The Global Fund and Southern Africa A review of the structures and grants in southern Africa

What is the Global Fund? The Global Fund is an independent public- private partnership mandated to: –Raise and to disburse substantial new resources –Operate transparently and accountably –Achieve sustained impact on HIV/AIDS, TB, and malaria $14.9 billion dollars committed in 140 countries

Guiding Principles… Operate as a financial instrument, not an implementing entity Make available and leverage additional financial resources Support programs that reflect national ownership Operate in a balanced manner in terms of different regions, diseases and interventions Pursue an integrated and balanced approach to prevention and treatment Evaluate proposals through independent review processes Establish a simplified, rapid and innovative grant- making process and operate transparently, with accountability

Key Structures The Board Country Coordinating Mechanisms Technical Review Panel Secretariat

The Board Donors (8) Recipients (7) Private sector Private Foundations NGOs North NGOs South Communities living with the diseases WHO UNAIDS World Bank Civil Society Technical Partners (Non-Voting) Private Sector Governments

Country Coordinating Mechanisms CCM Academia FBOs NGOs/CBOs Government Media Multi & bilateral partners Affected communities Private Sector

CCM Responsibilities Coordinate the submission of a coordinated country proposal Ensure that its members have a supportive environment to perform their tasks Select one or more appropriate organization(s) to act as Principal Recipient(s) (PR) for the Global Fund grant(s) Oversee implementation of approved grants and performance of the PR(s)

CCM Requirements Membership of people living with and/or affected by the diseases Documented and transparent selection process for CCM membership of non-governmental representatives Transparent and documented process to solicit and review proposal submissions Documented and transparent process to nominate the PR and oversee grant implementation Ensure the input of a broad range of stakeholders into proposal development and grant-oversight Written conflict of interest plan when the Chair and/or Vice chair of CCM are from same entity as PR

Technical Review Panel 35 Experts Reviews eligible grant proposals for technical merit: –Soundness of approach –Feasibility; and –Potential for sustainability

Global Fund Secretariat Office of the Executive Director Corporate Services Cluster Country Programs Cluster Finance Cluster External Relations & Partner- ships Cluster Strategy, Performance and Evaluation Cluster

The Global Fund Process: Rounds-based Proposals Global Fund calls for proposals CCM collaborates to prepare proposals CCM submits proposals to the Global Fund and recommends principal recipients Secretariat screens the proposals for eligibility Technical review panel reviews proposals and submits to the Global Fund Board for approval Board approves proposals based on availability of funding

The Global Fund Process: Rounds-based Proposals Secretariat appoints a Local Fund Agent (LFA) LFA assesses capacity of principal recipients (PR) Secretariat negotiates a grant agreement with PR Secretariat signs a two-year grant agreement Disbursements are made to PR on the basis of performance in a form of progress updates PR may disburse to sub-recipients as implementers

Regional proposals Submitted by a regional CCM or Regional organization Must be endorsed by CCMs in all countries with proposed programmatic activities Must show clear value added by a regional approach

Non-CCM Proposals Only possible under very limited circumstances –A country without a legitimate government; –A country in conflict/at war, facing a wide-scale natural disaster, or in a complex emergency situation (as identified by the Global Fund through the United Nations Office for the Coordination of Humanitarian Affairs); or –Countries that suppress or have not established partnerships with civil society and non- governmental organizations.

Other funding windows Rolling Continuation Channel –Good-performing grants only –CCM must be invited to apply National Strategy Applications –Currently being piloted in six countries

In Southern Africa… 25 HIV Grants in 10 Countries worth more than $2.6 billion All countries have had at least one grant, nine have active HIV grants But how many address the HIV-related needs of LGBT individuals and communities?

MSM in Southern Africa HIV Proposals Angola - R4 –Produce and Distribute IEC materials for MSM Lesotho - R8 –Targeted interventions for MSM, including participatory assessments to identify HIV-related needs; community outreach efforts; peer education, training and support; and SRH education –Recognizes that NGOs are best-placed to meet needs of the community –Include MSM in sentinel surveillance Zimbabwe - R8 –Developing an approach to provide for improved access of MSM to PITC, OI/ART. Will specific programs be implemented?