PEPFAR

The Global Fund and PEPFAR: Strategic Collaboration for

Greater ImpactMark Edington, Director, Grants Management, Global FundJulia Martin, Chief Operating Officer, PEPFAR

AIDS 2012 - Turning the Tide Together

The Global Fund and PEPFAR account for over 90% of donor funding for HIV response in the world’s highest-burden and lowest-resourced countries.

Shared GoalsShared Goals

Alignment with one national strategic plan to maximize health outcomes

Working toward improved: • Donor coordination• Supply chain system• Risk management• Monitoring• Health systems

Why now? 1. Organizational Evolution• PEPFAR strategy - Reflects lessons learned in first phase,

expands existing commitments around service delivery with increased efficiency and impact, with heightened emphasis on country ownership as key to sustainability.

• New Global Fund strategy - Greater focus on value for money, technically-proven interventions, more active and fluid communication and planning, and increased engagement of multilateral and bilateral partners.

2. Programmatic Necessity• Support for AIDS programs in many countries is a mix of

domestic, Global Fund, and U.S. resources.

Why Now?

Map of GF and PEPFAR world coverage*PLACEHOLDER

Rwanda: Geographic coverage of PEPFAR and GFATM Care and Treatment, 2009

PEPFAR is a demonstration of rapid national scale-up of services through in-country technical support and financing.

“The reality is that we need both of these strategies to successfully respond to the challenges. Together with country leadership, PEPFAR and the Global Fund are increasingly engaged in joint planning, recognizing our shared responsibility to

individuals using these services, donor countries, and the U.S. taxpayers to ensure that these resources are used as efficiently and effectively as possible.”

- Ambassador Eric Goosby, Raising the Bar: PEPFAR and New Paradigms for Global Health

Currently...Beyond financial contributions ($7.1 billion), U.S. has supported Global Fund through:•PEPFAR Programming: Often complementary to and supportive of Global Fund-financed programs.•Technical Assistance: 5% of the U.S. contribution to Global Fund withheld for technical assistance to strengthen grant implementation.•Staff and Targeted Funding: Dedicated U.S. Government Liaison positions and $25 million in PEPFAR funding reserved for PEPFAR country teams to work toward:

1. Increasing coordination between PEPFAR and Global Fund-financed HIV programs, and

2. Maximizing Global Fund grant performance.

Currently...Three levels of collaboration:

1.Field: Collaboration between PEPFAR country teams and the Global Fund Secretariat, PRs, SRs, and CCMs is happening in many countries.

2.Secretariat: New engagement in Phase 2/Renewal, Transitional Funding Mechanism review, and decision-making processes as technical and programmatic partners.

3.Board: U.S. Government seat on Board, Strategy Committee, and Finance Committee.

GF African partners Better Grants Presentation_10Jul12.pptx

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Transform to improve Global Fund governance, operations and fiduciary controls

3. Actively support grant implementation

success

2. Evolve thefunding model

1. Invest more strategically

Enhance partnerships to deliver results

5. Sustain the gains, mobilize resources

4. Promote and protect human rights

Strategic Enablers

Strategic Objectives

Global Fund’s Strategy for 2012-2016

GF African partners Better Grants Presentation_10Jul12.pptx

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The Better Grants Project: Investing Strategically and Managing Grants Better

Investing StrategicallyHow we allocate

funding

Managing Grants Better

How you applyHow we process grantsHow we monitor grants

Organizing to Deliver

How we structure ourselves

High-value investments, high involvement of partners, simplified processes, and more lives saved

What does this look like?Today we will hear direct experiences of this work from:

• Tanzania• Haiti• Malawi

We’ll highlight•Emerging lessons•Future plans

What Does This Look Like?

The Global Fund: - 8.6 million new cases of infectious tuberculosis detected and treated - 230 million insecticide-treated nets distributed to protect families from malaria transmission

PEPFAR:- 40 million people provided HIV counseling and testing- 660,000 women supported to prevent mother-to-child transmission - 200,000 infants born HIV-free- 13 million people provided with care and support

2011: Of the estimated 6.6 million individuals in low- and middle-income countries on treatment, nearly 5.6 million received support through PEPFAR, the Global Fund, or both.

• Will update to reflect new global total on treatment (8 million)

Investing for Impact

PEPFAR Thank You