The Global Fund is a unique, public-private partnership and international financing institution dedicated to attracting and disbursing additional resources to prevent and treat HIV and AIDS, TB and malaria. This partnership between governments, civil society, the private sector and affected communities represents an innovative approach to the health financing. The Global Fund’s model is based on the concepts of country ownership and performance-based funding, which means that people in Bhutan implement its own programs based on priorities (which is through the Country Coordinating Mechanism), and the Global Fund provides financing on the condition that verifiable results are achieved.
Since its creation in 2002, the Global Fund has become the main financier of programs to fight AIDS, TB and malaria. The Global Fund’s approved fund amounts to USD 2942870 for AIDS treatment, US$ 2,345,778 for tuberculosis US$ 4,296,121 for the prevention of malaria in Bhutan. For more details refer http://portfolio.theglobalfund.org/en/Country/Index/BTN.
CCM (Country Coordinating Mechanism) is a country level entity that is a composed of all key stakeholders in a country’s response to the three diseases. The CCM does not handle Global Fund financing itself, but is responsible for
CCM Secretariat provides administrative support to the board of the CCM.
CCM Secretariat received funds annually to operate its administrative costs like conducting meetings, oversight visits in the country and pay salaries for two staff and buy office equipments. The financial year starts from March with Global Fund whereas it starts from July with the RGOB structure.
The Global Fund Secretariat manages the grant portfolio, including screening proposals submitted, issuing instructions to disburse money to grant recipients and implementing performance-based funding of grants. More generally, the Secretariat is tasked with executing Board policies; resource mobilization; providing strategic, policy, financial, legal and administrative support; and overseeing monitoring and evaluation. It is based in Geneva and has no staffs located outside its headquarters.
The Global Fund signs a legal grant agreement with a Principal Recipient (PR), which is designated by the CCM, receives Global Fund financing directly, and then uses it to implement prevention, care and treatment programs or passes it on to sub-recipients (SRs) who provide those services. Many PRs both implement and make sub-grants. There can be multiple PRs in one country. The PR also makes regular requests for additional disbursements from the Global Fund based on demonstrated progress towards the intended results.
Local Fund Agents (LFAs), since the Global Fund does not have staff at country level, it contracts firms to act as LFA to monitor implementation. LFAs are responsible for providing recommendations to the GF Secretariat on the capacity of the entities chosen to manage Global Fund financing and on the soundness of regular requests for the disbursement of funds and result reports submitted by PRs.
The Global Fund’s Trustee manages the organization’s money, which includes making payments to recipients at the instruction of the Secretariat. The Trustee is currently the World Bank.
Click here for Bhutan Conflict of Interest Policy 22 July 2010