Global Fund grants in the Republic of South Sudan

Despite South Sudan being one of the most challenging operating environments in the Global Fund portfolio, progress has been made across the three diseases since the 2015 OIG audit. Grants are materially meeting their performance targets, over 2 million insecticide-treated bed nets were distributed in 2017 and 2018, and there was a 102% increase in people on anti-retroviral treatment between 2015 and 2018.

Issues exist in the timeliness and accuracy of available data for the three diseases, with delays in national health management information system reporting in 2017 and 2018. The audit noted inadequate planning and monitoring of malaria interventions, weak coordination among donor partners and the Government, and the need to strengthen internal controls and accountability over finance and procurement activities.