Results from assistance to principal recipients
Geographic reach of GMS technical support to principal recipients
Between October 2015 and October 2016, GMS conducted a total of 27 principal recipient–related assignments in 16 countries, which comprised nearly 80% of the assignments GMS was approved to conduct. The reach of GMS’s technical support is determined by requests from Global Fund implementing countries and by the approval of the U.S. government’s Technical Support Advisory Panel (TSAP).
Since PEPFAR 3, the TSAP has focused its approvals increasingly, but not exclusively, on countries that are the focus of PEPFAR (the President’s Emergency Plan for AIDS Relief), the President’s Malaria Initiative (PMI), or TB programming. The map to the left shows that so far, GMS has provided technical support to 11 countries that are high priority for all three U.S. government initiatives related to HIV/AIDS, tuberculosis and malaria (red countries on the map).
GMS’s key results on principal recipient assignments are summarized in the next section.
Cumulative results at the end of September 2016
GMS conducts 6- and 12-month post-assignment monitoring of achievement on CCM technical support-related indicators.
Immediate and intermediate results collected from GMS’s key PR-related performance monitoring plan (PMP) indicators are as follows:
83% of deliverables produced through GMS assignments approved by the relevant entity (target was 80%)
68% of deliverables produced through GMS assignments implemented by the relevant entity (target was 70%)
86% of PRs were using dashboards for management purposes after receiving assistance from GMS
Other results from GMS assitance to PRs include these:
USD 2,523,388,068 was the cumulative value of grants signed to date
69 PRs and subrecipients established or strengthened organizational structures and procedures with GMS support
31 completed presignature files submitted to PR
Success stories and news
Support to Liberia helps access $53.7 M in Global Fund financing for HIV/TB and Malaria programs
The Ebola outbreak in Liberia had devastating impact across the health sector, including on the implementation of existing and the design of future grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). At the time of the outbreak in 2014, the Liberia Coordinating Mechanism (LCM) had to interrupt preparing of concept notes for HIV and tuberculosis grants. In May 2015, the Global Fund allowed the LCM to use a flexible submission option, the “Simplified Application Process,” to make up for lost time. In August 2015, the LCM submitted a tuberculosis proposal to the Global Fund and in October 2015 an HIV proposal. Moving from the Simplified Application Process to implementation-ready grants required additional grant-making efforts to reorganize the HIV, tuberculosis and health systems strengthening activities. With GMS’s support, grants were signed with the Ministry of Health & Social Welfare of the Republic of Liberia (MOHSW) for HIV/TB in March 2016 for $27.3 million and for malaria and HSS in June for $26.4 million.
Indonesia capacity in Global Fund grant risk-management strengthened
Over the past several years, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) has refined and formalized a structured and systematic approach to risk management.
GMS has worked with its teams to create risk-management tools, experimented with the Global Fund’s approach, and contributed inputs for the Principal Recipient (PR)–focused version of the Global Fund’s risk-management GRAM Tool.
In its fourth project year (October 2015 to October 2016) GMS successfully assisted four Indonesian governmental PRs (with a total of four grants) to establish risk-management procedures and plans for grants with a signed value of $326 million. As well as completing GRAM Tools with the four grants, GMS developed a tool to help the PRs prioritize risks with the subrecipients (SRs) they support.
Additionally, the GMS team developed guidelines for effective SR supervisory support (in both Bahasa Indonesia and English) and comprehensive risk-based SR management plans.
GMS supports signature of $30M regional grant and introduction of a regional dashboard
With GMS’S technical support, the TB in the Mining Sector (TIMS) regional grant from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), potentially benefitting at least 300,000 workers, was signed in late December 2015 for $30 million.
Managed by the principal recipient (PR) Wits Health Consortium (WHC), a private company wholly owned by the University of the Witwatersrand in South Africa, the TIMS grant is designed to support potentially transformative tuberculosis interventions for current and ex–mine workers in 10 southern African countries.
Since grant startup in January 2016, the WHC has completed recruiting subreceipients (SRs) and implementation startup. With help from GMS, the PR has begun using a new regional dashboard to visualize performance in the 10 participating countries. Tuberculosis screening of miners and ex-miners has begun in Botswana, Mozambique and South Africa.