GLOBAL FUND CORE PRESENTATION SET © Introduction (March 2011) GLOBAL FUND EAA Meeting Chaing Mai 22 MARCH 2011

GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) Section 1: OVERVIEW OF THE GLOBAL FUND

GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) The Global Fund is an international financing institution mandated: Raise it Invest it Prove it BG/290607/1 What is the Global Fund? - To achieve sustained impact on HIV/AIDS, tuberculosis and malaria - To raise and to disburse substantial new funds - To operate transparently and accountably

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 Source: Global Fund Framework Document

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 Replenishment2nd Replenishment: US$ 9.7 billion pledged First ‘Rolling Continuation Channel’ Round 8 approved (US$ 3.1 billion – largest so far) Cumulative Global Fund disbursements reach US$ 10 billion 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) Grant Lifecycle Management Process

GLOBAL FUND CORE PRESENTATION SET © Overview of the Global Fund (June 2010) Technical Review Panel: Process Small groups of 4 members: Two disease experts and two cross-cutters Plenary session of 40 members: Recommendations discussed and finalized If necessary, second review: Additional TRP members asked to provide second recommendation Final plenary : Last day for quality assurance + lessons learned

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Section 2: FINANCING AND ADDITIONALITY Last Updated: 28 February 2011

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Global Fund Financing (by end 2010) Funding to the Global Fund: Total pledges available = US$ 29.8 billion Total amount paid = US$ 18.8 billion Total Proposals Approved: Total approved grant amount = US$ 21.7 billion Total lifetime budget of grants = US$ 35.5 billion Grant Agreements Signed: Phase 1 agreements (two-year) = US$ 10.2 billion Grant renewals (Phase 2, RCC) = US$ 7.3 billion Total Amount Disbursed: US$ 13 billion BG/140709/6 Source: Global Fund Grant Data

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Contributions* from Top 10 Public Donors ( ) Total contributions* from public donors ( ): US$ 18 billion (95% of the total)

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Contributions from Non-Traditional Donors ( ) Total contributions from non- traditional donors ( ): US$ 948 million (5% of total)

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Evolution of Funding ( )

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) The Funding environment for the Global Fund has changed dramatically A perfect storm? –Pre-existing ‘AIDS fatigue’ among some donors Funding for AIDS has far outpaced maternal, newborn, and child health, malaria, tuberculosis, non-communicable diseases –ODA at risk due to record public debt among most OECD DAC donors –The Euro crisis – is it behind us? –Misleading media reports on corruption have created reputational damage. –Signs that US pledge is under severe pressure

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) The New Reality The $11.7 billion Replenishment outcome is in danger of not being achieved. Round 10 is in danger of not being fully funded. Round 11 is in danger of being squeezed (including NSA and joint HSFP proposals) Should we be moving from ‘going for growth’ to ‘holding the line’ ?

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Section 3: FBOs and the Global Fund

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) CCM Composition

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Expenditures to Faith-Based Sub-Recipients by Sector Disease Component Amount Disbursed to FBOs by Disease Component Percent of Total Disbursement to FBOs by Disease Component Comparison to Overall Global Fund Percentage by Disease Component HIV and AIDS$187,420, %56% Malaria$121,567, %28% Tuberculosis$84,707, %16% Disease Component Amount Disbursed to FBOs by Disease Component Percent of Total Disbursement to FBOs by Disease Component Comparison to Overall Global Fund Percentage by Disease Component HIV and AIDS$92,275, %56% Malaria$27,426, %28% Tuberculosis$32,307, %16% Disbursements to Faith-Based Principal Recipients by Sector

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Service Delivery Areas (SDAs) Performed by Faith-Based Principal Recipients, Rounds 1-9 SDAs (Macro-categories) Percentage of SDAs (out of all grants with FBO PR) Care and Support5.79% Health Systems Strengthening (HSS)14.29% Prevention33.20% Supportive Environment22.01% TB/HIV Collaborative Activities3.09% Treatment21.62%

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) PR/SR Expenditures by Sector

GLOBAL FUND CORE PRESENTATION SET © Financing and Additionality (February 2011) Mauro Guarinieri (Asia) Katja Roll (Africa) Vitaly Zhumagaliev (EECA)