The Global Fund to fight AIDS, Tuberculosis and Malaria

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CONFIDENTIAL
EMRO Regional meeting
July 13 , 2002
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Contents
1. Overview of the Global Fund
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What is the Global Fund?

• The largest global fund of its kind, with over
  USD 2 billion currently committed
• A financial instrument, not implementing agency,
  aiming to dramatically increase resources
  available to fight HIV/AIDS, TB and Malaria
• A private-public partnership striving for new
  levels of operational excellence and transparency
• An independent organization based in Geneva
• Mechanism to fund plans developed through country
  partnerships in severely affected countries as
  well as areas with growing epidemics

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Formation of the Global Fund following call by
U.N. Secretary General

• Summer 2000, G8 Summit leaders endorsed the
  International Development targets for HIV/AIDS,
  TB and Malaria and the European Commission
  adopted new policy framework in same direction
• April 2001 U.N.S.G. Kofi Annan issued call to
  action for the creation of the Fund, backed by
  several organizations at international meetings
  (e.g., the summit of OAU, the G8 summit and the
  UN General Assembly Special Session on HIV/AIDS)
• Sept 2001 a temporary working group was formed
  to conduct the operations of the Fund, followed
  by an interim secretariat
• Jan 2002 First Board meeting, followed by first
  call for proposals
• Apr 2002 Second Board meeting with first round
  of proposals approved and Richard Feachem elected
  Permanent Executive Director

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The Global Fund a unique catalyst in the global
arena to fight HIV/AIDS, tuberculosis and malaria
Donors and other stakeholders
Link funding and ambitions of donors and
stakeholders with experiences and knowledge of
partners to support high quality programs that
reach those in greatest need
Global Fund
Highest quality Programs
Affected societies and individuals in greatest
need
Public and Private Partners
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Guiding principle of the Global Fund as set out
in the Framework Document (1/2)
a) The Fund is a financial instrument, not an
implementing entity
Overall
Health Development
b) The Fund will make available and leverage
additional financial resources to combat
HIV/AIDS, tuberculosis and malaria
c) The Fund will base its work on programs that
reflect national ownership and respect
country-led formulation and implementation
processes
Cooperation
Balance and integration
d) The Fund will seek to operate in a balanced
manner in terms of different regions, diseases
and interventions. e) The Fund will pursue an
integrated and balanced approach covering
prevention, treatment, and care and support in
dealing with the three diseases
1 Including governments, public/private
partnerships, NGOs, and civil society
initiatives Source Framework document from
First Board Meeting, January 28-29, 2002
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Guiding principle of the Global Fund as set out
in the Framework Document (2/2)
Process
f) The Fund will evaluate proposals through
independent review processes based on the most
appropriate scientific and technical standards
that take into account local realities and
priorities g) The Fund will seek to establish a
simplified, rapid, innovative process with
efficient and effective disbursement mechanisms,
minimizing transaction costs and operating in a
transparent and accountable manner based on
clearly defined responsibilities. The Fund should
make use of existing international mechanisms and
health plans
Source Framework document from First Board
Meeting, January 28-29, 2002
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The different parties involved in the Global Fund
The Global Fund
Partnership Forum
Reports
Reports and supervision
CCM
Principal Recipient(s)
Proposals
Funds
Trustee (World Bank)
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The Global Fund building on partnerships
POTENTIAL PARTNERSHIPS
Public sector
Bilateral agencies
National committees
UN
WHO
European Commission
Development Banks
Theme groups
Local and regional Governments
World Bank
Local offices of global organizations, e.g.NGOs,
UN, associations, bilaterals
Procurement partners
Roll-Back Malaria
Stop TB
The Global Fund
Global level
Local level
NGO networks
UNAIDS
CBO/ NGO local networks
Sub-trustees
NGOs/ CBOs
Corporations
Foundation networks
Chambers of commerce
WEF/GHI
Local companies/ subsidiaries
Labour confederations
Business associations
Foundation representations
Foundations
Private sector
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Partnerships are being formed at the local level
and can be further strengthened
Example of a well-functioning Country
Coordinating Mechanism
Possible ways to strengthen CCMs
Country A

• Include the jointly identified priorities and
  activities in National Plans
• Government, NGOs and Private Sector should
  further organize its discussions to meet
  regularly
• NGOs in CCM should reach out to NGO networks at
  all levels
• NGOs are encouraged to inform regularly their
  constituency and explore ways to address
  community needs and priorities within the Country
  Coordinating Mechanism
• Private Sector actors are encouraged to further
  strenghten links with local networks and
  companies and to further leverage project
  management skills

Govern-ment
NGO
Private sector
Other partner
UNAIDS, Stop TB, RBM
Shared Resources
Coordinated Implementation
Joint programming decision-making

• Governments, NGOs and Private sector
• Have well-established cooperation
• Develop joint interventions that reflect common
  priorities
• Ensure significant interaction between the
  different actors and are supported by external
  partners

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All constituencies can contribute in different
but complementary ways to Coordinated Country
Proposals
EXAMPLES
Examples of potential
NGO/Community-based organizations
Private sector contribution
Government contribution

• Project management skills/resources, to develop
  proposals / implement programs
• Services and assets, e.g., drugs, equipment,
  distribution, training
• Technical expertise and sharing of best practice

• Capacity and network building at local level
• Transparency and greater civil society
  involvement
• Program ownership at community level
• Implementation capacity at grass-roots level

• Political leadership
• Widespread, nation-wide infrastructure
• Diversity of institutions and expertise
• Financial resources