03 September 2018
Despite a challenging operating environment, Niger has made significant progress against the three diseases. The supply chain is able to distribute medicines, but fundamental gaps in the quantification, forecasting and stock monitoring processes still result in disruption of services. Many of the issues could be mitigated through more effective oversight, clear and binding accountability mechanisms, efficient use of available information and improved coordination between the various implementation partners, without material additional investment.
The quality of the three programs has improved over the last two years, mainly on outreach of services and commodities, particularly for malaria. This has resulted in a material decline in mortality for malaria and HIV, with a 30% decline in malaria prevalence and mortality between 2010 and 2015. However, challenges remain: material programmatic data inconsistencies, missing data records, weakness in the health care services and non-adherence to treatment guidelines. While these issues are to be expected in a challenging operating environment, the coverage, quality and coordination of supervision activities require improvements. The Global Fund and partners are supporting information systems improvements and solutions.
When extensive financial irregularities were identified in 2014, two new implementers were appointed, and assurances and controls over grant funds were expanded. These measures have significantly mitigated the financial risks in the malaria and HIV programs. For tuberculosis, while financial management risks have been mitigated, procurement activities still have some issues around transparency and competition.
For more information:
Mobile: + 41 (0)79 717 6694
The Office of the Inspector General safeguards the assets, investments, reputation and sustainability of the Global Fund by ensuring that it takes the right action to defeat AIDS, tuberculosis and malaria. Through audits, investigations and consultancy work, it promotes good practice, reduces risk and reports fully and transparently on abuse.
Established in 2005, the Office of the Inspector General is an independent yet integral part of the Global Fund. It is accountable to the Board through its Audit and Ethics Committee and serves the interests of all Global Fund stakeholders. Its work conforms to the International Standards for the Professional Practice of Internal Auditing and the Uniform Guidelines for Investigations of the Conference of International Investigators.
The Global Fund believes that every dollar counts and has zero tolerance for fraud, corruption and waste. Through its whistle-blowing channels, the Office of the Inspector General encourages all to speak out to report fraud, abuse and human rights violations that prevent Global Fund resources from reaching those who need them.