29 April 2019
Progress against the three diseases has been registered in the past two years: key population prevention targets for the HIV program were over-achieved and 78% of confirmed TB cases successfully treated. Despite increased distribution of bed nets, their access and utilization remain low, and there has been an increase in malaria prevalence. For HIV, although the number of people on treatment has doubled in the last year, overall treatment coverage remains at 15% of the estimated people living with HIV.
Poor data quality, including forecasting and quantifications, is adversely affecting the grants. There are shortcomings related to the quality of services, including the use of clinical symptoms to diagnose malaria, sub-optimal viral load testing for HIV/AIDS patients, and poor progress towards the TB/MDR target. Weak quantification and forecasting processes are causing frequent overstocks and stock-outs of drugs.
The audit found serious deficiencies in relation to asset management by both Principal Recipients, the Federal Ministry of Health and United Nations Development Programme. The OIG found that assets procured using Global Fund grants totalling around US$2.75 million were either not recorded, not located, or were registered as damaged without any supporting documentation.
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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.