EHG led a partnership with Itad, and UCSF as a sub-contractor, a Strategic Review (SR 2020) for the Global Fund to assess the outcome and impact of Global Fund investments in HIV, TB and malaria and in building resilient and sustainable systems for health, as well as the operationalization and implementation of the Global Fund’s 2017-2022 Strategy at its mid-term. The SR 2020 team assessed the extent to which the goals and objectives of the 2017-2022 Strategy was achieved; how well the Global Fund business model was working to facilitate (or hamper) the achievement of the strategic goals and objectives; and provided an evidence-informed rationale for integrating lessons learned during the first half of the 2017-2022 Strategy period, and how to position the Global Fund within the global field of health development organizations in its post-2022 strategic cycle.
A core evaluation team, supported by a team of senior specialists and research analysts established an evaluation framework under an umbrella of three main workstreams:
1) Achievement of Global Fund Strategic Objectives (progress against SOs and VfM);
2) the Global Fund business model (funding model, M&E, oversight, partnerships, STC - sustainability, transition and co-financing), and
3) Synthesis and future positioning
The team further:
• Facilitated core stakeholders and developed a theory of change to make explicit the key linkages that underpin the Global Fund business model and Strategy and map seven analytical modules
• Developed data collection tools, including a tool for structured document review; key informant interviews and focus group discussions; and standardized guidelines and work plans for country visits
• Conducted mapping exercises, setting-up a dedicated online repository for knowledge management and facilitate thematic work through workshops
• Reviewed the Global Fund strategic documents, technical and operational guidance notes; other evaluations and thematic reviews, OIG reports; full complement of grant-making documents as well as literature reviews involving hundreds of professional articles, reports and research.
• Semi-structured, key informant interviews and focus group discussions at headquarter and country level. Over 250 people were interviewed: 160 at the Secretariat and approximately 90 across selected countries.
• Conducted country case studies addressing key questions identified in the evaluation framework in 11 countries (country visits: Cameroon, Dominican Republic, Ethiopia, Eswatini, and Kenya. Desk studies included: Nepal, Pakistan, Papua New Guinea, Philippines, Ukraine and Vietnam) and produced country case study reports
• Conducted preliminary module analysis and triangulation by module leads (Health system analysis, financial analysis, process evaluation, Forcefield analysis RACI analysis, root cause analysis, sustainability analysis) – and an meta synthesis exercise
• Conducted a virtual data analysis workshop where consultants presented, discussed and triangulated findings to identify compelling conclusions that speak to the myriad Global Fund policies, procedures and business model.
• Produced synthesis report.