The Global Fund Grants: Project Life Cycle

This chapter elaborates on the roles of civil society, state, and international organizations involved in the realization of the Global Fund grants to the Kyrgyz Republic. Zooming into the four phases of a project life cycle (initiation, design, implementation, and evaluation) demonstrates the interdependence and interrelation of actors. This chapter also shows that although consonant with national tuberculosis and HIV/AIDS policies, the grants are also shaped by the Global Fund’s recommendations and regulations. These, among others, supported an increase in the share of state co-financing for the activities targeting the two diseases and increased civil society participation in the grants. Overall, the in-depth analysis allows for grasping the conflict, mistrust, and consensus among the actors. In addition, it expands on the grant mismanagement scandal and how the role of a Primary Recipient of grants transferred from state agencies to an international development organization. Overall, systematizing the complexity of processes and stakeholders involved, this chapter provides a comprehensive yet understandable overview of the grant cycle and its realization in practice.