started in July 2021. Kenya and other Global Fund recipient countries need to leverage the lessons learned in phase one to ensure a successful phase two.

ABSTRACT We couldn’t resist – three more brief examples from the archives of Bernard Rivers that show his incisive journalism, great style and also his playfulness. Whether or not you play the Corruption Quiz, agree with him that the Global Fund could be a better communicator, or have a particular interest in mismanaged grants in Kenya ― his passion shines through.