The GFATM was established as a financing mechanism to scale up programs for prevention, care, treatm

1

• The GFATM was established as a financing
  mechanism to scale up programs for prevention,
  care, treatment, and support

2
To what extent has the Global Fund as a financial
mechanism been transparent? (open and free from
political interference)
3

• Findings
• Important to remember that the fund is an
  evolving fund
• Broad agreement that the process is free from
  political interference and that it is a good
  financing mechanism
• There is a perception that the TRP process is
  shrouded in mystery and less than transparent
• No benchmark on the amount of funding that could
  be applied for
• Recommendations
• Clarify the TRP processes / policies and ensure
  that these are communicated (especially feedback
  / reporting on proposals that are rejected)

4
How effective is the oversight and monitoring
provided by the LFA?
5

• Findings
• Still some confusion regarding the role of the
  LFA (monitoring versus verification)
• Question the ability of LFAs to verify
  non-financial aspects of the project
• Effectiveness of the LFA is not yet proven too
  early to assess
• Lack of clarity as to what standards the LFA will
  be using to make their assessment
• Not adequately protecting GFATM interests
• Recommendations
• Consider the potential for separating financial
  from programmatic verification
• LFAs should be required to develop M E
  (?verification) plans and share these with the PR

6
How transparent and accountable is the process of
selecting PRs?
7

• Findings
• Composition of the CCM influences the selection
  of the PR (in many cases CCMs are government
  appointed)
• Therefore PR selection can be subject to
  political influence
• The evolving nature of GFATM guidelines are
  progressively reducing the potential for
  political interference
• Recommendations
• Should be evidence of a transparent and
  competitive process to select PRs and SRs

8
Has the flow of funds from the GFATM Trustee to
the PR and PR to SR been timely and free from
political interference?
9

• Findings
• Delays experienced from GFATM trustee to PR
• Similar delays experienced from PR to SR with
  lack of transparency on the part of the PR
• In-country processes creates / increases delays
• Recommendations
• GFATM should consider a review / mapping of their
  operational processes and their contribution to
  delays incurred in implementation
• Countries should review mechanisms to reduce
  delays, particularly at the country level

10
How has the performance-based funding model
worked?
11

• Findings
• We all expected results too quickly without
  taking the country realities into consideration
• Focus on quick results (quantity / coverage)
  could compromise quality
• Proposals did not adequately take into account
  delays that would be incurred during start-up and
  implementation
• Recommendations
• PRs should be encouraged to do a reality check
  and adjust implementation plans / progress
  indicators based on the realities of the
  situation
• Global Fund needs to be sensitive to country
  realities and not have unrealistic expectations
• GFATM and PR should negotiate specific mechanisms
  that would speed up implementation