As part of its responsibilities, the Technical Evaluation Reference Group periodically performs strategic reviews on the work of the Global Fund and the implementation of its strategies:
The results of the Technical Evaluation Reference Group’s Strategic Review 2015, along with its other evaluations, informed the development of the Global Fund Strategy 2017-2022. Following on, in 2017, the TERG conducted another strategic review to:
The TERG presented this completed Strategic Review 2017 to the Global Fund Board in November 2017.
The Strategic Review 2017 had two objectives, each with a set of sub-objectives:
The sub-objectives were further grouped into three clusters:
The review included:
The Strategic Review 2017 came to a number of overall conclusions based on its findings. Summarized key conclusions include:
In order to highlight the level of urgency as well as the kind of actions the Global Fund is recommended to undertake, the strategic review team organized its recommendations into three categories. The TERG endorsed the recommendations, with minor modifications:
|Continue and embed||Monitor and course correct||Act now|
|Embed the process of strategic implementation further||Ensure short-term activities are aligned with achieving impact||Undertake a thorough review of “country ownership” to develop a better defined and flexible framework for operationalizing Global Fund policies and principles in this regard|
|Continue to drive toward prioritization for impact||Monitor and course correct measures and policies on differentiation||Strengthen collaboration with technical and development partners on key issues: human rights, key population and gender|
|Continue to operationalize policies and guidance related to sustainability, transition and co-financing; promote country ownership of these||Take stock of risk management processes||Ensure the Accelerated Integration Management project delivers|
|Continue to focus on working with technical and development partners with a clear focus on long-term impact and accountability for results||Further clarify to countries the intended focus of investments in resilient and sustainable systems for health|
|Continue to focus on integrating human rights and gender issues into country programs*||Monitor and review the impact of catalytic funding|
|Where practical, embed “modelling for impact and efficiency” in national decision-making processes||Ensure the Global Fund is well position as relevant and value-adding for the next Replenishment and beyond|
*The TERG additionally prioritized this recommendation.
In 2015, the Global Fund Board asked the Technical Evaluation Reference Group to conduct a strategic review with the following two objectives:
The strategic review included both quantitative and qualitative analysis, including structured document reviews, analyses of existing data, online surveys with key informants and focus group discussions, making maximum use of existing data.
For the first objective, in-depth case studies were carried out on 16 countries, which included on-site visits in four of these countries. These case studies included more qualitative information on:
The intention of the case studies was not to produce separate reports for each of the countries or specifically evaluate and judge the Global Fund's performance in each country. Instead, they provided the basic evidence to allow systematic analysis across the differing country contexts.
For the second objective, the reference group looked at the impact made on the three diseases between 2000 and 2014 and, specifically, progress made against the goals outlined in the 2012-2016 strategy of 10 million lives saved and 140-180 million infections averted.
This involved two broad sets of analysis:
The review was based on the following five principles:
The results of the Strategic Review 2015 contributed to the development of the Global Fund Strategy 2017-2022.