Results of the 42nd Board Meeting: widening space for civil society and addressing critical gaps in the 2020-2022 funding cycle

25 November 2019

Developing Country NGO Delegation to the Global Fund Board prioritised civil society matters at the 42nd Board Meeting held on 14-15 November 2019 in Geneva, Switzerland.

This update highlights 8 important areas of the work of the Delegation at that meeting:

1. Approval of the Sources and Uses of Funds for the next allocation for 2020-2022: The Board approved the next allocation amount in sum of 13.25 billion, derived from the announced replenishment results of the Sixth Replenishment (2020-2022), which includes US$ 12.71 billion as countries’ allocations and US$890 million for catalytic investments. The Global Fund managed to increase funding level for 2020-2022 resulting in US$ 2.41 billion more for countries’ allocations and US$90 million more for catalytic investments than in the current 2017-2019 allocation period. 

While approving this decision, the Delegation called for the Secretariat to proactively identify and addresses the bottlenecks in each of the countries that have had absorptive challenges over the current grant cycle, for improved results in the 2020-2022 cycle. We also received assurances that Dual-track financing remains the preferred funding model for the 2020-2022 allocation which means using both funding streams – through governmental and non-governmental principal recipients.

Action for CSOs: Allocation letters will be sent to countries mid- December 2019. Civil society is encouraged to engage with your Country Coordinating Mechanism (CCM) to ensure meaningful involvement in the proposal development. 

2. Doing business differently: Our Delegation highlighted that continuing with business as usual will not allow us to deliver on our Strategy targets. For example, the Technical Review Panel’s Observations on the 2017-2019 Allocation Cycle noted that at current trends of decline in incidence, it will take 130 years to end TB. It is an alarm bell which shows the urgency with which the Global Fund needs to deliver differently. Doing business differently also includes addressing co-infections, such as Viral Hepatitis, in the current and next allocation cycle, an area which continues to be neglected.

Action for CSOs: Please reach out to us and let us know if there are things the Global Fund should stop doing that are not helping in the response to the fight against the three diseases 

3. Prioritizing human rights and gender equality:The Developing Country NGO Delegation sees a focus on this strategic objective (SO3) as the key to unlocking and accelerating progress on underperforming key performance indicators. Addressing the human rights barriers that lead to people not accessing services, poor treatment retention and mortality is central to improving the performance of the Global Fund. The Office of the Inspector General’s Advisory on Removing Human Rights Barriers: Operationalizing the human rights aspects of the Global Fund Strategic Objective 3provides recommendations, which if implemented rapidly across the Global Fund, would accelerate our performance.The Delegation called for the Secretariat, together with the Board, to urgently develop an implementation plan.

Action point for CSOs: With the upcoming deep dive on SO3 and the development of a new Global Fund Strategy we welcome views from CSOs on what the Board, Secretariat, Partners and   Implementers can do to ensure human rights and gender are fully operationalised and are a part of the next Strategy. 

4. Addressing civil society concerns: The Developing Country NGO brought to the Board and bilateral meetings concerns raised by civil society organisations including those by nearly 100 NGOs about the ending of multi-country grants in West Africa; cases of the failed transitions and interruption of services for key populations,including the lack of funding for harm reduction programs in Albania, Bosnia and Hercegovina , Romania and Bulgaria; and exploring next steps to ensure access to health services, treatment and care in Venezuela. 

Action point for CSOs:  We encourage CSO to share your concerns with us at any time here:

5. Sourcing and Supply Chain: While we supported the decision to expand to non-Global Fund financed orders, the Developing Country NGO Delegation re-emphasizes the importance of the development of a sustainability plan as it relates to and more broadly the Market Shaping Strategy. 

6. Global Fund Governance: Progress was made in achieving the important decision which ensures that civil society representative would have a guaranteed seat in each Global Fund committee.

7. Planning future strategy: Our Delegation acknowledges the strategic discussion on SDG 3 initiated by the new Board Leadership Dr Donald Kaberuka and Lady Roslyn Morauta, as we plan for our future strategy. We would not agree more with Peter Piot, the guest speaker, who stated: “There are certain things that the Global Fund cannot lose, including: A laser focus on measurable outcomes; prioritizing people-centered services, human rights and a commitment to social justice; and preserving a passion for saving lives. While now having discussion at the Board level we see the role of Partnership Forums planned for the 2nd part of 2020 as key element in developing the new Global Fund strategy to come into force in 2023.

8. Meaningful inclusion of young people: We welcome the announcement of the formation of a Youth Advisory Council to advise the Executive Director. Our Delegation’s youth member participated in discussions to outline parameters for the selection of members and the operationalisation of the Council. 

Find the Developing Country NGO Delegation statement submitted ahead of the 42nd  Board Meeting from the Global Fund here.

The Developing Country NGO delegation to the Board of the Global Fund is a voting constituency that represents NGOs from the developing world, serving those living with and affected by HIV/AIDS, TB, & Malaria. The delegation seeks to influence decisions and policies to ensure strategic, continuous and appropriate responsiveness to the needs of those affected by the three diseases and the NGOs providing services to them. For more information or to arrange a call or submit a letter, please contact Lesley Odendal, Constituency Focal Point, Developing Country NGO delegation,

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