Here is a step-by-step explanation of how countries ask for – and receive – support from the Global Fund.
Eligibility for Global Fund support is based on a country’s income level and disease burden. It is possible for a country to be eligible to receive funding for only one or two of the diseases. For example, a country could be eligible to receive funding for HIV but not TB or malaria.
Each country is allocated funding for eligible diseases. Allocations are for a three-year period. Countries have the option of reallocating funding from one disease to another, or setting aside a portion of the allocation for building resilient and sustainable health systems.
Country dialogue is an open and inclusive conversation with people responding to and affected by HIV, TB and malaria. While the Country Coordinating Mechanism itself includes representatives of a wide variety of different groups, the purpose of the country dialogue is to go beyond its membership to reach out to all those involved in the response to the diseases, including those key populations affected by the diseases. The purpose of country dialogue is to identify needs, work on national strategies, build resource mobilization efforts and prioritize programs that will have the most impact.
Country dialogue is an ongoing process, beginning well before the development of the funding request and continuing through implementation of the grant.
Rather than providing funding on the basis of a separate project, which can lead to fragmentation of efforts and a heavy administrative burden for both countries and donors, the Global Fund encourages countries to base their funding requests on the country’s national strategic plan for the diseases.
If a country does not yet have a national strategic plan for a disease, or if the plan is no longer current, countries can base their requests on an investment case.
Using the national strategic plan as the basis, the Country Coordinating Mechanism will develop their funding request. The most effective funding requests are those developed with the input of people responding to and affected by the diseases.
After submission, the funding request is evaluated by the Technical Review Panel. This independent panel of technical, scientific, medical, development and finance experts examine the funding request thoroughly. They look to see the funding request is adapted to a country’s epidemiological situation, that the programs proposed are based on scientific evidence and demonstrate good impact and good value for money.
If they feel a funding request is not of sufficient quality they will ask the country to revise and re-submit. Once the panel is satisfied the funding request is ready for the next step, it moves to grant-making.
In this stage of the process, the Country Coordinating Mechanism and the Global Fund work with the organization nominated to implement the grant, known as a Principal Recipient. The Principal Recipient is assessed by the Global Fund and then the Principal Recipient and the Global Fund will together develop detailed budgets and work plans.
Once this work is completed, the grant documentation undergoes a final review by the Grant Approvals Committee.
The Grant Approvals Committee is a committee of senior management at the Global Fund, as well as representatives of technical, bilateral and multilateral partners. One of their responsibilities is to set the upper funding ceiling for the grant, based on the Technical Review Panel’s recommendations as well as a number of other relevant factors. They also review the final grants before recommending them to the Board for approval.
After the Grant Approvals Committee’s review, grants are considered to be “disbursement-ready.” These are then sent to the Board of the Global Fund for final approval and, once approved, the grant is then signed and the first disbursement is made to the Principal Recipient.