Transcript IFPMA: 1 October 2002 - The Global Fund to Fight AIDS

NY-070626.001/020419VtsimSL001
Portfolio Management Update
Fifth Board Meeting
Geneva, 5-6 June 2003
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Introduction
By the 4th Board Meeting, January 2003
 30 grants were signed
 US$ 5 million disbursed in 14 countries
By the 5th Board Meeting, June 2003
 57 grants signed
 US$ 32million disbursed in 27 countries
 Second disbursements in Ghana and Haiti
 2 grants scheduled to be signed at the board meeting and 10
during the week
5th GFATM Board Meeting: 5-6 June 2003
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1d
Portfolio Management Update
Progress of Portfolio Management Overview
Round 1
Percent of Components at each Stage
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Round 2
73%
58%
20%
9%
1%
0%
TRP Clarification
Pending
Grant Agreement
Signed
5th GFATM Board Meeting: 5-6 June 2003
First Disbursement
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4%
0%
Second
Disbursement
2d
Portfolio Management Update
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Cumulative Grant Agreements and Disbursements
January to June 2003
Grant Agreements signed and Disbursements made, December 2002 – June 2003
90
35
30
70
25
60
50
20
40
15
30
10
US Dollars (millions)
Number of Grants Signed
80
20
5
10
0
0
December January February
March
# of Grant Agmts. Signed
5th GFATM Board Meeting: 5-6 June 2003
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April
May
June
Disbursements(USD)
3d
Portfolio Management Update
As of June 2003 75% of approved Round 1 components have
signed Grant Agreements, and disbursements quickly followed
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Ukraine
Moldova
In negotiation
Agreement signed
Disbursement made
Serbia
Tajikistan
Mongolia
China
India
Sri Lanka
Haiti
Morocco
Ethiopia
Honduras
Senegal
Kenya
Panama
Mali
Uganda
Chile
Ghana
Burundi
Argentina
Vietnam
Benin
Madagascar
Cambodia
Nigeria
Tanzania
Thailand
Malawi
Myanmar/Thailand
Rwanda
Zambia
North Korea
Indonesia
Zanzibar
Ethiopia/Zambia
Zimbabwe
S. Africa
5th GFATM Board Meeting: 5-6 June 2003
Laos
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4d
Portfolio Management Update
Grant Agreements are already being signed in Round 2
countries, with money disbursed in Madagascar
In negotiation
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Ukraine Armenia
Agreement signed
Jordan
Moldova
Egypt
Disbursement made
Serbia
Tajikistan
Estonia
Mongolia
Bulgaria
China
Romania
Georgia
Croatia
Kazakstan
China
Sri Lanka
Afghanistan
Dominican Republic
Cuba
El Salvador
Nicaragua
Costa Rica
Honduras
Panama
Haiti
Ecuador
Peru
Nepal
Yemen
Guinea
Sierra Leone
Morocco
Ivory Coast
Liberia
Togo
Senegal
Burkina Faso
Ghana
Ghana
Argentina
Benin
Nigeria
Philippines
Bangladesh
Eritrea
Ethiopia
Somalia
India
Sudan
Kenya
Comoros
Mozambique
Uganda
Chad
Burundi
Swaziland
Mali Central African Republic
Congo (DR)
Namibia
Madagascar
Lesotho
Tanzania
Rwanda
Botswana
Zambia
Pakistan
Myanmar
Iran
Mauritania
Chile
Mongolia
Kyrgyztan
Malawi
Laos
East Timor
North Korea
Indonesia
Western
Pacific
Islands
Vietnam
Cambodia
Thailand
Myanmar/Thailand
Zanzibar
Zimbabwe
Ethiopia/Zambia
S. Africa
5th GFATM Board Meeting: 5-6 June 2003
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5d
Portfolio Management Update
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Average CCM compositions for Round 2 include a range of
different national stakeholders
Public sector
Non-public sector
100% = 91 CCMs**
Other*
Religious/faith-based groups
Private sector
People living with the
diseases
5%
Academic/educational
organizations
Government health ministry
5%
4%
18%
5%
6%
20% Government other ministries
19%
NGO/communitybased organizations
5%
Bilateral agencies
13%
UN/Multilateral agencies
* Other includes mainly red cross and red crescent societies
** Excluding South Sudan (Sub-CCM) and Somalia, which are not representative due to the particular political situation
5th GFATM Board Meeting: 5-6 June 2003
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6d
Portfolio Management Update
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Key findings on Governance: Composition and functioning of
CCMs is evolving

Broad participation of private sector/civil society/government and
donors: Ghana, Malawi, Peru, Senegal, Togo, Zambia
 Strong representation of civil society: Haiti, East Timor
 CCM becomes a legal entity: Honduras
 Engaged private sector in the CCM: Dominican Republic, Panama,
Swaziland
 Political leadership at high level chairing CCM: Haiti, South Africa
 Subcommittees of CCMs: India
 Regional CCMs: Western Pacific, Mozambique/South
Africa/Swaziland
 Strong role in advocating additionality: Uganda
 CCMs defining clear roles and responsibilities: Ethiopia, Nigeria
5th GFATM Board Meeting: 5-6 June 2003
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7d
Portfolio Management Update
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Key Findings: Governance
Challenge: Representation of civil society still limited
 In Africa, less than 5% of CCM members from private sector
 12 of 32 African CCMs have no representation of affected communities
 In Eastern Europe, large CCMs with less than 10% civil society
representation
5th GFATM Board Meeting: 5-6 June 2003
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8d
Portfolio Management Update
Key Findings on Governance
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Opportunities:
 Participation in regional consultations leading to exchange of experience in
operationalizing CCMs
 Interest in multi-country and regional proposals to address cross-border issues
 Democratic processes used to select PRs and sub-recipients e.g. Argentina,
Chile, Ecuador, Nicaragua and Nigeria using public tenders
5th GFATM Board Meeting: 5-6 June 2003
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9d
Portfolio Management Update
Key findings: PR arrangements
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Challenges:
 Diversification of PRs continues to be a challenge - Ministry of Health remains
most typical PR
 Absence of clear, democratic process of nomination of PRs
Opportunities: Evolving PR nominations in Round 2
 Private sector foundation PRs emerging in a few instances (e.g. Chile, Haiti,
Philippines and Serbia)
 Regional, intergovernmental organization as PR (e.g. Secretariat of Pacific
Communities, Mozambique, South Africa and Swaziland)
 Multiple PRs in some e.g. Sri Lanka: Government and NGO; Zambia : PRs from
government, NGO, and FBO sectors
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10d
Portfolio Management Update
Key findings: harmonization at country level
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For example:
 Evidence of harmonization with existing efforts in countries (e.g., with World
Bank MAP in Ghana, Malawi, and Senegal, basket fund in Zambia)
 Expansion/scale-up of World Bank/ DfID TB projects
(e.g., China and India)
5th GFATM Board Meeting: 5-6 June 2003
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11d
Portfolio Management Update
Key findings: growing evidence of additionality
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Increasing commitments at the country level:
 In Madagascar, Global Fund financing has catalyzed increased
investments from other partners in malaria control
 Global Fund ensured that its financing would supplement rather
than replace existing funding in Uganda
 Thailand’s health budget for ARVs will almost triple between
2001 and 2006
5th GFATM Board Meeting: 5-6 June 2003
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12d
Portfolio Management Update
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Key findings: Catalyzing effects - countries helping each other
Examples from Latin America and the Caribbean

Cuba: Cuban doctors catalyzing ARV scale-up plan in
Honduras

Peru: Offers access to one of the best DOTS implementation
experiences in the world: leadership in MDR-TB

Argentina: sent consultants to Bolivia and Paraguay to help
prepare proposals for Round 3

Honduras: sharing its work plans and administration
mechanisms with the rest of the region
5th GFATM Board Meeting: 5-6 June 2003
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13d
Portfolio Management Update
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Lessons learned: Adjusting standards to realities and
expectations
Goal
Reality
Grants to be signed and money is
disbursed rapidly
Countries’ willingness and preparedness to
proceed is uneven
Country-driven processes
Countries requesting more guidelines,
templates and samples
PRs to develop procedures governing sub
recipient relationships
Countries requesting guidance
Promote public-private partnerships
Decisions taken by CCMs do not always
encourage public-private partnerships
5th GFATM Board Meeting: 5-6 June 2003
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14d
Portfolio Management Update
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Lessons learned: Making improvements to accelerate grant
signing and disbursements for approved grants
 Avoid undue delays caused by TRP clarifications process
 Improve communication of Global Fund minimum requirements
before grants can be signed to assist CCMs and PRs to prepare
adequately e.g.


Nominations of PRs by CCMs
Minimum capacities of PRs
 Increase speed of LFA contracting - competitive process underway
to establish a “menu” of suitable and available LFAs
 Ensure suitable alternatives for procurement and supply
management if PR capacities are weak – list of accredited
procurement agents
5th GFATM Board Meeting: 5-6 June 2003
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15d
Portfolio Management Update
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Lessons learned: Use existing systems and leverage work of
partners

Avoid duplication of PR assessments through improved access to
previous work by partners; focus on areas where no previous
track record or a need to validate certain capacities

Actively encourage PRs to make use of their existing systems
and, if necessary, work with development partners to strengthen
capacities

Ensure that reporting systems are flexible and adaptable to
different country circumstances and existing systems
5th GFATM Board Meeting: 5-6 June 2003
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16d
Portfolio Management Update
Areas where improvements are being seen:
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 LFA assessments accelerating due to accumulated experiences
 Use of existing systems and leveraging work of partners
 Fund portfolio management processes and policy guidelines are
increasingly being streamlined and clarified, accelerating grant negotiations
and disbursements
5th GFATM Board Meeting: 5-6 June 2003
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17d
Portfolio Management Update