1. Global Fund CS Implementers Meeting
TB grants: Common Pitfalls to avoid; and tips on stepping up the fight: Lessons from Kenya
Speke Resort Hotel Munyonyo, Kampala Uganda
25th and 26th June 2019

2. The Global Fund TB Project
International, with African roots and headquarters. Turning 60 years.
$100m funding
Coverage in all 47 Counties
Current strategy ending in 2017

3. Key intervention areas/ Activities

4. Enhancing grant performance
Common pitfalls to avoid
Tips on stepping up the fight
Grant Making process
Inadequate involvement of CCM constituent members throughout the process
CCM to ensure constituent representatives are involved during grant making process
Inadequate ability to negotiate for sufficient activities at grant writing
PRs should employ negotiation skills for adequate funding for community interventions.
Poor understanding of the NSP and how to relate it to the activities
PRs should ensure they are involved in development and review of NSPs
Wider coverage compared to funds available.
Prioritization of areas to concentrate on according to availability of funds and TB burden.
SR engagement
Lengthy engagement process as defined by CCM and ICCs
Development of a manual to guide the process. This is ongoing
Interests by members of CCM and ICCs affecting PRs implementation
Declaration of conflict of interest by the members of SR selection Technical Review Committees
CCM members in the SR Technical Review Committee have no voting rights (Observers only)
Well defined and objective selection criteria

5. Enhancing grant performance
Common pitfalls to avoid
Tips on stepping up the fight
Implementation
Low absorption rates resulting from delay in getting specifications for activities done on behalf of government, Concept note writing after the grant has began
Documentation processes to begin before signing of the grant
Limited coverage by smaller SRs that affect their program management
Capacity building existing SRs to be CBO/NGOs so that they can cover a wider scope.
Working relationships with Ministry of Health departments that don’t interact well – NTP and CDHU
Fostering collaborations in implementation of community TB activities and understanding the gaps
Targets set based on available budget and not need
Negotiate for activities that are priority, well thought through and implementable
Cumbersome VAT exemption process against GF removing previous threshold of USD 2,000
Working closely with the National Treasury to accelerate the process of getting exemption letters
Involvement of MOH and National treasury in SRs Quarterly Review Meetings so that they can understand the issues at hand.

6. Enhancing grant performance
Common pitfalls to avoid
Tips on stepping up the fight
Implementation
Working with Government systems that are entirely dependent on donor funding e.g. Kenya’s strategy for Community Health
Working with existing Technical working groups to have other effective approaches at community level e.g. reimbursing patients instead of CHVs
Data reported from the community level to the National/PR not reflecting actual work done
Develop tools to correctly measure contribution of community
Adequate budget to build capacity of SRs on data issues
Regular forums with CHVs, HCWs and TB coordinators to review data
Unclear measures to deal with SRs that misappropriate funds.
CCMs to look into assisting PRs in this since they have had to refund funds misappropriated by SRs to the Global Fund.

7. Enhancing grant performance
Common pitfalls to avoid
Tips on stepping up the fight
Closure 1
Difficulty in recovery of funds balances especially to discontinued SRs
PR and SRs to work together in ensuring all funds are recovered. As it is it is a PR’s function. 2
Lack of uniformity among PRs on assets management.
CCM to have guidelines on this

8. Thank you
Thankyou …Asante