Transcript Master Presentation Template II

Performance based funding
Global Fund to fight AIDS, Tuberculosis and
Malaria – progress and challenges
Kirsi Viisainen, MD, PhD
Clermont-Ferrand, 11 May, 2011
What is the Global Fund?
The Global Fund is an international
financing institution mandated:
Raise it
- To raise and to disburse
substantial new funds
- To operate transparently and
accountably
Invest
it
Prove it
- To achieve sustained impact on
HIV/AIDS, tuberculosis and malaria
BG/290607/1
Why we do PBF at the Global Fund
• Performance based funding is one of founding principles of the Global
Fund (2003)
“In making its funding decisions, the Global Fund will … focus on performance by
linking resources to the achievement of clear, measurable and sustainable results”.
• Paris Declaration on effective aid (2005): One of Five Principles
(Managing for Results) :
“Managing for results means managing and implementing aid in a way that focuses on
the desired results and uses information to improve decision-making”
• One of three major priorities in Accra Action Agenda (2008)
“Achieving development results – and openly accounting for them – must be at the
heart of all we do. “
What type of PBF do we do at the Global Fund
Performance-based funding (PBF) ensures funding decisions are based on a
transparent assessment of results against time-bound targets.
What it is
-
-
All funding decision based on
tranparent rating of results against
targets
Investment in capacity building and
in M&E (5-10%)
Measurement of services delivered
to people and impact
Reallocation of funding
Systematic application (> 890
grants in 150 countries)
What it is not
-
Not buying results directly, but aim to
promote improved performance
-
Not results based financing e.g. of health
workers focuses on PBF between Global
Fund and Principal Recipient in country
-
No direct in-country results based
management (limited country presence)
How is performance based funding done at the
Global Fund
PBF to support decisions on improved performance at all
levels and in diverse contexts
Performance
A
Country
Adjustments to
improve programs
Niger, Malaria
Accelerate ITNs with local
partners towards universal
coverage
Making
performance
decisions
1.
Accelerate
B1
Malawi, HIV
HIV treatment – human
resources bottleneck, invested
US$ 40 million
2.
Systems
Strengthening
B2
Sudan, HIV
Identified bottlenecks, now
strongly performing
3.
Senegal, Nigeria
Reformed CCM, rebuilt M&E
system, signed new grants
Revisions and
efficiencies
where
required
C
“What made the difference is you gave us a clear warning, that we were in the red
zone .. We could lose our money if we didn’t deliver results. We looked at it, we
could focus and we both saw the problem .. Performance based funding helped us
think through implementation” Ethiopia PR
Challenges from implementing RBF
CGD review of PBF
GF Five Year Evaluation
-
Applauds GF for implementing PBF
in practice
-
PBF one of the stronger
achievements of the Global Fund
with “management benefits and
health system contributions”
-
Invest more systematically in
country data
Improve focus on impact
Consistency in decision making
-
A more systematic partner
approach is needed to invest in
strengthening weak country
health information systems.
Simplification and streamlining
of performance based funding,
particularly at country level
A greater emphasis on impact
and outcome
-
•
•
Summary
• Global Fund experience of implementing performance based funding
in practice has proven the usefulness of the model, but also shown
areas for improvement
• Global Fund PBF model focuses on decisions to improve performance,
ability to implement at all levels in diverse contexts
• Common challenges: improve country data, service quality and impact,
enhance performance based decision making in programs
• GF is learning from experience and improving the model with new
grant architecture