The Global Fund: managing great expectations
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Date
2004
Journal Title
Journal ISSN
Volume Title
Publisher
The Lancet
Abstract
The Global Fund to fight AIDS, Tuberculosis, and Malaria was created to increase funds to combat these three
devastating diseases. We report interim findings, based on interviews with 137 national-level respondents that track
early implementation processes in four African countries. Country coordinating mechanisms (CCMs) are country level
partnerships, which were formed quickly to develop and submit grant proposals to the Global Fund. CCM
members were often ineffective at representing their constituencies and encountered obstacles in participating in
CCM processes. Delay in dissemination of guidelines from the Global Fund led to uncertainty among members
about the function of these new partnerships. Respondents expressed most concern about the limited capacity of
fund recipients—government and non-government—to meet Global Fund conditions for performance-based
disbursement. Delays in payment of funds to implementing agencies have frustrated rapid financing of disease
control interventions. The Global Fund is one of several new global initiatives superimposed on existing country
systems to finance the control of HIV/AIDS. New and existing donors need to coordinate assistance to developing
countries by bringing together funding, planning, management, and reporting systems if global goals for disease
control are to be achieved.
Description
Keywords
AIDS, Tuberculosis, Malaria, Global Fund
Citation
Brugha, R., Donoghue, M., Starling, M., Ndubani, P., Ssengooba, F., Fernandes, B., & Walt, G. (2004). The Global Fund: managing great expectations. The Lancet, 364(9428), 95-100.