Supporting Global Fund funding rounds
L'Initiative's work complements the Global Fund and mobilizes experts for assignments that facilitate access to and monitoring of funding. These missions illustrate well the work done by L'Initiative, and accounted for 80% of expert missions in 2017. Support responds to the needs of organizations requiring additional expertise and is found at every stage of the process. It also enables beneficiaries to prepare funding requests to the Global Fund, from structuring national dialogue to producing tools to monitor the impact of grants.
A new Global Fund funding cycle begins in 2020. L'Initiative has anticipated this new phase, with a significant increase in the number of access assistance missions. This is a key moment to develop national strategies in a concerted manner and to strengthen the capacities of those involved in the fight against pandemics.
Organized throughout the year in response to requests from beneficiaries, this technical support often takes place in the short or medium term and is aligned with the stages of the Global Fund's funding cycle. The aim is to respond quickly to the needs of eligible structures: conducting national dialogue, drafting strategic plans, preparing funding requests, implementing grants, strategic monitoring, etc.
In preparation for the opening of a new cycle in 2020, evaluation missions in 2019 made it possible to test strategies in a few regions to give the Global Fund the choice of rolling them out at the country level in its next grants. This was the case, for example, for the evaluations of sample transfer and the mobile tuberculosis strategy in the Democratic Republic of Congo.
On the eve of this new triennium, L'Initiative has validated numerous technical support missions for funding requests as early as 2019. With the increase in the envelopes from which certain countries benefit following the success of the Global Fund's Replenishment Conference, there is no shortage of funding opportunities. However, there is a growing urgency to develop structured and tailored responses to the challenges of the fight against the three pandemics.
L'Initiative has coordinated upstream with its technical and financial partners and other technical assistance mechanisms in order to organize its support, avoid duplication and focus actions on the Global Fund's intervention priorities: strengthening health systems, key populations, etc.
At the end of 2019, 24 technical assistance missions to support the preparation of funding applications in 28 countries were approved by L'Initiative's steering committee.
- In Thailand and Cambodia, we are supporting Country Coordinating Mechanisms (CCMs) in the development of their TB and HIV grant proposals.
- In Mali, L'Initiative's experts are supporting the NGO ARCAD-Santé PLUS, a key player in the fight against HIV in Mali, to position itself as a Principal Recipient of Global Fund grants.
- In Cape Verde, L'Initiative is supporting for the first time the development of a transition plan for the country's potential exit from Global Fund financing.
At the same time, technical assistance missions for grant implementation and support to beneficiaries in project monitoring continued to be carried out. The number of missions will increase in 2021, once the grants have been awarded.
1 - Supporting country dialogue processes between health actors
Coordinating and facilitating dialogue processes between the public, private and civil society relevant actors, in the lead up to the funding request, right through to its submission to the Global Fund.
Example: From January to June 2016, we mobilized 3 experts via the TeAM consultancy firm to support GTN-VIH (the National HIV Program Technical Group) and 2 principal recipients in Madagascar. They were engaged from the beginning of the country dialogue’s process up until the final submission of the concept note to the Global Fund. The grant application was submitted in time and the Global Fund approved the proposed HIV program for more than $ 8 million.
2 - Providing data to enhance grant request documentation
Funding and carrying out epidemiological studies to identify the epidemiological situation of the disease is necessary to inform the design or update of the national strategic plans to control the disease. This phase is crucial to ensure that interventions are well targeted and to increase the impact of supported programs.
Example: In August 2016, the National Center for AIDS Prevention in Armenia benefited from an expert consultant mission carried out by two experts who collected data in the field and consolidated the results. This biobehavioral study conducted in collaboration with the National Center for AIDS Prevention highlighted priority groups in the fight against HIV injecting drug users, migrant workers, men who have sex with men and sex workers. Evidence of these at-risk populations made it possible to adapt Armenia's HIV control strategy presented to the Global Fund.
3 - Support to write funding requests
Mobilizing tailored expertise to support beneficiaries to write funding applications for Global Fund grants.
Example: The Global Fund funds the Regional Artemisinin-resistance Initiative (RAI) in five countries: Cambodia, Laos, Myanmar, Thailand, and Vietnam. From 2013 to 2017, L'Initiative conducted several assignments to support the RAI grant: to draft a regional concept note, to implement the grant and to monitor results. This regular support has made us RAI's preferred partner since 2014.
4 - Facilitating grant negotiations
Putting in place all the tools required by the beneficiary structure to receive the grant during the grant-making phase and turning it into an operational strategy.
Example: A team of 3 experts was commissioned by L'Initiative in 2015 to support the National Executive Secretariat for HIV/AIDS (SENLS) to restructure and implement management tools. Restructuring and establishing a management unit was a prerequisite recommended by the Global Fund, which provided SENLS with a solid foundation to ensure the sustainability of new grants.
5 - Supporting grant implementation
Developing indicators, tools and processes for committees in charge of strategic monitoring of grants.
Example: L'Initiative contracted two experts to support the NGO Private and community initiative for health and HIV/AIDS response in Burkina Faso (IPC) to implement the tools needed to manage their grant effectively. This involved expertise on two levels to improve programmatic and financial monitoring tools. Thanks to these new tools, the organization gained approval from the Global Fund Grant Approvals Committee to renew its TB/HIV grant for 2018-2020.