2010 Key Performance Indicators

The Global Fund's key performance indicators allows for a comprehensive assessment of the Global Fund's performance across the dimensions of: impact on the three diseases; effectiveness; grant performance and operational performance.

Impact

Key performance indicators for impact are intended to measure the success of the Global Fund, its partners and countries in attaining the ultimate goal of “financing a dramatic turn-around in the fight against AIDS, tuberculosis and malaria and contributing to poverty reduction as part of the Millennium Development Goals.”

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
23) Global Health impact Global progress to achieve the Millennium Development Goals (MDGs) targets is on track: MDG 4: Reduce by two-thirds under-5 child mortality by 2015 HIV: Achieve, by 2010, universal access for ARV treatment MDG 6: Halt and begin to reverse the incidence of malaria and other major diseases MDG 6, TB: Halving the prevalence by 2015	Baseline defined in MDGs	Overall: 68%	67%
22) Country Health Impact % of countries with GF funding reporting positive trends towards the Millennium Development Goals #4 and #6 a- HIV: 1. Coverage of ART among PLWHA in need 2. (Trend in) estimated HIV incidence (all countries); and/or 3. (Estimated) HIV mortality (all countries). b- Tuberculosis: 1. TB mortality; 2. (Trend in) estimated TB disease incidence. c- Malaria: 1. All-cause under-5 mortality; 2. (Estimated) malaria mortality; 3. (Estimated) malaria disease incidence.	56%	44%	40%

Key Performance Indicators (KPIs)

Baseline

2010 Year-End Result

2010 Target

23) Global Health impact

Global progress to achieve the Millennium Development Goals (MDGs) targets is on track:

MDG 4: Reduce by two-thirds under-5 child mortality by 2015
HIV: Achieve, by 2010, universal access for ARV treatment
MDG 6: Halt and begin to reverse the incidence of malaria and other major diseases
MDG 6, TB: Halving the prevalence by 2015

Baseline defined in MDGs

Overall: 68%

67%

22) Country Health Impact
% of countries with GF funding reporting positive trends towards the Millennium Development Goals #4 and #6

a- HIV:

1. Coverage of ART among PLWHA in need

2. (Trend in) estimated HIV incidence (all countries); and/or

3. (Estimated) HIV mortality (all countries).

b- Tuberculosis:

1. TB mortality;

2. (Trend in) estimated TB disease incidence.

c- Malaria:

1. All-cause under-5 mortality;

2. (Estimated) malaria mortality;

3. (Estimated) malaria disease incidence.

56%

44%

40%

Effectiveness

Key performance indicators for effectiveness are intended to assess the development of sustainable health systems in countries receiving Global Fund finances, where it may have positive or negative effects.

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
21) Value for Money Percentage change in median price paid for comparable services (an aggregate total of the following services):		15%	5% annual improvement
a- ARV drugs per patient per year (for adult HIV patients treated on first-line regimens in GF-supported national AIDS programs);	a- median price $188	27% decline ($125)
b- ITNs in Global Fund-supported national malaria programs;	b- median price $5.3	6% decline ($4.6)
c- Proportion of countries with a DOTS unit cost per patient successfully treated within acceptable range (as defined by WHO Stop TB)	c- 18 out of 22 high-TB burden countries in acceptable range	11% improvement (91% acceptable cost, 20 out of 22 countries)
d- Placeholder for sub-indicator on MDR-TB	d- TBC
e- Placeholder for sub-indicator on PMTCT	e- TBC
20) Gender Percentage of programs at grant review (according to the new architecture) which include an analysis by gender, age, and population at risk for key services and outcomes and identify actions to improve programs.	N/A	N/A*	N/A
19) Civil Society Engagement % of funds allocated to civil society organizations as implementers	35%	38%	35%
18) Health System Strengthening
a- Amount of approved funding for HSS cross-cutting interventions in new Rounds;	a- US$ 593 million	US$234	a- US$ 750 million
b- Overall performance of HSS strategic actions (average % of targets achieved) and performance in the strategic areas of: (1) health workforce, (2) procurement and (3) HIS.	b- 80%	85%	b- 90%
17) Aid Effectiveness Average gap in achieving Paris Declaration targets (in %)	19%	18%	0%
16) Government Health Spending % of Global Fund supported programs that report increasing or stable government expenditures in health or the diseases at grant renewals.	TBD	N/A*	TBD

Grant performance

Key performance indicators for grant performance are designed to measure the programmatic achievements and the performance of the Global Fund’s portfolio of grants.

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
15) Quality of Services (to be measured from 2011) Percentage of programs at review (according to the new architecture) reporting on Quality of Services for the following relevant service areas:
a- HIV treatment - % of patients lost to follow up	a- N/A	N/A*	a- N/A
b- Malaria - quality of malaria treatment	b- N/A	N/A*	b- N/A
c- TB - treatment success rate	c- N/A	N/A*	c- N/A
14) Improved Performance % of grants with previous poor performance whose performance has improved within one year	N/A	49%	60%
13) Portfolio Performance % of well performing Grants	74%	80.5%	85%
12) Results % of Top 10 output targets achieved in GF supported programs, including numeric values for : a- Number of people currently receiving ARV therapy; b- Number of smear-positive TB cases detected and treated under DOTS; c- Number of ITNs distributed; and d-Number of PMTCT.	85%	96%	90%

Operational performance

Key performance indicators for operational performance measure the performance of the core functions of the Global Fund and its Secretariat. These are sub-divided in three categories: resource mobilization; administrative effectiveness and portfolio management.

Portfolio Management - Financing Efficiency

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
11) Volume of Financing Actual disbursements compared to target disbursement	85%	100%	95%
10) Speed of Disbursement Processing Median time between receipt of LFA-verified PU/DR and date of disbursement (A and B1-rated Grants only)	35 calendar days	23 calendar days	21 calendar days
9) Speed of Grant Signing Average time between Proposal (Rounds-based) approval and first disbursement	11 months	11.2 months (Round 9)	8 months

Portfolio management - Performance management

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
8) Transparent Data
a- % of grants with complete progress & financial data published in grant performance reports at the time of disbursement (within two weeks)	a- 24.5%	85%	a- 90%
b- % of grants reporting [complete] information in the Price Quality Reporting - PQR (formally PRM)	b- 85%	92.6%	b- 100%
7) Funding follows performance (grant renewal) At Phase 2 grant renewal strong performing grants receive higher % of the original Phase 2 amount than poor performing grants	24%	27%	30%
6) Funding follows performance (ongoing disbursements) Strong performing grants receive higher % of expected disbursements than poor performing grants	11%	23%	30%
5) GF Secretariat’s Operating Expenses Operating expenses as:
a- % of grants under management	a- 2.0%	2.3%	a- < 3%
b- % of total expenditures	b- 7.9%	7.7%	b- 10%

Portfolio management - Administrative effectivemess

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
4) Staff Diversity Performance against three agreed diversity targets:
a- Gender (% of women in positions with grade G06 and above)	a- 30%	28.9%	a- 45%
b- Ethnicity (% of staff originating from implementer countries)	b- 37%	41.2%	b- 40%
c- Communities (% of staff affected with HIV/AIDS)	c- N/A	1.8%	c- 2.5%

Resource mobilization

Key Performance Indicators (KPIs)	Baseline	2010 Year-End Result	2010 Target
3) Private sector contribution Total dollars raised from the private sector (as % of total annual pledges and contributions for the assessed year)	1.8%	0.9%	4.5%
2) Donor pledges % of 2010 (2011) funding needs (grants forecast to be approved) pledged	70%	4.8%	70%
1) Donor Contributions Percentage of pledges for [assessed year] contributed	88.5%	78.6%	90%

*N/A These indicator results are not due for 2010 reporting.

The results in the table have been color-coded as follows:

A	Meeting or Exceeding expectations where the result is >=90 percent achievement against set target
B1	Moderate where the result is 60-89 percent achievement against set target
B2	Inadequate but potential demonstrated where the result is 30-59 percent achievement against set target
C	Unacceptable where the result is <30 percent average performance

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Performance