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GLOBAL FUND CORE PRESENTATION SET © Introduction (June 2010) 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
GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) 1.Operate as a financial instrument, not an implementing entity 2.Make available and leverage additional financial resources 3.Support programs that reflect national ownership and respect country-led formulation and implementation 4.Operate in a balanced manner in terms of different regions, diseases and interventions 5.Pursue an integrated, balanced approach to prevention, treatment and care 6.Evaluate proposals through independent review processes 7.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. 8.Focus on performance by linking resources to the achievement of clear, measurable and sustainable results. Global Fund Guiding Principles
GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) Global Fund: Key Milestones - G8 endorsed new AIDS, TB and malaria targets - African leaders committed to greater response in Abuja - UN General Assembly endorses need for a “global fund” - Global Fund created at first Board meeting - Round 1 proposals approved at second Board meeting - Round 2 and 3 proposals approved - Annual Rounds for proposals started - First Partnership Forum (Bangkok) - 1st voluntary Replenishment- 2nd Replenishment: US$ 9.7 billion pledged- Round 8 approved (US$ 3.1 billion – largest so far) Cumulative disbursements reach US$ 10 billion -- 3 rd Replenishment US$ 11.7 billion pledged - Twentieth Board meeting: Round 9 approved
GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) Partnership Approach to Governance Donors Recipient Countries ● Private Sector Private Foundations ● NGOs from Global North ● NGOs from Global South ● Communities living with, and affected by, the diseases ● WHO ● UNAIDS ● World Bank ● UNITAID ● RBM ● Stop TB Partnership… Civil Society Technical Agencies and Partnerships Private Sector Public Sector (Governments and Agencies) A diverse partnership reflected in the Board and Country Coordinating Mechanisms
GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) How money flows to people
GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) Grant Lifecycle Management Process
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Approved Proposals By Disease Component (Rounds 1 – 9) OP/140709/2 Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Approved Proposals By Region (Rounds 1-9) OP/140709/2 Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing Contribution to International Financing for HIV/AIDS, 2008 OP/140709/2 The Global Fund contributed 19% of the overall international HIV/AIDS financing in 2008 Global Fund 19% Other Agencies (PEPFAR, World Bank, other Bilaterals, UN Agencies) 81% Source: UNAIDS/Kaiser Foundation Report, 2009
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing Contribution to International Financing for TB, 2009 Budgets OP/140709/2 The Global Fund accounted for 64% of overall international financing for tuberculosis in 2009 Source: WHO Stop TB Department, 2009
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing Contribution to International Financing for Malaria, 2008 OP/140709/2 The Global Fund contributed 57% of the overall international financing for malaria in 2008 Source: Roll Back Malaria, 2010
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing HIV/AIDS Grants: Coverage by Country (Rounds 1-9) OP/140709/2 140 countries US$ 10.8 billion (Approved Grant Amount) US$ 17.4 billion (Total Lifetime Budget) Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing Tuberculosis Grants: Coverage by Country (Rounds 1-9) OP/140709/2 112 countries US$ 3.2 billion (Approved Grant Amount) US$ 5.8 billion (Total Lifetime Budget) Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing Malaria Grants: Coverage by Country (Rounds 1-9) OP/140709/2 83 countries US$ 5.3 billion (Approved Grant Amount) US$ 8.3 billion (Total Lifetime Budget) Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Global Fund Financing by Principal Recipient Type (mid-2010) Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) 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 Additionality of Global Fund Financing
GLOBAL FUND CORE PRESENTATION SET © Key Performance Indicators (June 2010) 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. SECRETARIAT Performance CORPORATE Performance Operational performance Grant Performance Impact System Effects - Portfolio management - Administrative effectiveness - Resource mobilization Cornerstone of performance-based funding; measures grant results against their targets Measures the performance of the core functions of the Global Fund, including the Secretariat Assesses the development of sustainable (health) systems in Global Fund recipient countries Ultimate measure of the success in fighting the 3 diseases and reaching the MDGs
GLOBAL FUND CORE PRESENTATION SET © Performance-Based Funding (June 2010) Performance-based funding (PBF) ensures that funding decisions are based on a transparent assessment of results against time-bound targets. Performance-Based Funding (PBF) 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)
GLOBAL FUND CORE PRESENTATION SET © Performance-Based Funding (June 2010) PBF at the Global Fund The Global Fund’s model of performance-based funding was developed to: 1.Link funding to the achievement of country-owned objectives and targets 5.Invest in measurement systems and promote the use of evidence for decision-making 2.Ensure that money is spent on delivering services for people in need 6.Provide a tool for grant oversight and monitoring within countries and by the Global Fund Secretariat 3.Provide incentives for grantees to focus on programmatic results and timely implementation 7.Free-up committed resources from non-performing grants for re-allocation to programs where results can be achieved 4.Encourage learning to strengthen capacities and improve program implementation
GLOBAL FUND CORE PRESENTATION SET © Performance-Based Funding (June 2010) Grant Performance by Principal Recipient (end 2009) A1Exceeds expectations A2Meets expectations B1Adequate B2Inadequate but potential demonstrated CUnacceptable Latest disbursement ratings for the 378 active grants evaluated as at 1 st January Source: Global Fund Grant Data
GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (August 2010) Four Roles of the Private Sector BG/290607/2 Contributor of Resources Implementation Partner Provider of Goods & Services Supporter of Advocacy & Governance
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