09 December 2019
Global Fund grants in Malawi have significantly reduced death rates across the three diseases. The country now has an electronic Health Management Information System; HIV and TB data from health facilities are of good quality, while for malaria there are data inaccuracies.
Some key components for interventions targeting Adolescent Girls and Young Women were not fully defined before commencing the programs, and their implementation is ineffective due to weak supervision arrangements. Gaps in performance indicators and errors in reported results are limiting the ability to measure the program’s achievements.
There are no material stock-outs of medicines at service delivery points. All medicines were fully reconciled at the central level, but traceability challenges remain at District Health Office and health facility levels. The audit noted significant weaknesses in controls at the Ministry of Health, Action Aid, and within the Secretariat’s risk mitigation measures. The fiduciary assurance framework and the portfolio’s anti-fraud measures need significant improvement.
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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.