The Hidden Cost: How Out-of-Pocket Expenses hinder Effective TB Treatment

Introduction Tuberculosis (TB) remains one of the world’s deadliest infectious diseases, despite being preventable and curable. While significant progress has been made in the global fight against TB, out-of-pocket expenses continue to pose a substantial barrier to successful treatment and eradication efforts.  It cannot be overemphasized, out-of-pocket expenditure in the fight against tuberculosis (TB) is…

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A deep dive into the challenges facing African health programs: a regional comparative analysis of 2022-2023 OIG audits

The Office of the Inspector General (OIG) is an important part of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. It is tasked with safeguarding the organization’s assets, investments, and reputation through audits and investigations. Their approach includes risk management, governance, and internal controls, while investigating allegations of fraud, abuse, and human rights violations…

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France and the French Language are Crucial for the Success of Global Fund

The 19th Organisation Internationale de la Francophonie (OIF) Summit occurred in Paris, France, on the 7th and 9th of October 2024. During the same week, in neighbouring Switzerland, the Global Fund to Fight HIV, TB, and Malaria was holding its 26th committee meetings. France whose language is shared by the OIF and its 88 member…

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Enhancing the Global Fund’s Additional Safeguard Policy: key recommendations and African perspectives

The Global Fund Board established the Additional Safeguard Policy (ASP)  in 2004 as an approach for alternative funding mechanisms where particular constraints about funding Principal Recipients (PRs) and sub-recipients (SRs) exist. Since its inception, the ASP has not been reviewed to determine its fit for purpose in an evolving environment. In 2023, the Global Fund…

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Injectable ARV

Long-acting injectable antiretrovirals: a promising innovation for HIV prevention and treatment

Introduction Long-acting injectable ARVs are a major breakthrough in HIV prevention and treatment. They are used as pre-exposure prophylaxis for HIV-negative people, particularly those at high risk of contracting HIV, and as light therapy for people living with HIV with stable virological suppression  on antiretroviral treatment. By reducing the frequency of doses taken, this therapy…

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OIG Audit: A Review of the Global Fund’s Grant Monitoring

In May this year, the Office of the Inspector General (OIG) published an audit report of the Global Fund’s approach to grant monitoring. The report outlines achievements and areas with gaps, emphasising the importance of effective grant oversight for desired programmatic impact in the fight against HIV, TB, and malaria. Grant Monitoring Grant monitoring is…

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Addressing the dual epidemics in fragile settings: HIV and gender-based violence in Africa

On 29th August 2024, UNAIDS released a new report titled “The Missing Link: Rethinking and Reprioritizing HIV and Gender-Based Violence in Fragile Settings“. The report explored the interlinkages between HIV and gender-based violence (GBV) in fragile settings, particularly in the context of peace support operations. The highlights in the report include challenges and gaps in…

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Advancing the Lusaka Agenda: Key Outcomes from the 74th WHO Afro Regional Committee Meeting

The 74th WHO Afro Regional Committee Meeting, held in Brazzaville, Republic of Congo, marked a crucial moment in the journey toward realizing the Lusaka Agenda—a transformative framework aimed at reshaping Africa’s health systems for greater resilience and equity. The Lusaka Agenda, launched to strengthen Africa’s health systems, was a central focus at this meeting. During…

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Biomedical Engineering centers of excellence

Nigeria leverages the Pandemic Preparedness Fund to enhance regional oxygen supply and collaborate with the Global Fund.

The Global Fund was proposed by Nigeria Government to act as the Implementing Entity (IE) for its $13 million portion of a multi-country proposal to establish regional Biomedical Engineering centers of excellence which will focusing on enhancing oxygen capabilities to complement the C19RM Oxygen investment in Nigeria. It is the first time that the Global…

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