More Health for the Money: Putting Incentives to Work for the Global Fund and its Partners

October 2013 - Reports, Guidelines, and Tools

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The Center for Global Development (September 2013), Washington, DC.

This report from the Center's Value for Money Working Group offers practical strategies for the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) to apply in its four-phase grant-making cycle. These strategies aim at achieving “more health value for the money”: investing resources cost-effectively to obtain a higher global health impact. The report describes key issues within each phase of the grant cycle—allocation, contracts, cost and spending, and performance verification—and makes several recommendations for improvement. In allocation of resources, to support evidence-based best practices, the Global Fund should specifically select scientifically proven and cost-effective interventions and commodities. To improve contracts and agreements to create stronger incentives, the Global Fund should direct some funding to the documentation of incremental performance progress, particularly against the most important indicators, and focus some funding on partners’ achievement of end-program goals. Within cost and spending, the Global Fund should improve monitoring and reporting by tracking unit costs of services delivered, sharing costing data with partners, and using unit-cost data throughout the entire grant cycle. To improve performance verification, the Global Fund should identify more rigorous measurement and reporting tools and verify data with population-based measurement. The working group suggested that the Global Fund and its partners adopt these strategies to ultimately improve their impact on reducing the global disease burden and improving health worldwide.

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