Treatment Optimization in Latin America and the Caribbean:

How can the GF contribute?

2 2

What we all have achieved together with Global Fund resources in LAC

119,720 people receiving ARVs (end 2011)

1,845,700 ITNs distributed

1.5 US$ billion approved funding for 33 countries1.07 US$ billion for HIV/AIDS programs

164,130 people treated under DOTS

LAC - Funds allocated by disease and PRs

1,078

218

243

LAC Total approved budget by disease in millions USD (Total $1,540 M)

HIV/AIDS 70%

Malaria 14%

TB 16%

Source: most recent available data from Global Fund: http://www.theglobalfund.org/en/commitmentsdisbursements/

Latin Ameri

ca

Latin Ameri

ca

Latin Ameri

ca

60

9

32

26

4

Civil Society: NGOs

Private Sector

Government: MoH

Government: Other

Multilateral Organization

Signed Grants by PR type*

46%

20%

3%

24%

7%

LAC – Expenditures of HIV Grants per category until end of 2011

Supportive

Environmen

t

19%

HSS

8%

Care &

Support

6%

Treatment

27%

Prevention

40%

Budget in percentage Expenditures in percentage

HIV / AIDS Macro Categories Budget (USD) % Expenditure (USD) % Expenditure as a % of Budget

Prevention 306,994,937 40% 268,923,924 41% 88%

Treatment 207,081,388 27% 178,751,734 27% 86%

Care and Support 46,130,936 6% 41,893,573 6% 91%

TB/HIV collaborative activities 244,189 0% 188,427 0% 77%

Health Systems Strenghtening 59,619,717 8% 52,491,175 8% 88%

Supportive Environment 143,134,487 19% 117,232,493 18% 82%

Grand Total 763,205,655 100% 659,481,327 100% 86%

Supportive

Environmen

t

18%

HSS

8%

Care &

Support

6%

Treatment

27%

Prevention

41%

Source: most recent available data / the Global Fund – Enhanced Financial Reporting

The GF in 2012

• The GF strategy Framework 2012-2016 • The pillars of the transformation plan

We maintain our mission, vision, principles and values The transformation is about how we do things

6 6

Making the Global Fund’s transformation work for you

Investing Strategically

How we allocate funding

Managing Grants Better

How you applyHow we process grants

How we monitor grants

Organizing to Deliver

How we structure ourselves

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

Actively pursue maximization of impact and value for money

Partners’ strategic information, technical analysis and guidance, including on treatment optimization

ARV stock monitoring project Implement Risk Management

Priorities for LAC portfolio in 2012

How can we work together? Regional Meetings - Joint preparation, work together to achieve results

• GF supports 3 meetings in 2012: April - Economic Evaluation workshop, June - Partners Coordination Meeting, December - Optimization of the response

Grant Renewals• Pre-assessment and recommendation for phase 2 proposals• Inputs in Grant Score Cards• Partners participation in Phase 2 panels

Ongoing grant monitoring • Management letters copied to partners

Country Missions • Share 2012 mission plan with regional offices with monthly updates• Joint missions whenever appropriate/possible• Share follow-up actions after missions

9 9

What results we expect from the cooperation

Better phase 2 and new proposals

Better prepared missions (joint when feasible)

Better follow-up to management actions and conditions

Optimized response through reprogramming in several countries

Better coordination and effectiveness of regional initiatives

More people servicedMore lives saved

Conclusions: 3 key messages

1) Enhanced GF structure and processes to better serve countries

2) There is scope to optimize the response and we must do it now

3) Partnership is essential to succeed