Office of the Inspector General

Global Fund Grants in Lesotho

28 February 2020

Lesotho has made significant progress in the fight against HIV, evidenced by a 15% decline in AIDS-related deaths and a 35% reduction in new infections since 2010. TB deaths have decreased by 17%, and incidence by 35%, in the same period. Notwithstanding these achievements, the country has the second-highest HIV prevalence (24%, reaching 71% in key and vulnerable populations) and the highest TB incidence rate in the world.

Various exceptions were identified for the performance of TB screening and testing, and of contact tracing, contributing to the high percentage of missing cases in the country, and inadequate mechanisms are in place to identify and treat MDR-TB. Duplications in prevention activities and geographic locations were noted in HIV prevention programs implemented at sub-recipient level. The Government of Lesotho has failed to meet several of its commitments relating to procurement of HIV and TB medicines and investments in Human Resources for Health, contributing to widespread stock-outs and negatively impacting the implementation of preventive therapy for HIV patients.

  • Global Fund Grants in the Kingdom of Lesotho (GF-OIG-20-005 - 28 February 2020)
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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.