Five-Year Global Fund Evaluation ' Partnering with ORC MACRO International, USA

Agency : MACRO International Inc.

The Global Fund is a financial institution founded on principles of performance, flexibility and learning. Since its inception in 2002, the organization has grown from creation to a portfolio of 450 grants in 136 countries worth nearly US$ 8 billion. Since it has reached a point where the five-year lifecycle of its first grants is nearing completion, the Global Fund has launched a Five-Year Evaluation, which marks an exciting and critical milestone in the development of the Global Fund. The Global Fund was created to finance a dramatic turn-around in the fight against AIDS, tuberculosis and malaria. These diseases kill over 6 million people each year, and the numbers are growing.

Under the overseeing of the Technical Evaluation Reference Group (TERG), the Five-Year Evaluation is a major effort to review the functioning and performance of the Global Fund as an institution and a partnership, and to identify areas of strength and weakness that will lead to improving day-to-day operations. One of the most unique aspects of this evaluation is its attempt to measure impact, that is, to assess the reduction in the burden of hIV, TB and malaria associated with the collective scale-up of prevention and treatment activities by all partners.

The TERG selected MACRO International Inc. as the lead contractor for both the consortium conducting Study Areas 1 and 2 on Global Fund organizational efficiency and partner environment and the consortium conducting Study Area 3 looking at health impact. The partner environment consortium partners include: MACRO, Johns hopkins Bloomberg School of Public health, Institute for health Management Research, the CORE Group (civil society), AXIOS International and Development Finance International.

health impact study consortium partners included: MACRO, the World health Organization-Evidence and Information for Policy (WhO-EIP), Johns hopkins University, Johns hopkins Bloomberg School of Public health, harvard University and the African Population and health Research Center (APhRC).

IhMR is a partner in study areas one and two. Under this, we are the agency primarily responsible for country partnership assessments in Yemen, Nepal and Vietnam. The country partnership assessments have been completed in all these countries. During evaluation, the country teams liaison directly with country-level counterparts including the Country Coordinating Mechanisms (CCMs), Principal Recipients (PRs), Local Fund Agents (LFAs), UNAIDS Country Coordinators, WhO Representatives and Impact Evaluation Task Force members.

The examination of the Global Fund's organizational efficiency and its partnership environment will be completed in a relatively short timeframe. The first report has been presented in November 2007. The examination of impact on the three diseases is far more extensive and will require ongoing efforts at country level throughout 2008. The final evaluation report will be presented to the Global Fund's Board at its meeting in November 2008.



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