Office of the Inspector General

Managing Investments in Resilient and Sustainable Systems for Health

03 May 2019

Resilient and sustainable systems for health (RSSH) are crucial in ensuring that people have access to effective and efficient services, and are essential for ending the HIV, TB and malaria epidemics. The Global Fund has invested approximately US$5.8 billion for health system strengthening activities since 2014, reaffirming its commitment to building resilient and sustainable systems for health by elevating RSSH to a strategic objective in its 2017-2022 Strategy. This audit covered the Secretariat’s management and monitoring of all RSSH activities, and analyzed progress on financial management and supply chain strengthening components of RSSH sub-objectives.

The Global Fund’s structures, systems, processes and skill sets are primarily designed to deliver disease programs, rather than RSSH activities. The Secretariat’s monitoring framework to routinely assess grant performance is unsuited to RSSH activities, and sustainability measures are not consistently considered in RSSH activities.

Progress has been achieved in strengthening the financial management capabilities of implementers. The Secretariat has also instituted measures to mitigate the unique risks usually faced by RSSH activities at country level, although these are not being consistently implemented.

  • Managing investments in Resilient and Sustainable Systems for Health
    (GF-OIG-19-011 - 03 May 2019)
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For more information:

Dougal Thomson
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.