Office of the Inspector General

Audit of Grants in Nepal

28 August 2019

Nepal is making significant progress in tackling HIV, tuberculosis and malaria. The number of patients on antiretroviral treatment has increased by 25% in the last three years, the TB treatment success rate is stable at 91%, and malaria cases have declined significantly. Nepal has been identified by WHO as one of 21 countries that have the potential to eliminate malaria by 2020. To achieve the UNAIDS 90-90-90 target by 2020, however, challenges in Nepal’s HIV program will need to be addressed: specifically, low testing coverage and yield, and monitoring of clients on treatment. To increase TB case detection, improvements are needed in the implementation of TB interventions such as contact tracing and private sector engagement.

Since federalization in 2018, health care delivery in Nepal has been devolved to provinces and municipalities. The Ministry of Health and Population (MoHP) is mainly responsible for policy formulation, resource mobilization, monitoring and regulation of health services, and the Ministry of Social Development (MoSD) was established to oversee health care delivery in the provinces. A lack of clarity in roles and responsibility around oversight, coordination and implementation has negatively affected supply chains, fund flow, and reporting of programmatic and logistics data. Leadership and ownership of the national disease strategies remain unclear, and reporting arrangements from the provinces and MoSD to MoHP are not defined. The capacity of the three national disease programs remains severely limited, despite investments in the last four years to build their capacity.

  • Global Fund Grants in Nepal
    (GF-OIG-19-015 - 28 August 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.