Publisher: UK Department for International Development
The Multilateral Development Review is a detailed assessment of how the multilateral system performs. It examined every agency which receives more than £1 million of annual core funding from DFID, asked how their work aligns with UK development and humanitarian objectives, and assessed the quality of their organisational performance.
Organisations including the World Bank, the Global Fund to Fight AIDS, TB and Malaria (the Global Fund) and Gavi, the Vaccine Alliance (known as Gavi), are achieving exceptional results. The successful performance of the Global Fund in this Multilateral Development Review fed directly into the UK’s decision to increase funding from £800 million to £1.1 billion for 2017-2019.
The Global Fund needs to constantly keep improving efficiency and impact and strengthening wider health partnerships. The Global Fund’s performance depends on in-country partners, particularly for strengthening health systems, so getting these relationships right is crucial. Future success requires the Global Fund to further prioritise resources for greatest impact in lower income countries with a high disease burden, transition out of funding higher income countries and take forward new approaches in fragile states. Management of programmatic risk is another important reform priority. Attention to girls and women has improved since the 2013 MAR Update and programming now needs to drive impact on the ground.