Date Published: November 28, 2016
Publisher: Springer US
Author(s): Suman Jain, Nathalie Zorzi.
The Global Fund raises and invests nearly US$4 billion a year to support programs run in more than 140 countries. The Global Fund strategy 2012–2016 is focused on “Investing for Impact”. In order to accomplish this, timely and accurate data are needed to inform strategies and prioritize activities to achieve greater coverage with quality services. Monitoring and evaluation is intrinsic to the Global Fund’s system of performance-based funding. The Global Fund invests in strengthening measurement and reporting of results at all stages of the grant cycle. The Global Fund approach to measurement is based on three key principles—(1) simplified reporting: the Global Fund has updated its measurement guidance to focus on impact, coverage and quality with the use of a harmonized set of indicators. (2) Supporting data systems—based on a common framework developed and supported by partners, it promotes investment in five common data systems: routine reporting including HMIS; Surveys—population based and risk group surveys; Analysis, reviews and transparency; Administrative and financial data sources; and, Vital registration systems. (3) Strengthen data use: the Global Fund funding encourages use of data at all levels—national, subnational and site level. Countries do not automatically prioritize M&E but when guidance, tools and investments are available, there is high level utilization of M&E systems in program design, planning, implementation, and results reporting. An in-depth analysis of the available data helps the Global Fund and countries to direct investments towards interventions where impact could be achieved and focus on target population groups and geographic areas that are most affected.
The Global Fund raises and invests nearly US$4 billion a year to support HIV, tuberculosis and malaria programs in more than 140 countries to accomplish the Global Fund 2012–2016 strategy of “Investing for Impact” . Timely and accurate data are needed to prioritize activities. Data is essential to measure impact at all levels- local, national and global, which in turn generates new investments. Monitoring and evaluation (M&E) is intrinsic to the Global Fund’s system of performance-based funding, which ensures that funding decisions are based on a transparent assessment of results against time-bound targets. To this end, the Global Fund invests in strengthening measurement and reporting of results at all stages of the grant cycle.
From its inception in January 2002, the Global Fund pursued a rounds based funding model whereby the countries submitted proposals every year outlining their need for additional funding to fill gaps in national strategies. The Global Fund adopted a new funding model in 2012, with several new features including, (a) fixed allocation per country resulting in predictable financing, (b) flexible timeline so that countries could apply anytime during the allocation period and (c) enhanced engagement with countries and focus on multi-stakeholder involvement.
The Global Fund’s current funding model was adopted in 2012. It was designed to focus more resources on countries that have the highest disease burden and lowest ability to finance their response to the three diseases.
The Global Fund supports M&E systems strengthening through its disease specific and Health Systems Strengthening grants and through the special initiative3 for country data systems (US$17 million approved for 2014–2016 for priority countries4). With its continued support, the Global Fund has facilitated the availability and use of data for decision-making, enhancing health systems capacity and resilience.
The Global Fund’s investments in M&E systems strengthening are synergistic with its core investments in HIV/AIDS, TB and malaria programs. They aim to strengthen national data collection and reporting systems and maximize benefits to the three diseases, as well as improve health systems in general.
With the new technological advances and updated technical guidance in the field of the three diseases including HIV/AIDS as well as the need for monitoring and reporting on the post 2015 Sustainable Development Goals and the revised Global Targets for ending/eliminating the three diseases, new data requirements have emerged.
The Global Fund investments in M&E have significantly contributed to increasing data availability and quality, data use and ownership at national and local levels. The investments have helped scale up capacities and establish sustainable systems at country level. There is potential for further investments as well as for full utilization of allocated resources for M&E.