The Global Fund

The Global Fund

The Global Fund to Fight AIDS, Tuberculosis and Malaria ( represents an international financial mechanism based on a strategic partnership between governments, civil society, the private sector and communities affected by the three devastating diseases. Right from its foundation has represented an innovative approach to public health programs' financing. The Global Fund history begins in 2001, in Abuja - Nigeria at a summit held with African leaders from the region that took place in April 2001, the Secretary-General Kofi Annan called for the creation of an intervention global fund as he was acknowledged of the dramatic evolution of the three diseases. Subsequently, this proposal was debated and voted within the UN General Assembly, in June 2001, within the Special Session on AIDS.

Seven months later, in January 2002, a Permanent Secretary of the new financial structure had been set up and became operational. After only 3 months since the Secretary had been set up, the Global Fund Board had already approved the first round of grants whose immediate beneficiaries were 36 countries where the intervention for stopping the three disease was a priority. Therefore, the funding had to take into account the tremendous impact of the three disease on the African continent, even though Global Fund provides funds for programs all over the world. Due to this fact, 61% of the funds allocated for Global Fund's Round 1 and 2 were designed for programs carried out in sub-Saharan Africa. Out of these, 2/3 were allocated to HIV/AIDS, 17% to malaria and 14% to tuberculosis. Since its creation in 2002, the Global Fund has become the most active and dominant funding source of programs to fight AIDS, Tuberculosis and Malaria, representing 20% out of the international funds for HIV/AIDS and 2/3 of the global funds for Tuberculosis and Malaria.

So far, under the sixth round of financing, The Global Fund invested in prevention, treatment and support programs over US$ 9,9 billion in 136 countries. Recently, with the occasion of the 16th Assembly of the Global Fund's Board, made the subject of the meeting more direction of action and intervention, including the seventh round of financing. Among the noticeable results reached so far by Global Fund, the most representative is the prevention of death caused by AIDS of 2 million people by assuring the specialty treatment for 1,1 million people, anti-tuberculosis treatment for 2,8 million people and dissemination of 30 million bed nets infiltrated with insecticide, necessary for Malaria prevention.

How the Global Funds works? The Global Fund was founded on a set of principles (these are fully described in the Global Fund's Framework Document) that describes in details everything related to the Fund's activity, from governance principles to coordination of each grant-making. From all these we can state some of the most representatives:

  • Does not directly implement programs, it finance them (The Fund is a financial instrument, not an implementing agency)
  • Encourages the coordination of these programs by national structures
  • The Fund's interventions are different and tailored to the conditions of different regions, subject to the 3 diseases, and necessary types of intervention
  • The interventions financed by the Global Fund support and supplement the programs and activities stated in the National Strategies developed by each country
  • The Fund will pursue a balanced approach between prevention and treatment programs
  • The funds are disbursed in accordance with the obtained results (performance based)
  • Evaluated the country application under an independent and objective process
  • The Fund will seek to establish a simplified, rapid and innovative manner of coordinating the grants' implementation
  • Operates under the transparency principle.

Also, the Global Fund establishes a strong collaboration with the multinational and bilateral agencies involved in health and development, in order to correlate the programs financed by this financial entity with the ones already opeartional. The coordination at a national level of the programs financed by Global Fund is carried out by a Country Coordinating Mechanism (CCM). This coordination mechanism includes broad representation from governments, NGOs, civil society, multilateral and bilateral agencies and the private sector. This National Coordination Committee provides the technical assistance necessary for both the country applications and the successful implementation of the approved grants Once the country proposals had been settled, they are noted and submitted for Global Fund's approval by the CCM from each country. The the evaluation process of the grant applications, Global Fund uses a Technical Review Panel (TRP). Through this proposals review panel, the Global Fund makes sure that the financial resources will be directed to the proposals with a high percentage of success. The Technical Review Panel includes experts in cummunicable diseases but also experts in development who all together evaluate to what extend the programs contained in the country proposal come as a supplement to the efforts of reducing the poverty and of assuring the population's health.

Once the TRP had evaluated the proposals, the country proposals are divided in four categories:

  • finalized and adequate to be funded;
  • adequate to be financed with a limited number of additional necessary clarifications;
  • are not adequate for being funded under the respective round but can be revised and re-proposed later on;
  • are not in accordance with the funding criteria.

Based on this classification and on the Panel's recommendations, in accordance with the available funds, the Global Fund Board approves the country proposals contained in the first 2 mentioned categories. As the necessary funds are provided according to the obtained results, The Global Funds establishes together with the Recipient Countries (whose proposals were approved) a number of key indicators in order to evaluate the grant's progress and so that the Fund's reporting requirements supplement the national reporting systems. In this respect, at the recipient country level, it is used a Local Fund Agent (LFA) that supervises the implementation of the activities stipulated within the approved programs. At a period of time recommended and agreed together with Global Fund, the LFA system evaluates issues connected to reaching the key indicators and financial evaluation of the grant's implementation.

As one of the fundamental functioning principles of the Fund is that of transparency, on the organization web site there are available detailed information. The wide public has access to all the approved proposals, signed grant agreements, progress of the implementation of each grant, annual reports, obtained results and conclusions resulted following the debates of the Board. For the most effective accessing of the web site dedicated to the organization, information is available in 6 of the most used languages worldwide: Arab, Chinese, English, French, Russian and Spanish.

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