The U.S. Congress has provided the U.S. Global AIDS Coordinator the authority to withhold up to five percent of the Foreign Operations appropriation for the U.S. contribution to the Global Fund to provide technical assistance (TA) to improve grant implementation and build capacity. From FY 2005 through FY 2010, the Coordinator has made over $160 million available for centrally-funded TA activities for Global Fund grants.
The U.S. Government supports provision of disease-specific TA for HIV, TB and malaria grants through support to the UNAIDS Technical Support Facilities (TSF), the STOPTB Partnership (STOPTB), the Green Light Committee (GLC), and Roll Back Malaria (RBM). As a way to build medium- to long-term capacity of in-country partners who implement Global Fund grants, the U.S. Government has placed Global Fund Liaisons in key bilateral and regional missions. The objective of the Liaison position is to support Global Fund grant implementation and oversight and to improve coordination between U.S. Government bilateral programs and Global Fund-financed disease programs. Global Fund Liaisons have been placed or are in the process of being placed in the following countries: Angola, Cambodia, Central America (regional), Central Asia (regional), the Democratic Republic of the Congo, East Africa (regional), Haiti, India, Indonesia, Malawi, Mozambique, South Sudan, West Africa (regional), and Zimbabwe.
The U.S. Government also provides management and technical assistance to Global Fund grants through the Grant Management Solutions (GMS) project. The mission of GMS is to provide urgent, short-term TA to Country Coordinating Mechanisms (CCMs) and Principal Recipients (PRs) for the purpose of unblocking bottlenecks and resolving systemic problems that hinder the response to AIDS, tuberculosis, and malaria. GMS provides this support in four technical areas: CCM governance and oversight; PR organizational and financial management; procurement and supply management (PSM); and monitoring and evaluation (M&E). The provision of headquarters-funded TA augments significant assistance that U.S. government country teams, including the PEPFAR, PMI and TB teams, provide to the Global Fund grants through bilateral programming; this can include TA for developing Global Fund proposals, and TA focused on provision of longer-term systems and capacity-building support. In many countries, U.S. Government personnel actively participate in CCMs.
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