Conclusion of the Global Fund Private Sector Engagement Strategic Initiative (PSE SI) - Instiglio

Conclusion of the Global Fund Private Sector Engagement Strategic Initiative (PSE SI)

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This December marks the close of The Global Fund’s Private Sector Strategic Initiative (PSE SI). Over the past 2.5 years, Instiglio, in partnership with Palladium as the consortium lead, has supported The Global Fund Secretariat and stakeholders in twelve countries to build capacity in results-based contracting and performance management.

By shifting the focus and payments to what matters, i.e., programmatic results as opposed to receipts and financial compliance, we have supported actors to deliver more impactful responses to the three diseases. The portfolio of countries covers a range of different contexts, stakeholders, disease areas and intervention models, including working with public and private providers to deliver better results in Long-Lasting Insecticide Net (LLIN) distribution mass campaigns (DRC, South Sudan, Pakistan); malaria diagnosis and treatment (Nigeria); a private sector pharmacy integration model for HIV and TB services (DRC);community-based organizations  HIV prevention and treatment services for pregnant women and people living with HIV (Niger) for adolescents, girls and young women (Botswana) and forkey populations (Ecuador, Honduras, Paraguay, Belize, Central African Republic), in addition to data-enabled adaptive program management for improved TB diagnosis and adherence (Philippines).


COVID-19 vaccination, pandemic. Original public domain image from Flickr

In DRC, Palladium and Instiglio have supported the National Malaria Control Programme (NMCP), the Principal Recipient, Soins de Santé Primaire en Milieu Rurale (SANRU), and IMA World Health to shift the contracting of a LLIN campaign to a payment-for-results (PfR) contract. Due to the positive results, including an increase in the percentage of households receiving the correct number of nets, reduced delays in the campaign and improved data quality, the Alliance for Malaria Prevention has selected the project as one of the top 3 projects in 2022 and the PfR contract has been scaled to additional provinces and between different service providers implementation arrangements.

Building on the experiences and lessons from countries, Instiglio also supported the consortium to develop a comprehensive PfR How-to-Guide and Toolkit that offers a systematic path to design tailored, effective and efficient PfR models. The toolkit includes a two-day training with several modules and practical exercises, design guidelines, templates, and examples as well as two intervention-specific guides to design PfR contracts for LLIN mass campaigns and HIV prevention and treatment interventions.

We hope that the learnings from the PSE SI and the toolkit will contribute to the scaling of PfR at The Global Fund to drive better results and establish sustainable accountability mechanisms for quality health services at the country level.


For more information about this project, please contact

Hollie Lippert, Senior Project Manager