Funding Model

The Global Fund / John Rae

Grant Implementation

The effective implementation and monitoring of grants is at the core of our work to end of HIV, TB and malaria as epidemics and forms the longest part of the funding cycle.

The Principal Recipient implements a grant, with the Country Coordinating Mechanism and Global Fund monitoring implementation on an ongoing basis. The Global Fund, in coordination with Local Fund Agents and in-country partners, assess programmatic activities through progress updates and country visits. In addition, financial activities are monitored and verified through audits.

Highlighted parts of grant implementation are outlined on this page.


A series of overarching texts and regulations guide grant implementation and implementers. They are available here for download.


Financial management

Strengthening financial management improves the ability of Global Fund implementers to achieve greater impact in their fight against HIV, TB and malaria. The Global Fund provides its implementing partners with opportunities to strengthen their work in this area by making available a number of relevant resources.

See Financial Management Strengthening for more information.


Progress reporting

Ongoing monitoring and reporting are part of regular decision-making and help to determine grant performance ratings.

Each grant's performance rating and reports are available on our Data Explorer site.


Annual funding decision

An annual funding decision determines when funds, on a staggered basis and according to the grant agreement, will be disbursed to the Principal Recipient.

A schedule is set up to determine when disbursements are released. In many cases the Principal Recipient will also disburse funds to smaller organizations who serve as sub-recipients and sub-sub-recipients.


Grant revision

Over the course of grant implementation, some changes can be made to the grant agreement, adjusting the grant’s programmatic requirements to make sure that resources are used as effectively and efficiently as possible. This is called a grant revision.


Register of Unfunded Quality Demand

Countries are encouraged to include with their funding application a request to fund priority programs that should be fully funded but cannot be because of limited resources. This “prioritized above allocation request” is reviewed by the Technical Review Panel and strategically focused and technically sound interventions are then registered as “unfunded quality demand.”

This quality demand is often eventually funded through savings or efficiencies identified within Global Fund grants and can also be funded through additional resources that become available during the allocation period.

The register takes the form of an Excel tool that can be searched and analyzed by region, country, component and intervention to help potential donors more easily identify areas of need.

The Global Fund strongly encourages all donors to consider providing additional contributions to fund interventions on the register. See our Filling Critical Gaps page for more information.


Grant closure

A grant that is ending triggers a close-out process following a set plan and budget. Following the last disbursement of funds, the grant is closed.