1. 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

2. Global Fund Guiding Principles
Operate as a financial instrument, not an implementing entity
Make available and leverage additional financial resources
Support programs that reflect national ownership and respect country-led formulation and implementation
Operate in a balanced manner in terms of different regions, diseases and interventions
Pursue an integrated, balanced approach to prevention, treatment and care
Evaluate proposals through independent review processes
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.
Focus on performance by linking resources to the achievement of clear, measurable and sustainable results.
By: Kirsi Viisainen (Program Effectiveness Team Manager) and Daniel Low Beer (PIE Unit Director), May 2010
Language / Principles are fixed – please do not alter.
Source:
THE FRAMEWORK DOCUMENT OF THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA

3. Global Fund: Key Milestones
- Global Fund created at first Board meeting
Round 1 proposals approved at second Board meeting
1st voluntary Replenishment
- G8 endorsed new AIDS, TB and malaria targets
2nd Replenishment: US$ 9.7 billion pledged
Round 8 approved (US$ 3.1 billion – largest so far)
- African leaders committed to greater response in Abuja
- UN General Assembly endorses need for a “global fund”
- Round 2 and 3 proposals approved
Annual Rounds for proposals started
First Partnership Forum (Bangkok)
Twentieth Board meeting: Round 9 approved
Cumulative disbursements reach US$ 10 billion
- 3rd Replenishment US$ 11.7 billion pledged 3

4. Partnership Approach to Governance
A diverse partnership reflected in the Board and Country Coordinating Mechanisms
NGOs from Global North
NGOs from Global South
Communities living with, and affected by, the diseases
Donors
Recipient Countries
Public Sector
(Governments
and Agencies)
Civil
Society
Private Sector
Private Foundations
WHO
UNAIDS
World Bank
UNITAID
RBM
Stop TB Partnership…
Technical
Agencies
and
Partnerships
Private
Sector

5. How money flows to people

6. Grant Lifecycle Management Process

7. Global Fund Approved Proposals
By Disease Component (Rounds 1 – 9)
Source: Global Fund Grant Data
OP/140709/2 7 7

8. Global Fund Approved Proposals
By Region (Rounds 1-9)
Source: Global Fund Grant Data
OP/140709/2 8 8

9. Global Fund Financing
Contribution to International Financing for HIV/AIDS, 2008
Global Fund
The Global Fund contributed 19% of the overall international HIV/AIDS financing in 2008
19%
Other Agencies
(PEPFAR,
World Bank,
other
Bilaterals, UN
Agencies)
Source: UNAIDS/Kaiser Foundation Report, 2009
81%
OP/140709/2 9 9 9

10. 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
OP/140709/2 10 10 10

11. 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
OP/140709/2 11 11 11

12. Global Fund Financing
HIV/AIDS Grants: Coverage by Country (Rounds 1-9)
140 countries
US$ 10.8 billion (Approved Grant Amount)
US$ 17.4 billion (Total Lifetime Budget)
Source:
Global Fund
Grant Data
OP/140709/2 12 12

13. Global Fund Financing
Tuberculosis Grants: Coverage by Country (Rounds 1-9)
112 countries
US$ 3.2 billion (Approved Grant Amount)
US$ 5.8 billion (Total Lifetime Budget)
Source:
Global Fund
Grant Data
OP/140709/2 13 13

14. Global Fund Financing Malaria Grants: Coverage by Country (Rounds 1-9)
83 countries
US$ 5.3 billion (Approved Grant Amount)
US$ 8.3 billion (Total Lifetime Budget)
Source:
Global Fund
Grant Data
OP/140709/2 14 14

15. Global Fund Financing by Principal Recipient Type (mid-2010)
Source: Global Fund Grant Data 15 15

16. 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

17. 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.
Ultimate measure of the success in fighting the 3 diseases and reaching the MDGs
Operational performance
Grant Performance
Impact
System Effects
- Portfolio management
- Administrative effectiveness
Resource mobilization
CORPORATE Performance
Assesses the development of sustainable (health) systems in Global Fund recipient countries
Cornerstone of performance-based funding; measures grant results against their targets
SECRETARIAT Performance
Measures the performance of the core functions of the Global Fund, including the Secretariat

18. 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
Invest it
Prove 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)

19. The Global Fund’s model of performance-based funding
PBF at the Global Fund
The Global Fund’s model of performance-based funding
was developed to:
Link funding to the achievement of country-owned objectives and targets
Invest in measurement systems and promote the use of evidence for decision-making
Ensure that money is spent on delivering services for people in need
Provide a tool for grant oversight and monitoring within countries and by the Global Fund Secretariat
Provide incentives for grantees to focus on programmatic results and timely implementation
Free-up committed resources from non-performing grants for re-allocation to programs where results can be achieved
Encourage learning to strengthen capacities and improve program implementation

20. Grant Performance by Principal Recipient (end 2009)
Exceeds expectations A2
Meets expectations B1
Adequate B2
Inadequate but potential demonstrated C
Unacceptable
Source:
Global Fund Grant Data
Latest disbursement ratings for the 378 active grants evaluated as at 1st January 2010.

21. Four Roles of the Private Sector
Contributor of Resources
Implementation Partner
Provider of Goods & Services
Supporter of Advocacy & Governance
BG/290607/2