Title

1
WHO/EMRO Regional Meeting for the Eastern Medi
terranean Region in collaboration with
UNICEF/MENA and UNAIDS Amman, Jordan, 29-31 Mar
ch 2004
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Contents
Overview of the Global Fund Overview of Portf
olio Grant making and accountability arrangemen
ts Steps to Strengthen Portfolio Management
The Global Funds First Biennial Partnership
Forum
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Contents
Overview of Portfolio Grant making an
d accountability arrangements Steps to Strength
en Portfolio Management The Global Funds First
Biennial Partnership Forum
Overview of the Global Fund
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What is the Global Fund?
A financial instrument, not an implementing
agency, aiming to dramatically increase resources
available to fight HIV/AIDS, TB and malaria in
countries in need and contribute to poverty
reduction The largest global fund of its kind, wi
th over US 5 billion currently pledged through
2008 by donor countries, foundations and the
private sector A public-private partnership based
in Geneva to serve as a partner to governments,
NGOs and international agencies in the
coordinated fight against the worlds deadliest
diseases
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Recognizing the urgent need for an expanded
response to the three epidemics, the global
community demanded the creation of a global fund
Total funding available US 5 billion total
grants approved US 2 billion
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The mandate of the Global Fund is to raise and
disburse large amounts of additional resources to
achieve impact against the three diseases
Raise it
Spend it
Prove it
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The Global Fund adds value to existing
international efforts by providing additional
resources to effective country-driven programs
through public-private partnerships
Broadened public / private partnerships At th
e country level, public sector, NGOs, development
partners and private sector participate in a
country-led coordination mechanism for proposal
design and implementation The Global Fund itse
lf is governed by a Board with representation
from donor and recipient governments, NGOs,
communities, foundations and private sector
Additional resources for the three diseases
US 5 billion has been pledged to the Global Fun
d thus far Non-traditional ODA sources include
private foundations and corporations resource
mobilization efforts are on-going
Performance-based funding aligned with harmoniza
tion efforts The Global Fund encourages grant
recipients to focus on results rather than on
inputs Use of grant recipients existing system
s are encouraged as well as common/harmonized
donor arrangements
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Contents
Overview of the Global Fund Grant makin
g and accountability arrangements
Steps to Strengthen Portfolio Management The
Global Funds First Biennial Partnership Forum

Overview of Portfolio
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With Round 3, the Global Fund has approved grants
for more than 120 countries worth USD 2,1 billion
Estonia Bulgaria Romania Georgia Serbia Croat
ia
Macedonia
Russian Federation Ukraine Moldova Armenia
Egypt Jordan Tajikistan Uzbekistan
Belarus
Kazakhstan Mongolia Kyrgyzstan North Korea Chi
na Afghanistan Pakistan Nepal Laos Myanmar P
hilippines Indonesia East Timor Vietnam Cambod
ia Thailand Bangladesh India Sri Lanka Papua
New Guinea Western Pacific Islands
Algeria Morocco Senegal Mauritania Mali Guine
a Guinea Bissau The Gambia Sierra Leone Burkin
a Faso Togo Côte dIvoire Liberia Niger Camer
oon Gabon Rwanda
Mongolia
China
Haiti Cuba Dominican Republic Jamaica Guatemal
a Belize El Salvador Nicaragua Costa Rica Hon
duras Guyana Panama Colombia Ecuador Peru Bo
livia Paraguay Chile Argentina Multi-country A
mericas
Iran Yemen Eritrea Ethiopia Somalia Sudan Ke
nya Comoros Mozambique Uganda Chad Burundi S
waziland Madagascar Tanzania Malawi Lesotho Z
imbabwe
Angola Zambia DR Congo Central African Republic
Ghana Namibia Benin Nigeria Botswana South
Africa
Mali
Ghana
Round 1
Round 2
Round 1 2
Round 3
Anguilla (territory), Antigua Barbados,
Bahamas, Barbados, British Virgin Islands
(territory), Dominica, Grenada, Montserrat
(territory), St. Lucia, St. Kitts Nevis, St.
Vincent the Grenadines, Trinidad Tobago,
Surinam, Haiti, Jamaica, Guyana, Belize and
Dominican Republic. Cook Islands, Federated St
ates of Micronesia, Fiji, Kirbati, Niue, Palau,
Samoa, Solomon Islands, Tonga, Tuvalu, Vanuatu
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Round Three Overview
180 components reviewed from 112 countries
74 components in 63 countries approved A tota
l of USD 646 million over 2 years and USD 1.5
billion over 5 years approved for funding
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HIV/AIDS Coverage after Three Rounds of Proposals
Armenia Belarus Jordan Kazakhstan Kyrgyzstan
Moldova Russian Federation Tajikistan Ukraine
Uzbekistan
Afghanistan Bangladesh Cambodia China India I
ndonesia Lao PDR Mongolia Myanmar Nepal Pakis
tan Philippines Thailand Vietnam Western Pacif
ic Islands
Bulgaria Croatia Estonia Georgia Macedonia Ro
mania
Serbia
Algeria Burkina Faso Cameroon Côte dIvoire Ga
bon Gambia Guinea Liberia Morocco Niger Rwan
da
Senegal Togo
Argentina Belize Bolivia Chile Colombia Costa
Rica Cuba Dominican Republic Ecuador El Salva
dor Guatemala Guyana Haiti Honduras Jamaica
Nicaragua Peru Multi-country Americas
Burundi Chad Comoros Eritrea Ethiopia Iran K
enya Lesotho Madagascar Malawi Mozambique Sud
an
Swaziland Tanzania Uganda Zimbabwe
Benin Botswana Central African Republic Congo (
Dem Rep) Ghana Namibia Nigeria South Africa Z
ambia
Anguilla (territory), Antigua Barbados,
Bahamas, Barbados, British Virgin Islands
(territory), Dominica, Grenada, Montserrat
(territory), St. Lucia, St. Kitts Nevis, St.
Vincent the Grenadines, Trinidad Tobago,
Surinam, Haiti, Jamaica, Guyana, Belize and
Dominican Republic. Cook Islands, Federated St
ates of Micronesia, Fiji, Kirbati, Niue, Palau,
Samoa, Solomon Islands, Tonga, Tuvalu, Vanuatu
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Malaria Coverage after Three Rounds of Proposals
Angola Benin Burkina Faso Burundi Cameroon Ch
ad Comoros Congo (Dem Rep) Eritrea Ethiopia G
ambia Ghana Guinea Kenya Liberia Madagascar
Malawi Mali Mauritania Mozambique Namibia Nig
er Nigeria Rwanda Senegal Swaziland Tanzania
Togo Uganda Zambia Zimbabwe
Afghanistan Georgia Pakistan Somalia Sudan Ye
men
Cambodia China East Timor Indonesia Korea DPR
Lao PDR Myanmar Nepal Papua New
Guinea Philippines Pakistan Sri Lanka Thailand
Vietnam Western Pacific Islands
Bolivia Guyana Haïti Honduras Nicaragua
Cook Islands, Federated States of Micronesia,
Fiji, Kirbati, Niue, Palau, Samoa, Solomon
Islands, Tonga, Tuvalu, Vanuatu
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Tuberculosis Coverage after Three Rounds of
Proposals
Afghanistan (integrated) Kyrgyzstan Moldova (HIV
/TB) Romania Russian Federation Serbia Tajikis
tan
Bangladesh East Timor India Indonesia DPR Kore
a Lao PDR Mongolia Myanmar Philippines Pakist
an
Sri Lanka Thailand Vietnam
Benin Cameroon Chad Congo (Dem Rep) Côte dIvo
ire Ethiopia Ghana Guinea-Bissau Kenya Lesoth
o Liberia Mauritania Mozambique Namibia Rwand
a (HIV/TB) Sierre Leone Somalia South Africa (H
IV/TB) Sudan Swaziland Tanzania Togo Uganda
Zambia
Bolivia Dominican Republic El Salvador Haïti H
onduras
Nicaragua Panama Paraguay Peru
Cook Islands, Federated States of Micronesia,
Fiji, Kirbati, Niue, Palau, Samoa, Solomon
Islands, Tonga, Tuvalu, Vanuatu
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Distribution of grant portfolio majority of
funds target Lower Income countries
Rounds 13 consolidated 100 US 2.1 billion
Upper Middle Income
Lower Middle Income
Low Income
Based on latest available World Bank
classification of countries Numbers do not add
to 100 due to rounding
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Eastern Mediterranean Region Countries approved
for funding
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EMRO by disease
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Signing of grant agreements and disbursements to
countries in early 2004
November 2003 March 15 2004
Grant Agreements
Disbursements
Additional disbursement requests in process,
as reflected in other documents distributed by
the Global Fund This conclusion is based on t
he target of signing around 150 Grant Agreements
Based on current projections
Note Figures reflect totals at the end of each
month from December 2002, when the first Grant
Agreements were signed
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Contents
Overview of the Global Fund Overview of Portf
olio Steps to Strengthen Portfolio Mana
gement The Global Funds First Biennial Partner
ship Forum
Grant making and accountability arrangements
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The Global Funds model for grant accountability
aims to find the right balance between key
priorities
Rely on local stakeholders at the country level
to implement programs and manage grant proceeds
Encourage the use of existing standards and proc
esses
Monitor and evaluate programs and make decisions
on future funding based on performance and
accountability
Promote rapid release of funds to assist target
populations
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At the country level, linkages have to be ensured
with national strategies and broader development
frameworks
MDGs
UNGASS
Academic/ Educational Sector
PRSP Mainstream development frameworks
Government
NGOs/CBOs
National Health Strategies SWAps
CCM
PLW Diseases
Private sector
Religious/ Faith-Based Organizations
Multi-/Bilateral Development Partners
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There are multiple partners to the Global Funds
grant program arrangements
Country Coordination Mechanism
Academic/ Educational Sector
Global Fund
Board
Approval
Government
Technical Review Panel
Contract
NGOs/CBOs
Oversees implementation
Requests continued funding from the Global Fund
for years 3-5

Grant agreement
Secretariat
PLW Diseases
Private sector
Religious/ Faith-Based Organizations
Provides technical and capacity building s
upport

Multi-/Bilateral Development Partners
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During implementation, the Global Fund disburses
tranches of the grant based on program need and
performance
Disbursements linked to program performance and
accountability
Total amount disbursed to grantee US
Disbursements linked to performance and program
needs cash requirements for one disbursement
period (e.g., one quarter) one additional
quarter
First disbursement normally based on program
requirements for first two quarters
Results
Program implementation
Financial management
Time (months)
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0
Global Fund decides on continued funding based on
review of performance financial accountability
Disbursement Requests and Progress Updates from
PRs and advice from LFA trigger disbursements
Board approval
Grant Agreement
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Contents
Overview of the Global Fund Overview of Portfol
io Grant making and accountability arrangements
The Global Funds First Biennial Partn
ership Forum
Steps to Strengthen Portfolio Management
?
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Steps to Strengthen Portfolio Management

• Strengthen In-country Partnerships
• Encourage PRs to Re-program and Re-allocate
  Budgets
  
• Enhance CCM Performance
• Strengthen LFA Performance
• Strengthen Grant Management and Monitoring

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Contents
Overview of the Global Fund Overview of Portfol
io Grant making and accountability arrangements
Steps to Strengthen Portfolio Management

The Global Funds First Biennial Partnership For
um
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26
The Global Funds First Biennial Partnership Forum

• 7-8 July 2004 in Bangkok, just before the XV
  International AIDS Conference in Bangkok, 11-16
  July 2004
  
• A broad-based consultative process
• An opportunity for feedback from stakeholders and
  open debate on issues
  
• Close linkage with capacity-building and
  training