Office of the Inspector General

Audit of Global Fund Grants in Pakistan

28 April 2020

Pakistan has made good progress in the fight against malaria, with a 71% reduction in deaths between 2012 and 2018. Significant challenges remain in TB and HIV, however. While Pakistan is able to successfully treat patients diagnosed with TB, there are material weaknesses in identifying patients. The rising HIV infection rate (57% increase between 2010 and 2018) could result in greater prevalence in the general population if not addressed.

The District Health Information System (DHIS2) has now been rolled out across the country. Defaults on Government commitments are however impacting Global Fund programs, implementation arrangements need to be adapted to the devolved structure, and there are gaps in the design and effectiveness of procurement processes.

  • Global Fund Grants in the Islamic Republic of Pakistan (GF-OIG-20-012 - 28 April 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.