How can global health funding agencies adapt in a changing development landscape where there’s an increasing focus on value for money?
A team of experts from U.S.-based Center for Global Development is on a mission to help shape a value-for-money agenda for this group of aid agencies. The group is analyzing current challenges and will outline recommendations, staring with the Global Fund to Fight AIDS, Tuberculosis and Malaria, which has been implementing a series of reforms to improve its financial safeguards.
The group recently released a background paper that reviews the Global Fund’s work in the 10 years since its establishment in 2002. The paper, available online, also looks at the institution’s funding cycle, reforms, governance and management, as well as existing literature about it.
Based on this background paper and preliminary review of the Global Fund, the team identified a number of major challenges it says “threaten the Fund’s vision, impact on disease, and fundraising potential, and must be addressed head-on by the new executive director.”
Distribution of the Global Fund’s resources across the three diseases it helps address.
Lack of clear definition of what constitutes a “highest-impact intervention,” as well as of publicly available expenditure data classified by service delivery.
Need for a better approach to performance-based funding and measurement of results.
CGD is expected to outline recommendations on how the Global Fund can address these challenges in coming weeks.
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