PSI

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The Global Fund To Fight AIDS, Tuberculosis and Malaria was created to dramatically increase resources to fight three of the world's most devastating diseases, and to direct those resources to areas of greatest need. As a partnership between governments, civil society, the private sector and affected communities, the Global Fund represents an innovative approach to international health financing.

PSI and the Global Fund to Fight AIDS, Tuberculosis & Malaria

Organizational Strengths and Capacity
PSI, a non-profit organization incorporated in 1970, combines entrepreneurial spirit with social mission to encourage healthy behavior and improve public health worldwide. Working in more than 65 countries, PSI delivers affordable and accessible health products and services to low-income and vulnerable populations, and produces and disseminates innovative, culturally appropriate behavior change communications. PSI uses commercial marketing techniques to harness the power of markets to create access to quality and affordable health products and services. PSI’s primary interventions concern: HIV/STI prevention, HIV counseling and testing, family planning, malaria, diarrheal disease, maternal and child health, and tuberculosis (TB). Globally, PSI has considerable experience successfully implementing Global Fund programs in all three disease areas as a Principal Recipient (PR), a Sub-Recipient (SR), and in supporting the Country Coordinating Mechanism (CCM) as a full member or technical advisor. PSI is headquartered in Washington, DC.

PSI's Global Fund Grants
PSI is currently a PR for nine grants in six countries: Madagascar, Nepal, Tanzania, Togo, Nigeria and Southern Sudan. Six PSI grants have progressed to Phase 2 review, each receiving unconditional grant renewals with “A” ratings. Seven of these grants are considered part of “dual track financing,” with PRs from both the government and the civil sector. In Round 8, PSI and its local affiliates were named as PR in eight successful grant proposals to the Global Fund, adding Central African Republic, Democratic Republic of Congo, Pakistan, Papua New Guinea, and Thailand to PSI’s Global Fund PR portfolio. In an analysis of Global Fund grant ratings published in November 2008 by Aidspan, an independent observer of the Global Fund, PSI was ranked number five out of 16 international NGO PRs – and the only INGO PR in the top five implementing more than two grants. In the same report, PSI/Nepal was ranked number seven overall out of 164 Global Fund PRs in 114 countries. The Global Fund has recognized PSI’s above-average performance as a PR and the success of its programs by featuring PSI programs in numerous Global Fund publications and on the Global Fund website.

Through Round 7, PSI has been an SR for a total of 59 grants in 29 countries. PSI has been an SR on 30 malaria grants, 24 HIV grants, and 5 TB grants. PSI currently has 29 active grants in 18 countries. The scope of these activities varies considerably, from small awards of less than US $50,000 to large awards of up to US $73 million.

PSI and Technical Support
PSI serves on the CCMs of 16 countries and sits on the technical committees of several more, providing assistance to CCMs on governance and management; PSI’s HIV, malaria and TB specialists regularly provide assistance in developing sound proposals. PSI also offers technical support to countries receiving Global Fund grants as a PR or SR in program management, financial management, monitoring and evaluation, procurement, and contracts.

PSI’s Commitment to Community Systems Strengthening
A key to PSI’s success is its emphasis on strengthening institutional development in the countries where it works, particularly through the creation and capacity building of local affiliates. PSI’s local affiliates and country program offices benefit from the combined strengths of their local staff and in-county presence as well as their membership in PSI’s growing global network. As their skills and capacities grow, PSI’s local affiliate organizations have increasing independence from PSI headquarters. For example, several local affiliates have such significant local ownership, capacity and autonomy that they only require technical support from PSI headquarters. Society for Family Health in Nigeria and Greenstar in Pakistan both fall into this category.

PSI and Procurement
PSI has significant procurement capacity and is highly experienced in managing every aspect of the international supply chain. Since 1970, over 9.5 billion male condoms and 28.5 million bed nets have been purchased, distributed and promoted globally. In 2006 and 2007, PSI successfully procured more than 20.3 million insecticide-treated nets, over four million courses of ACT treatment and 233,350 rapid diagnostic tests for malaria programs. PSI has a long history of successful procurement under the Global Fund, especially with HIV and malaria commodities, and a proven track record for cost-efficiency with the transport of vast volumes of Global Fund-financed commodities. The Global Fund has recognized PSI for its compliance with the Global Fund Cost Reporting Mechanism.

Examples of PSI-Global Fund Grants

As PR in Madagascar, PSI addresses malaria prevention by increasing demand for insecticide-treated nets through a national behavior change communication campaign. PSI has also distributed subsidized insecticide-treated nets to pregnant women and parents of children under five through other NGOs and through public sector clinics. More than 3.2 million nets have been distributed by PSI in Madagascar so far. PSI/Madagascar recently signed a new Round 7 malaria grant worth US$ 6.3 million over the first two years, and was awarded a Round 8 HIV grant in November 2008.

In Nepal, PSI is a Round 2 co-PR with the Ministry of Health for malaria. Through this award, PSI is responsible for promoting awareness, prevention and treatment of malaria; training private health care providers; and procuring and distributing free and subsidized insecticide-treated nets to families in target districts. In recognition of the success of these activities, PSI Nepal is now serving as PR for Nepal’s new Round 7 malaria grant, worth US$ 2.1 million over the first two years.

From 2008 to 2013, PSI will manage and implement a Round 7 grant in Southern Sudan. The grant, for scaling up coverage of insecticide-treated nets and other malaria control interventions, has a five-year ceiling of US$ 72.7 million.

PSI is PR for Togo’s US$ 30.5 million Round 4 HIV grant. PSI works closely with the Government of Togo to implement an HIV prevention education program that includes: distributing subsidized male and female condoms; training health care workers; implementing innovative multi-layer behavior change communication campaigns; HIV counseling and testing; and treating sexually transmitted infections. PSI has achieved its targets in Togo: 67,349 people have completed counseling and testing for HIV; 4,812 people have been trained to deliver behavior change community outreach; and over 26 million condoms have been sold.

PSI’s local affiliate, Greenstar, is an SR for Pakistan’s Round 3 TB grant launched in 2005. Greenstar is implementing a Public-Private Mix, which promotes new approaches and partnerships for delivery of TB care by engaging health care providers in both the public and private sectors. Greenstar successfully increased TB diagnosis and treatment in target areas throughout Pakistan and earned a PR role for the winning Round 8 TB grant in November 2008. Specific results to date include: 1,480 providers trained in TB diagnosis and treatment; 1,196 private providers enrolled in the network; 48 private laboratories accredited to perform quality sputum smear microscopy; 25,624 community outreach workers trained; 2.1 million people reached through outreach activities; and 32,075 TB patients registered (58% of whom were sputum smear positive) with a treatment success rate of 86%.

For more information about PSI’s work with the Global Fund, please contact Celina Schocken, Director of Global Fund Programs, at cschocken@psi.org.

The Global Fund To Fight AIDS, Tuberculosis and Malaria

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