Performance and Accountability

As a general rule, Debt2Health funds are treated just like all resources entrusted to the Global Fund.

1. New Funding RoundTo date, the Global Fund has maintained a rate of calling for and approving at least one round of new financing each calendar year. In response to such a call, a country constructs a comprehensive national proposal for the scale-up of prevention, care and treatment by soliciting proposals from organizations within the country and consulting broadly with a wide range of stakeholders through its CCM.

2. Phase 2 ReviewWhile Global Fund proposals are generally approved for a period of up to five years, grant agreements are signed and funds are committed for only the first two years. As a grant reaches 18 months of implementation, it undergoes an extensive review during which financial and programmatic performance are measured against agreed targets. Grants that are deemed to have achieved satisfactory performance are awarded continued funding by the Global Fund Board and a new grant agreement, including new programmatic targets, is negotiated and signed.

3. Rolling Continuation ChannelThe recently established Rolling Continuation Channel (RCC) enables recipient countries to apply for continued funding to existing, high-performing grants for up to six years through a streamlined process. Qualified applicants are able to submit a slimmed-down version of the proposal form used for new applications. The technical review is as rigorous as for proposals submitted through the rounds mechanism. RCC applicants also have the flexibility to increase the scope and scale of the interventions for which they are seeking additional financing. Applications for RCC funding are accepted and reviewed by the TRP on a quarterly schedule, rather than annually as for each funding round.

Disbursements

When Debt2Health funds are used in grants yet to be approved in future rounds, all funds will be used to finance approved program activities, the results of which will be attributed to the Debt2Health swap.

In the event that Debt2Health funds are used at the Phase 2 point, funds will be used to continue the scale-up of targets and activities according to the capacity and requirements expressed by the country and re-confirmed by the Global Fund.

In the event that Debt2Health funds are used to finance the continuation of high-performing grants which have qualified for the RCC, resources will be used to continue essential and well-performing activities.

Results and Performance

Global Fund financed programs help to save 3,000 lives every day. The programmatic targets and results of activities funded by Debt2Health resources are subject to the same stringent accountability mechanisms applied to all Global Fund investments. In all grants the results and performance indicators are set by grant recipients in collaboration with the Global Fund. They then become part of the Grant Agreement between the Global Fund and the PR.

Among the Global Fund’s most notable grant management features is the system of performance based funding. This means that grant disbursements are linked to programmatic results and expenditures. Disbursements continue to be made as long as the targets set are being achieved. Programmatic results are monitored with the help of Progress Reports, which are accompanied by Disbursement Requests for the continued release of grant funds. The Progress Reports are forwarded to the Global Fund through the Local Fund Agent (LFA), an independent auditor contracted by the Global Fund to verify the data submitted. During the first year of grant implementation, the PR will typically submit Progress Reports and Disbursement Requests on a quarterly basis. Subsequently, the Global Fund and a PR may agree that disbursements should be made on a semi-annual basis.

Overall grant performance is rated by the Global Fund on a scale of A (Expected or exceeding expectations), B1 (Adequate), B2 (Inadequate but potential demonstrated), or C (Unacceptable). The score card of each grant is publicly available and posted on the Global Fund website.

For more information about results, performance and monitoring, please visit Policies and Guidelines