Strategy Implementation

37th Board Meeting
Strategy Implementation Reporting

For Board Information
GF/B37/19
Kigali, Rwanda
03-04 May 2017
The Global Fund 37th Board Meeting, 03-04 May 2017, Kigali, Rwanda
Strategic 1) Maximize impact against HIV, TB and Malaria Latest KPI Data
Objective • As reported to Committees June 2016, hybrid reporting for previous KPI
framework and 2017-2022 KPI framework will take place mid-2017. Full
Sub- a) Scale-up evidence-based interventions with a focus on the highest reporting on 2017-2022 KPI framework will be available in early 2018,
burden countries with the lowest economic capacity and on key and following a full year of implementation.
objective vulnerable populations disproportionately affected by the 3 diseases.
KPI 1: Performance against impact targets; KPI 2: Performance against service

Strategic delivery targets; KPI 4: Investment efficiency; KPI 5: Service coverage for Key
KPI (s) Populations; KPI 8: Gender & age equality; KPI 9b: Investment in KP programs;
Progress Status Key Challenges and Risks

1. Impact through Partnership (ITP): Development of Partner Support Platform for 1. Challenge: Limited capacity and resources available in country for
mobilizing technical, financial and political strength of Partnership to respond to efficiency modelling. Low data quality in some contexts.
issues on critical path to maximizing impact at country-level not being addressed 2. Challenge: Timing may not allow efficiency analysis results and/or
through existing grant and partner resources at country level. country projections to inform development/renewal of NSPs and/or GF
2. Allocative Efficiency Modelling: Efficiency models being applied in high-impact funding request
countries: (HIV) Bangladesh, Cambodia, Indonesia, Myanmar, Pakistan, Philippines, 3. Challenge: Not all KPI2 indicators are systematically included in PFs.
Thailand, and Vietnam; (TB) Philippines and Zimbabwe; and (Malaria) Philippines, 4. Risk: Delay in submission of proposals of high impact countries, which
DRC, Tanzania, Zimbabwe. account for bulk of targets. Major adjustments to performance
3. Tracking Strategy Targets vs. Performance Framework (PF) Targets: Tool to framework targets at grant-making stage.
support Country Team tracking of difference between Strategy and Performance 5. .
Framework targets at country and regional level developed and shared with country
teams. Overall good alignment between PF targets and strategy projections in 11
countries submitted in window 1. Looking Ahead
4. Individual Objective Setting: Strategy Targets in process of being embedded as
SMART personal objectives. • Audit of individual objective setting to verify SMART aspect, cascading
The Global Fund 37th Board Meeting, 03-04 May 2017, Kigali, Rwanda and link to Strategic Framework (Q2)
• Approach to collect KPI 2 indicators, including using grant PFs, under
discussion. Guidance to be developed as appropriate
1
Sub- b) Evolve the allocation model and processes for greater reporting on 2017-2022 KPI framework will be available in early 2018,
impact, including innovative approaches differentiated to country following a full year of implementation.
objective needs
Strategic KPI 3: Alignment of investment and need; Additional KPIs

attached to SO1a
KPI (s)

1. Calibration of models assessing potential allocation scenarios: Work underway 1. Challenge: Competing models could confuse countries. Work
to ensure partner endorsed models to assess impact of potential allocation scenarios underway with WHO/UNAIDS and other partners to provide guidance
are available, calibrated and endorsed in all high impact countries: and set up coordination mechanism.
• 2-day meeting convened with key stakeholders for TB modelling (including 2. Challenge: Unlike estimation of disease burden, modelling of impact
WHO, Stop TB Partnership, World Bank, Gates, USAID, CDC) to agree and efficiency not institutionalized within MoH and not systematically
common vision and to plan and coordinate national and international work for supported by WHO/UNAIDS
improving TB models and providing country support. 3. Challenge: Insufficient quality data on baseline epi and service unit
• Engagement with selected stakeholders for malaria modelling (including WHO cost in some high impact countries
and Swiss Tropical Institute) to review and provide feedback on Spectrum 4. Challenge: Recruitment of Allocation Manager
malaria tool.
• Initial agreement with Avenir Health for in-house use of calibrated Goals
models as well as developing age-sex structure in model to address its current
limitation. Modelling of structural interventions will be discussed Prevention Looking Ahead
Cascade meeting in London on April 6 led by Strive.
• Goals model calibrated in 56 countries through 4 regional workshops (HIV). In- • Collection of lessons learned relating to allocation model
country
The Global support
Fund 37th to be03-04
Board Meeting, planned with
May 2017, respective
Kigali, Rwanda Country Teams/UNAIDS for
priority countries as needed. In-country workshops conducted in 8 countries for
HIV, 2 countries for TB and 2 countries for malaria. [Also relevant for So1a]
2
Sub- c) Support grant implementation success based on impact, reporting on 2017-2022 KPI framework will be available in early 2018,
effectiveness, risk analysis and value-for-money following a full year of implementation.
objective
Strategic KPI 4: Investment efficiency; KPI 7: Fund utilization; Additional
KPIs attached to SO1a
KPI (s)

1. Project AIM (Accelerated Integration Management): Project aims to deliver an 1. Challenge: Ongoing policy and business changes impact roadmap and
integrated solution to support efficient portfolio management and enhance program timeline for AIM (e.g. differentiation, allocation model, management of
performance for impact. Release 3 of Grant Operating System completed (focus on catalytic investments, funding sources).
access to funding, master data and PR reporting). Previous releases focused on key 2. Challenge: Mechanisms for mobilizing funds from grants to support
grant data, portfolio differentiation, reporting templates and forms, PR data, scale up of program quality activities at country level can be slow
compliance review and validation mechanisms, among other elements. moving.
2. Integrated Portfolio Review: Approach aims to strengthen primary process of
review and identification of needs, solutions and strengthening actions at country-
level and using global level review and analysis to address gaps. Governance
structure for managing design work in place, work streams defined and agreed.
Design seeks to incorporate evidence-based data on progress towards targets and
program effectiveness, assurance planning, and Operational Risk Committee into
comprehensive approach. Workshops on elements of review framework underway. Looking Ahead
3. Program Quality: Baseline information collected in Tanzania. Update to be provided
at March SC meeting. Efforts to measure efficiency in design stage in Kenya, Ghana, • Evaluation of impact of program quality interventions conducted in
Uganda, Senegal,
The Global Fund Togo,
37th Board Sierra
Meeting, Leone
03-04 May and Niger.
2017, Kigali, Rwanda Country dialogue on program
Tanzania
quality and efficiency underway in Mozambique, Tanzania, Zambia, Zimbabwe,
Malawi, Cote d'Ivoire and DRC.
3
objective
KPI (s)

4. Prioritized List of Solutions to Portfolio Challenges: Structured plan and change 3.
management approach in place. Three work streams defined: (1) systematic in-
country review and dialogue, review of risk and impact for 30 top risk and impact
countries, and enterprise level review of risk and impact.
5. Financial risk management guidelines drafted. Agreement reached with Save the
Children on single audit approach and MOU under review. Financial assurance
guidelines and anti-fraud management guidelines to ensure harmonization of
assurance and anti-fraud practices.
6. Risk and assurance orientation sessions for country teams ongoing. Bangladesh
operational risk committee review completed. Content for new integrated risk tool
merging CAT and Quart tools near final. Mock-ups of functionality of tool completed
and integration of tool across grant life-cycle agreed.
7. Insurance policy framework developed with input from Munich RE and in-country Looking Ahead
visits. Development of supporting guidelines underway.
• Risk and assurance plans expected to be completed for Cameroon,
South Sudan, Uganda, Zimbabwe, and Tanzania by end March.
4
objective
KPI (s)

8. Grant-making: Guidance and tools being finalized to allow window 1 applicants to 3. Risk: Completing grant-making in available timelines, due to in-country
start grant-making by end of March target. capacity constraints. Country Team planning grant-making timeline to
9. Differentiated Applications: Internal and external stakeholders trained on identify challenging components and options.
differentiated application process via presentations, e-learnings and webinars. 4. Risk: Countries unsuccessful with Program Continuation Requests will
Application support materials include a new operational policy note on Access to have short turnaround to produce tailored/full request.
Funding, applicant instructions, applicant handbook. 167 applications expected in
2017: 72 Program Continuation, 52 Tailored, and 43 Full Reviews
10. Matching Funds: Matching Funds operationalized with country stakeholders.
Application materials and guidance available.
11. Strategic Initiatives. Final approach to be discussed at March SC meeting.
12. Unfunded Quality Demand: Update on UQD prioritization to be shared at March
SC meeting.
Looking Ahead
• Second window submissions due 23 May, third window due 28 August
• UQD register to be updated (Q2)
• Release of application material and guidance for multi-country applicants
expected by end of June 2017
5
Sub- d) Improve effectiveness in challenging operating environments reporting on 2017-2022 KPI framework will be available in early 2018,
through innovation, increased flexibility and partnerships following a full year of implementation.
objective
Strategic KPI 2: Performance against service delivery targets; KPI 7:
Fund utilization; Additional KPIs attached to SO1a
KPI (s)

1. Sharing of Challenging Operating Environment (COE) Best Practices and 1. Challenge: Exploring innovative and flexible collaboration opportunities
Lessons Learned: Internal platform established to share key information on COEs. with non-traditional partners in COE contexts, in view of Global Fund’s
GF COE working group established. On-going discussion with Global Health Cluster nascent experience with these specific stakeholders.
on areas of collaboration, including pre-qualified implementer for Emergency Fund 2. Challenge: Shifting COE Country Team focus from processes to
and contingency plan development for COE Country Teams. leveraging COE flexibilities for innovation. Cultural shift underway but
2. Portfolio Analysis of COE Countries: Portfolio analyses underway by Country will take time.
Teams in majority of COE countries to understand key needs and flexibilities
required in these portfolios.
3. Training of Country Teams: All COE Country Teams trained in COE Policy and
flexibilities.
Looking Ahead
• Consultation with all pre-qualified humanitarian partners to discuss
flexible and innovative approaches to address health related challenges
more effectively (Q2)
• Development of briefing notes and sharing of best practices on
innovative approaches for program implementation in COE 6
Sub- e) Support sustainable responses for epidemic control and reporting on 2017-2022 KPI framework will be available in early 2018,
successful transitions following a full year of implementation.
objective
Strategic KPI 9: Human rights and gender equality (c: key populations
and human rights in transition countries); KPI 11: Domestic
KPI (s) investments

1. Transition Readiness Assessments (TRAs): 1. Risk: Delay in release of Special Initiative Funds for Sustainability,
• LAC: Completed in Jamaica. Q1 planned/in progress in Paraguay (HIV/TB), Transition and Efficiency
Panama (HIV/TB), Cuba (HIV). Additional TRAs planned for 2017. 2. Challenge: Disease expenditure data quality
• EECA: Completed in Belarus, Bulgaria, Georgia, Ukraine, Moldova. Albania,
Bulgaria & Romania conducted EHRN case study for harm reduction
programs. Assessments in progress: Armenia, Kyrgyzstan, Kosovo,
Uzbekistan. Additional TRAs planned for 2017.
• MENA: Completed in Morocco in coordination with UNAIDS.
• SEA: Malaria elimination pilot in Sri Lanka planned Q1
• Other: Malaria elimination pilot in Philippines.
• Ongoing work to coordinate with partners (including UNAIDS, USAID, World
Bank, and others) to leverage resources, existing analyses of transition
readiness and sustainability, and to minimize duplication Looking Ahead
2. Sustainability, Transition and Co-financing (STC) Training: STC Policy
information sessions conducted with Country Teams in LAC, MENA and Southern • Upcoming Transition Readiness Assessment in Dominican Republic
and Eastern
The Global Africa
Fund 37th regions.
Board Draft
Meeting, 03-04 Mayof comprehensive
2017, Kigali, Rwanda STC Training Course for (HIV/TB) in Q2, Suriname (HIV/TB) and Belize (HIV/TB) in Q3 and
Secretariat staff completed and initial funding secured for development and roll-out. additional TRAs in EECA
7
Sub- e) Support sustainable responses for epidemic control and reporting on 2017-2022 KPI framework will be available in early 2018,
successful transitions following a full year of implementation
objective
Strategic KPI 9: Human rights and gender equality (c: key populations
and human rights in transition countries); KPI 11: Domestic
KPI (s) investments

3. Health Financing Strategies & Sustainability Initiatives: Completed in Kenya, 2. Challenge: Disease expenditure data quality
Tanzania, Benin, Togo, Ethiopia; Ongoing in Ghana, Ukraine, Tanzania, South
Africa, Bangladesh, Togo, Côte d’Ivoire, Senegal, Cameroon, Uganda, Liberia,
Malawi and Ethiopia.
4. National Health Accounts: 53 high impact and core countries trained on System of
Health Accounts (6% completed 3 consecutive years of health and disease accounts
estimations); 11% countries completed min. 2 consecutive years, and 19% countries
completed 1 year).
5. Co-financing: Templates and guidance developed. Operational policy note drafted.
6. Strengthening Disease Expenditure Estimates: Provision of technical assistance
to countries to provide estimates of pharmaceutical data to improve health and
disease expenditure estimates ongoing in Ghana, Uganda, Zambia. Conceptual
framework for establishment of health financing consortium by 2019 developed. Looking Ahead
7. Senior Budget Officials (SBO) regional networks: Completed policy dialogue with
Ministry of Finance officials across Africa on mobilizing domestic resources and their • Finalization of co-financing operational policy note and roll-out of related
effective use37th
The Global Fund for Board
health through
Meeting, this2017,
03-04 May OECDKigali, network.
Rwanda
internal STC training
• Joint expenditure analysis with PEPFAR-BMGF-UNAIDS-WHO to be
expanded to 10 high burden countries, after successful pilot in South
Africa 8
Strategic 2) Build resilient and sustainable systems for health
Latest KPI Data
Sub- a) Strengthen community responses and systems reporting on 2017-2022 KPI framework will be available in early 2018,
following a full year of implementation.
objective
Strategic
KPI (s)

1. Technical Assistance (TA): Requests received for technical assistance received
within Community Rights and Gender Technical Assistance Strategic Initiative
(2017-2019). Requests undergoing eligibility screening with deployment of TA
upon release of Strategic Initiative funds. Aim is to provide targeted TA to 10
countries.
2. Community-based Monitoring Uptake: Raw baseline figures for community-
based monitoring uptake during 2014-2016 obtained and data cleaning underway.
3. Community-based Monitoring Research: Paper on options for operations
research on community-based monitoring and feedback produced by London
School of Economics. Paper sets out 3 options for program of research on
Community-Based Monitoring and Feedback for GF.
Looking Ahead
• Research protocol on Community-based Monitoring and Feedback to
be developed with technical assistance component. Corresponding
RFP to be released by end Q1
• Recruitment underway for Advisor on Community Systems and
Responses 9
Latest KPI Data
Sub- b) Support reproductive women’s, children’s and adolescent reporting on 2017-2022 KPI framework will be available in early 2018,
health and platforms for integrated service delivery following a full year of implementation.
objective
Strategic KPI 8: Gender & age equality
KPI (s)

1. Challenge: Funding available for core activities through Strategic
1. Program Quality Improvement of Integrated ANC/PNC. Liverpool School of
Initiative. Additional funding needed from reprogramming of grant
Tropical Medicine commissioned to lead 3-year studies on program quality
savings or inclusion of activity in new funding request by country.
improvement of integrated antenatal care (ANC) and postnatal care (PNC) in at
least 6 countries:
• Log frame and activity plan developed;
• Core training manuals to improve availability, content and quality of
integrated ANC and PNC developed;
• Multi-country consensus building workshop to develop and draft standards
of care for integrated ANC and PNC completed; and
• Inception visits held in Togo and Niger to finalize MOU, baseline
assessment parameters and ensure partner alignment.
2. RMNCAH technical briefing note disseminated to CCMs and socialized with
Secretariat staff in preparation for new funding cycle applications. Note provides Looking Ahead
updated guidance on how GF can strategically invest in RMNCAH activities and
integrated service delivery in order to improve effectiveness and efficiency of • Work started in Togo and Niger, including baseline assessment
services delivered.
• Inception visit to Ghana planned for end March
• Discussions started with Sierra Leone, Tanzania and Pakistan Country
Teams and CCMs on need for integrated ANC and PNC
10
Latest KPI Data
Sub- c) Strengthen global and in-country procurement and supply chain reporting on 2017-2022 KPI framework will be available in early 2018,
systems following a full year of implementation.
objective
Strategic KPI 6: Strengthen systems for health
(a. procurement, b. supply chains)
KPI (s)

1. Challenge: Coordination / Participation of Partner Donors & MoHs
1. GF Supply Chain Strategy and Implementation Plan: Baseline assessment and
2. Challenge: Political will of countries to undertake SC diagnostics and
landscape analysis completed. Supply chain vision, objectives (KPIs) and
transformation
initiatives agreed by Steering Committee.
3. Challenge: Standardization of diagnostic approach to ensure
2. Supply Chain Diagnostics and Transformation: 19 organizations in contracting
consistency
process for roster of Supply Chain expertise. Five countries identified for
4. Challenge: Scale of transformational change required following
diagnostics work. Over 950 documents- representing over 15,000 pages of prior
diagnostics – need a stepped approach
Assessment reviewed with country-specific approaches developed based on prior
5. Challenge: Resources and funding for implementation of supply chain
Assessment activities. ToR for Comprehensive Diagnostics drafted.
Strategy once approved
3. WHO-GF Contribution Agreement to support WHO Prequalification
Programme for pharmaceuticals and other health technologies: Engagement
with WHO (Essential Medicines and Health Products) on key elements of GF
contribution to PQ Programme and discussion with other key donors (UNITAID,
BMGF) on coordinated contribution initiated. WHO preparing draft proposal. Looking Ahead
4. Review of Quality Assurance Policy: Paper on updated Quality Assurance
Policy for Diagnostics discussed at the Strategy Committee (SC) meeting in March. • Draft Supply Chain Strategy and Implementation Plan review (Q2)
Policy analysis
The Global Fund 37th on QA
Board as a03-04
Meeting, follow
May up ofKigali,
2017, the Rwanda
2016 India OIG Audit report finalized
and discussed at the March SC meeting.
11
Latest KPI Data
Sub- d) Leverage critical investments in human resources for reporting on 2017-2022 KPI framework will be available in early 2018,
health (HRH) following a full year of implementation
objective
Strategic
KPI (s)

1. Matching Funding Requests for HRH: Analysis completed to allocate Matching 1. Challenge: Ensure sustained technical support for and during
Funding (catalytic funding) for human resources for health (HRH) and service development of grant applications
delivery to seven countries - Afghanistan, Benin, Ethiopia, Guinea, Liberia, Sierra 2. Challenge: Ensure that Matching Funding from grants is strategically
Leone and Zambia: allocated during grant making.
• Technical guidance for matching funding developed and disseminated;
• Discussions regarding technical support for first five countries held with
HRH and Service Delivery Departments of WHO. Follow-on discussions
with partners undertaken during Country Team missions.
• One country (Sierra Leone) applied for funding in March 2017 window.
Engagement with WHO to connect CCMs with in-country technical partners
to facilitate development of strategic matching funds applications for HRH
and integrated service delivery investments.
2. HRH Technical Briefing Note disseminated to CCMs and socialized with Looking Ahead
Secretariat staff in preparation for new funding cycle applications 2017-2019.
Provides differentiated guidance based on country’s position on development • Matching funding proposals submitted by all seven countries by May
continuum,
The Global Fundin order
37th Board to improve
Meeting, effectiveness
03-04 May and efficiency of HRH support.
2017, Kigali, Rwanda
2015 and reviewed by TRP
• Afghanistan, Ethiopia, Guinea, Liberia, Zambia plan to apply in May;
Benin will apply in August
12
Latest KPI Data
Sub- e) Strengthen data systems for health and countries’ reporting on 2017-2022 KPI framework will be available in early 2018,
capacities for analysis and use following a full year of implementation.
objective
Strategic KPI 6: Strengthen systems for health (d. HMIS coverage, e.
results disaggregation)
KPI (s)

1. Programmatic Assurance: 20 Health Facility Assessments (HFA) and Data 1. Risk: Consideration of new approach to program and data quality,
Quality (DQ) Reviews in high impact and core countries initiated and 5 close to requiring careful change management and dissemination among
finalization. various GF teams
2. Differentiated Measurement Framework: Initial draft of differentiated
measurement framework to better address progress in achieving GF strategic
objectives 2 and 3 (Gender, Human Rights, Challenging Operating Environments,
community service delivery) completed. Gender disaggregation requirements for
selected indicators identified and rolled out with updated modular framework.
3. Standardized Terms of Reference (including options for customization) to be
used by Country Teams to undertake epi and impact evaluations and thematic
reviews in different thematic areas relevant to GF Strategy. Developed and
reviewed by/with technical partners and internal stakeholders.
4. Data Use for Action and Program Quality Framework: Key principles agreed Looking Ahead
upon and presented to MEC and TERG.
• Finalize Data Use for Action and Program Quality Framework (Q2)
• Work with partners to develop measurement frameworks
• Implement HFA and DQ reviews with partners
• Finalize standardized TORs for evaluations and thematic reviews
13
Latest KPI Data
Sub- f) Strengthen and align to robust national health strategies and reporting on 2017-2022 KPI framework will be available in early 2018,
national disease-specific strategic plans following a full year of implementation.
objective
Strategic KPI 6: Strengthen systems for health (f. NSP alignment)
KPI (s)

1. National Strategy Documents: 4 countries (Morocco, India, Rwanda, El Salvador) 1. Challenge: Potentially, in-country support for NSP developments will
and 7 disease components have confirmed they will apply for funds during this need to be balanced against country perceptions that GF will overly
allocation cycle through a tailored application process that has National Strategy influence outcomes of process
Documents as primary information source. 2. Risk: Countries may not systematically conduct good quality program
2. Funding: Both CCM and grant funding can now be used to support development of reviews
disease NSPs and Health Sector Plans, including program reviews and analysis and 3. Risk: of discrepancies/ lack of alignment between NSPs and Health
alignment across Plans. Sector Plans due to timing, lack of communication between key
stakeholders
Looking Ahead
14
Latest KPI Data
Sub- g) Strengthen financial management and oversight reporting on 2017-2022 KPI framework will be available in early 2018,
objective
Strategic KPI 6: Strengthen systems for health (c. financial
management)
KPI (s)

1. Harmonising Donor Systems: Under IHP+ program on harmonising financial 1. Challenge: Alignment of partners to harmonize donor financial
management systems to promote efficiency, aid effectiveness, and transparency, management systems
progress achieved in 3 priority countries: 2. Challenge: Availability of resources in country allocations to support
• Sierra Leone: Integrated health program administration unit established (by GF, capacity strengthening
WB and GAVI) for financial mgmt. of donor funded projects/program in health 3. Challenge: Country demand, buy-in and ownership
sector, leading to efficiencies and economy in financial management, audit, and
review processes. GF providing technical/financial support to implement agreed
action plan (esp. related to implementation of financial mgmt. info. system).
• Liberia and Sudan: Joint financial management assessments (mainly by GF,
WHO, World Bank, UNICEF, UNDP, USAID and GAVI through IHP+) carried out
for Liberia and Sudan and related action plans being finalized with
respective Ministries of Health.
2. Routine Financial Management Capacity Building: Looking Ahead
• Financial management capacity assessments completed for PRs in 11 countries
(Zambia, Uganda, Indonesia, Namibia, Malawi, Tanzania, South Sudan, Kenya, • Provide intensified technical support for implementation of agreed action
Pakistan, plans
The Global Madagascar and Togo)
Fund 37th Board Meeting, 03-04 May 2017, Kigali, Rwanda
• Financial mgmt. capacity building action plans (including system, process and people • RFPs launched to pre-qualify service providers for financial management
related action points) agreed with grant implementers and implementation ongoing. capacity building support to grant implementers
15
Latest KPI Data
Sub- Cross-cutting reporting on 2017-2022 KPI framework will be available in early 2018,
objective
Strategic KPI 6: Strengthen systems for health
KPI (s)

1. RSSH Dashboard: Launched in Nov 2016 as a support tool for country-dialogue. It 1. Risk: Development and maintenance of Dashboard currently
is an excel based tool that contains country level data from partners and GF grant dependent on external funding
data. Aim of dashboard is to facilitate analysis to better understand status of health
system, main issues and challenges faced, and related GF investments. Country
teams have made forty-six requests for RSSH analysis and information and this
has been used in 16 countries during country dialogue. Expansion of database to
include M&E and health product management modules underway.
2. Access to Funding (A2F) processes and materials: Embedded RSSH in all A2F
application materials, including modular framework, gap analyses tables, and
application forms. Disseminated RSSH information note, and three supportive
technical briefing notes (on labs, RMNCAH and HRH) to provide guidance to
CCMs and Secretariat Staff. Rolled-out CCM training materials on RSSH in order
to improve knowledge of CCMs on RSSH. Discussed RSSH investments and A2F Looking Ahead
applications with various partners, including GIZ Back-up and French 7% initiative.
3. SO2 Implementation: Country support provided on RSSH through leveraging • Integration of RSSH Dashboard into GF IT systems.
partnerships forBoard
The Global Fund 37th countries
Meeting, coming
03-04 May in window
2017, 1 (including engagement with various
Kigali, Rwanda
partners such as UDG, GIZ Back-up and French 7% initiative). Enhanced by
strengthened coordination efforts/functions across seven RSSH sub-objectives.
16
Strategic 3) Promote and protect human rights and gender Latest KPI Data
Objective equality • As reported to Committees June 2016, hybrid reporting for previous KPI
Sub- a) Scale-up programs to support women & girls, including reporting on 2017-2022 KPI framework will be available in early 2018,
programs to advance sexual & reproductive health & rights following a full year of implementation.
objective
Strategic KPI 8: Gender and age equality
KPI (s)

1. 13 Priority Countries AGYW Scale-up: 1. Challenge: 4 of 13 priority AGYW countries applying in first funding
• CRG Strategic Initiative: TA requests to increase quality of programming and window therefore limited time/capacity to mobilize TA to civil society in
performance frameworks received from ~50% of priority AGYW countries. those countries given CRG Strategic Initiative approved only in Nov
• RSSH Strategic Initiative: Discussions with UNICEF, WHO on technical 2016 and GF Strategy commenced Jan 2017.
support provision for AGYW scale-up, with aim of clear agreement by mid- 2. Challenge: Limited quality data available for robust assessment of
March. Webinars on 13 focus countries jointly conducted with UNAIDS and UN incidence in AGYW age group over short- and medium-term.
Women country staff. 3. Challenge: Difficult funding environment
2. Resource Mobilization for AGYW Programs: Engagement of partners and 4. Challenge: Alignment across technical agencies on strategy/approach
prospects (typically Trusts, Foundations and women philanthropists) underway to 5. Challenge: Funding and personnel to build and pilot Goals model, and
support HIV prevention program for AGYW. Development of Private Sector for STOP TB project
engagement platform and engagement campaign (including set of grass-root,
communication and advocacy events and informational material) underway.
3. Adapted Modelling Tool: Agreement in principle with UNAIDS and Avenir Health to Looking Ahead
include age-sex structure in Goals model by Q4 2017. Exploratory discussion with
UNAIDS on development of national targets for KPI 8 for 13 Priority AGYW countries. • Launch of $500,000 meaningful engagement fund for women’s groups in
the 13 focus countries (part of CRG Strategic Initiative)
• Discussions underway with Avenir Health and UNAIDS on how to
capture structural interventions for gender and human right in GOALS
allocative efficiency model
17
Sub- b) Invest to reduce health inequities including gender- and age- reporting on 2017-2022 KPI framework will be available in early 2018,
related disparities following a full year of implementation
objective
Strategic KPI 8: Gender and age equality
KPI (s)

1. Gender Assessments: Work plan, including focus countries, agreed with STOP TB 1. Challenge: TB data availability and quality to support robust integration
review completed gender assessments to determine regional and/or global trends in of gender and human rights related interventions.
gender related risks and barriers to TB services. Proposal to support a training of 2. Challenge: Continued high level leadership to support an institutional
gender consultants developed. cultural shift that embeds gender analysis in programmatic work, and
2. Evaluation of GF and Gender: TERG Evaluation on Gender launched gender equality in way we work
3. Gender Accountability Framework: TOR for consultant to support development of
framework for reporting gender equality across Secretariat held activities.
Looking Ahead
• Gender initiatives at Secretariat to include focus groups/workshops and
gender talent acquisition targets
• Series of discussions/workshops initiated on gender and gender equality
• Consultant to be engaged to develop gender accountability framework
18
Sub- c) Introduce and scale-up programs that remove human rights reporting on 2017-2022 KPI framework will be available in early 2018,
barriers to accessing HIV, TB and malaria services following a full year of implementation.
objective
Strategic KPI 9: Human rights
KPI (s)

1. Baseline Studies in 20 Human Rights Priority Countries: Standardized tools to 1. Challenge: Availability of funding to start on desk reviews and mission
conduct Human Rights baseline studies developed. Desk reviews for 8 countries planning for remaining countries
(Ghana, Benin, Mozambique, Kyrgyzstan, Ukraine, Indonesia, Senegal and
Cameroon) to be submitted by mid-March. 4 country missions to take place from Q2
2017.
Looking Ahead
• Country missions for second set of countries (Ukraine, Indonesia,
Senegal and Cameroon);
• Dissemination of lessons learned planned for end of April
19
Sub- d) Integrate human rights considerations throughout the grant reporting on 2017-2022 KPI framework will be available in early 2018,
cycle and in policies and policy-making processes following a full year of implementation.
objective
Strategic KPI 9: Human rights
KPI (s)

1. Human Rights Complaints Procedure: Consultant selected. Study plan developed 1. Challenge: Partner organization timelines
and telephone interviews/desk review started. 2. Challenge: Country team capacity given funding request submission
2. Addressing Human Rights Crises: On-going work to identify partners and focal deadlines
points in humanitarian organizations towards developing a structured approach to
Human Rights crises.
3. CCM Strengthening: CCM ethical guidelines reviewed as support to CCM
strengthening initiative.
Looking Ahead
• Assessment of Human Rights Complaints Procedure to be completed by
end of Q2. Country missions in Malawi and Cambodia in Q2 as based on
discussion with country teams;
• Continued internal discussions on addressing human rights crises
20
Sub- e) Support meaningful engagement of Key and Vulnerable reporting on 2017-2022 KPI framework will be available in early 2018,
Populations and networks in GF-related processes following a full year of implementation.
objective
Strategic KPI 5: Service coverage for key populations
KPI (s)

1. Use of HIV Key Populations Implementation Tools: Community Action 1. Challenge: Timing between start of new Strategy (Jan 2017) and first
Leadership Collaborative engaged to provide support on use of HIV Key Populations funding request submission window (Mar 2017) allows for limited time
implementation tools in program design and planning. In-country ToRs developed for for implementation in some countries.
sex worker and MSM implementation tools. Global meeting on implementation tools 2. Challenge: Release of funding through CRG Strategic Initiative
convened.
2. TB and Malaria Affected Communities: Global Coalition of TB Activists and
Malaria Consortia engaged to provide support to and strengthen
network/mobilization of TB and Malaria affected communities to enable their
meaningful engagement in country dialogue. Work plans developed and regional
consultations held on modules for analyzing gender and human rights barriers to
malaria. Regional meeting on malaria held and support provided to country
dialogues in Greater Mekong region.
3. Strengthening Engagement of Key and Vulnerable Populations during Grant- Looking Ahead
making and Implementation: Report produced by Community Action Leadership
Collaborative finalized in February, with presentation of findings to GF Staff in March. • In-country consultations on implementation tools (TRANSIT, IDUIT,
Recommendations
The Global Fund 37th Boardto be discussed
Meeting, with
03-04 May 2017, relevant
Kigali, Rwanda departments.
SWIT)
4. CRG Strategic Initiative: Support provided for 10 eligible CRG TA requests, • RFP for overall CRG Strategic Initiative M&E framework to be released
including sustainability and transition in EECA and LAC regions. in Q1
21
Sub- Cross-cutting to SO3 reporting on 2017-2022 KPI framework will be available in early 2018,
objective
Strategic KPI 5: Service coverage for key populations;
KPI 8: Gender and age equality; KPI 9: Human rights;
KPI (s)

1. Training & Capacity Building:
• In-country: Online training materials on gender, human rights, key and vulnerable
populations and community responses for CCMs finalized and are being adapted for
external audience. Guidance for in-person trainings for CCMs finalized.
Consolidated strategy for capacity strengthening of CCMs under development.
• Secretariat: Range of capacity building activities under development including
trainings on programs for 13 AGYW focus, and training on use of HIV key
population implementation tools.
• TRP: On-going engagement with TRP leadership to ensure consistency in
assessment of CRG related issues within funding requests.
2. Inclusive Engagement: Stakeholders (e.g. Women’s Fund, donors supporting
AGYW, civil society organizations working on AGYW issues) convened in late 2016 Looking Ahead
to discuss strategy for AGYW meaningful engagement fund (as part of CRG SI).
Roadmap for AGYW engagement in 13 countries in Eastern and Southern Africa
• Online training materials to be finalised for external audience
being finalized. Independent Review on and recommendations for meaningful
• AGYW engagement plan to be discussed with relevant Country Teams
community engagement during grant-making and grant implementation finalized.
The Global Fund 37th Board Meeting, 03-04 May 2017, Kigali, Rwanda • Recommendations from Review on meaningful engagement to be
discussed with relevant departments and at Impact Through Partnership
Transformation Working Group
22
Strategic 4) Mobilize increased resources Latest KPI Data
Sub- a) Attract additional financial and programmatic resources for reporting on 2017-2022 KPI framework will be available in early 2018,
health from current, new public and private sources following a full year of implementation.
objective
Strategic KPI 10: Resource mobilization
KPI (s)

1. Donor Contribution Agreements: As of end 2016, 10 bilateral and 1 tripartite 1. Challenge: Increasingly challenging political landscape in key donor
agreements signed, 8 bilateral agreements on track to be signed during Q1 2017, 11 countries requiring close monitoring of political transitions and building
more (10 multi-year contribution agreements and 1 annual agreement) on track to be strong cross-party support for GF in key donor countries.
signed by mid-2017. A further 6 agreements in negotiation with signature timing
TBD.
2. Mobilization of Additional Resources: Following EUR 10 mil. increase each from
Netherlands and Germany and others at end 2016 to Q1 2017, on-going work to
increase pledges from governments, high-net worth individuals, trusts, and
foundations in line with Resource Mobilization Action Plan.
3. Resource Mobilization Action Plan: Discussions with GFAN and other advocacy
partners and review of findings of OIG Fundraising Advisory Report to inform
development of Action Plan. AFC reviewed and expressed broad support; inputs
from AFC discussions incorporated into Action Plan to be presented to Board in May. Looking Ahead
4. Audit/Review/Report Completion: DFID’s multilateral development review (MDR)
published end-2016 assessed GF as 'very good' in terms of 'match with UK priorities' • Resource Mobilization Action Plan to be presented to Board (May 2017)
and Fund 37th Boardstrengths.’
'organizational
The Global Meeting, 03-04MOPAN assessment
May 2017, Kigali, Rwanda (Q1 2017) also positive. DFAT • Event in mid-2017 to provide platform for UK private sector contribution
review still being finalized. Upcoming review: NL Scorecard (Date TBC). to unlock remaining resources from UK malaria matching fund.
23
Sub- b) Support countries to use existing resources more efficiently reporting on 2017-2022 KPI framework will be available in early 2018,
and to increase domestic resource mobilization following a full year of implementation.
objective
Strategic KPI 11: Domestic investments
KPI (s)

1. Debt to Health Agreements: Italy and Qatar were identified as countries with
1. Challenge: Uncertain political contexts in several donor countries
highest potential and probability to enter Debt2Health scheme as new Creditors.
2. Health Financing Strategies and Sustainability Plans: Kenya and Tanzania
sustainability plans in development. Ongoing support to Cote d'Ivoire, Senegal and
Ethiopia on operationalizing of health financing strategies and high-level political
advocacy. Togo and Benin health advocacy and health financing plans completed.
Looking Ahead
• Debt to Health Agreements: First contacts and submission of proposal
to Italian Ministry of Finance (MoF), discussions to proceed once MoF
identifies focal point for GF. Proposal submitted to Qatar Fund for
Development, awaiting for reaction to plan Qatar trip to further
discussion, if of interest.
24
Sub- c) Implement and partner on market shaping efforts that reporting on 2017-2022 KPI framework will be available in early 2018,
increase access to affordable, quality-assured key medicines following a full year of implementation.
objective and technologies
Strategic KPI 6: Strengthen systems for health (a. procurement)

KPI 12: Availability of affordable health technologies
KPI (s)

1. WAMBO: 1. Challenge: Insufficient resources to launch Procurement Portal.
• Additional consultations held following Nov 2016 Board discussion. Revised Project will be implemented in 2018.
paper to SC, better articulating opportunities and link to STC Policy.
• Onboarding of GF-financed health products: LLINs, ACTs, ARVs, RDTs,
condoms and lubricants available. Viral load machines and consumables
ready to go-live. Non-core health products (non-core pharmaceuticals, other
diagnostics and lab equipment) in progress of being on-boarded.
• Enrollment of PPM PRs: 48 countries out of 60 PPM PRs can use WAMBO,
of which 28 have placed orders (4 countries finalizing documentation).
• Non-health Products: Initial opportunity analysis conducted and priority
products agreed (e.g. UNOPS vehicles and energy equipment).
2. Procurement Portal: Pilot capacity-building and knowledge/ information sharing on-
line platform for in- country procurement experts developed. Looking Ahead
3. Health Product Categories Covered under Framework Agreements: To avoid
any gap in 2017, on-going process to extend term of current ACT long-term • Anti-malaria tender to be launched in Q2
agreements.
• Complete transition of PPM order placement operations onto
4. Product Category Strategies: Market and product analysis ongoing to identify new WAMBO.org, including PRs and products
products and efficiencies that maximize value of product procurement strategies.
25
Sub- d) Support efforts to stimulate innovation and facilitate the rapid reporting on 2017-2022 KPI framework will be available in early 2018,
introduction and scale-up of cost-effective health technologies following a full year of implementation.
objective and implementation models
Strategic KPI 12: Availability of affordable health technologies
KPI (s)

1. Annual Partner Supplier Reviews: Annual performance review conducted with
suppliers end Feb.
2. Private-public Partnerships: On-going work to establish private-public partnership
mechanisms that could support health financing in Uganda and Liberia.
3. Product Scale-up Roadmaps: Communication among key stakeholders ongoing.
Incorporated products in scope of multi-agency coordinated procurement convened
by GF.
Looking Ahead
• Landscape analysis in Liberia to be conducted in Q2
26
Strategic Cross-cutting to Strategy Latest KPI Data
Sub- Cross-cutting to Strategy reporting on 2017-2022 KPI framework will be available in early 2018,
objective
Strategic All
KPI (s)
Progress Status Key Challenges

1. Ethics: 1. Risk: Results release and reporting dependent on Project AIM
• Ethics and Integrity Communications and Training Strategy drafted for
consultation with relevant Secretariat teams. Basic training materials developed and
to be tailored to each audience.
• Anti-corruption Program and Policy drafted and to be discussed at Ethics and
Governance Committee in March
• CCM Code of Conduct drafted and to be discussed at Ethics and Governance
Committee in March
• Risk-based Integrity Due Diligence project approach agreed. Third party mapping
and risk analysis is moving forward on a staggered basis
2. Results Release: First Results Release completed in January 2017. Work underway
on development and validation of a new tool for programmatic data processing.
3. Library of Board and Committee Policies: Initial review of Board decision point Looking Ahead
database completed. Review of status of Board decision points ongoing. Evaluation
of Committee decision points ongoing. Preliminary categorization completed. • Corporate work planning and budget setting for 2018 to begin Q2
27

Strategy Implementation

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Strategy Implementation

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37th Board Meeting

Strategy Implementation Reporting

KPI 1: Performance against impact targets; KPI 2: Performance against service

Progress Status Key Challenges and Risks

Strategic KPI 3: Alignment of investment and need; Additional KPIs

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Progress Status Key Challenges and Risks

Strategic KPI 6: Strengthen systems for health (a. procurement)

Progress Status Key Challenges and Risks

Strategic KPI 12: Availability of affordable health technologies

Progress Status Key Challenges and Risks

Progress Status Key Challenges

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