Unit | Systems Performance and Monitoring

Well-functioning health systems and programmes are fundamental for providing effective, proper and sustainable health care to populations in low and middle income countries. Performance assessment and monitoring provides an important basis for analysing the outcome and impact of different programmes and projects on health systems, and more generally, on public health. Through improving the performance quality and functioning of health services and programmes we contribute to the development of accessible, equitable and efficient health systems.

Development of Sustainable Health Systems

We carry out research and project implementation, supporting the development of sustainable health systems to alleviate poverty and reduce health deficiencies. This involves rethinking solutions for pharmaceutical, as well as financial management, performance assessment, and monitoring and evaluation mechanisms.

Expertise and Services

Our key mandate is the Local Fund Agent (LFA) with the Global Fund to Fight AIDS, Tuberculosis and Malaria created in 2002 to significantly increase resources to fight the three of the world's most devastating diseases (HIV and AIDS, Tuberculosis, and Malaria), 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. The Global Fund does not have a country-level presence outside of its offices in Switzerland. Instead, it hires LFAs to oversee, verify and report on grant performance. LFAs are selected through a competitive bidding process and play an important role in verifying the performance of Global Fund funded programmes. They act as advisory body and can be seen as the “eyes and ears on the ground” of the Global Fund.

The LFA is contracted to independently oversee program performance and the accountable use of funds and works closely in particular with the relevant Fund Portfolio Manager from the Global Fund, to provide the following services: work performed before the Global Fund signs a grant agreement with the Principal Recipient. This includes assessing the Principal Recipient's capacity to implement the grant, reviewing proposed budgets and work plans and otherwise assisting the Global Fund in grant negotiations; work performed during program implementation. The LFA's review of a grant as it approaches Phase 2 (years three to five of the grant's lifespan) is crucial in assisting the Global Fund to make its decision on whether to continue funding beyond the first two years; work performed with respect to grant closure. When a grant ends, the LFA is involved in assisting the Global Fund with closure of the grant; and ad hoc assignments undertaken at the request of the Global Fund, such as investigations relating to the suspected misuse of funds.

{"locations":{"0":{"title":"Benin, Cotonou","description":"<p><p style=\"margin: 0px; padding: 0px; line-height: 16px; font-family: Verdana, Arial, sans-serif; font-size: 11px; widows: 1; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Swiss TPH<\/p><p style=\"margin: 0px; padding: 0px; line-height: 16px; font-family: Verdana, Arial, sans-serif; font-size: 11px; widows: 1; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">1er \u00e9tage de l'Immeuble El Dorr, Carr\u00e9 1192<\/p><p style=\"margin: 0px; padding: 0px; line-height: 16px; font-family: Verdana, Arial, sans-serif; font-size: 11px; widows: 1; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Quartier Cadjehoun, 04 BP: 1566<\/p><p style=\"margin: 0px; padding: 0px; line-height: 16px; font-family: Verdana, Arial, sans-serif; font-size: 11px; widows: 1; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Cotonou<\/p><p style=\"margin: 0px; padding: 0px; line-height: 16px; font-family: Verdana, Arial, sans-serif; font-size: 11px; widows: 1; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Benin<\/p><\/p>","latitude":"6.354770","longitude":"2.421000","projects":{}},"1":{"title":"Burkina Faso, Ouagadougou","description":"<p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Swiss TPH<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Rond Point du 02 Octobre<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">06 BP 10807<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Ouagadougou 06<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Burkina Faso<\/p><\/p>","latitude":"12.379050","longitude":"-1.523750","projects":{}},"2":{"title":"Cameroon, Yaound\u00e9","description":"<p>Projet Pr\u00e9vention VIH\/SIDA en Afrique Centrale<br \/>Swiss TPH - KfW- OCEAC<br \/>B.P. 15665, enface de la morgue de l'h\u00f4pital centrale de Yaound\u00e9<br \/>Yaound\u00e9<br \/>Cameron<\/p>","latitude":"3.848030","longitude":"11.502080","projects":{}},"3":{"title":"Chad, N'Djamena","description":"<p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Swiss TPH<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Boulevard de SAO, Quartier Moursal, Station Sabarna<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">N'Djamena<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Chad<\/p><\/p>","latitude":"12.101490","longitude":"15.072770","projects":{}},"4":{"title":"Guinea, Conakry","description":"<p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Swiss TPH<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Residence Palace, 1er Etage Bloc B 1BCM<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">sis \u00e0 la Cit\u00e9 Minist\u00e9rielle, Commune de Dixinn<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Conakry<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Guinea<\/p><\/p>","latitude":"9.641190","longitude":"-13.578400","projects":{}},"5":{"title":"Mali, Bamako","description":"<p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Swiss TPH<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Rue 232\/ Porte 507<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Hippodrome<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Bamako<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Mali<\/p><\/p>","latitude":"12.665770","longitude":"-7.972910","projects":{}},"6":{"title":"Niger, Niamey","description":"<p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Swiss TPH<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Boite postale 11.195&nbsp;<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Niamey<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Niger<\/p><\/p>","latitude":"13.511600","longitude":"2.125390","projects":{}},"7":{"title":"Senegal, Dakar","description":"<p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Swiss TPH<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Cit\u00e9 Iba Ndiaye Diadji, Lot 1 &amp; 2<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Sacr\u00e9 Coeur Pyrotechnie<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Dakar<\/p><p class=\"bodytext\" style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\">Senegal<\/p><\/p>","latitude":"14.764500","longitude":"-17.366030","projects":{}},"8":{"title":"The Gambia, Banjul","description":"<p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Swiss TPH<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">1st floor, no. 1A, Garba Jahumpa (Newtown)<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Road Fjara Kombo Saint Mary's Division<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">Banjul<\/p><p style=\"margin: 0px; padding: 0px; font-family: Verdana, Arial, sans-serif; font-size: 11px; line-height: 16px; background-repeat: no-repeat no-repeat;\" class=\"bodytext\">The Gambia<\/p><\/p>","latitude":"13.476900","longitude":"-16.628900","projects":{}},"9":{"title":"Liberia, Monrovia","description":"<p>Swiss TPH<br \/>16th Street Sinkor<br \/>Monrovia City<br \/>Montserrado County<br \/>Liberia<\/p>","latitude":"6.29192","longitude":"-10.77798","projects":{}},"10":{"title":"Djibouti, Djibouti City","description":"<p><\/p>","latitude":"11.57208","longitude":"43.14565","projects":{}},"11":{"title":"Syria, Damascus","description":"<p><\/p>","latitude":"33.51381","longitude":"36.27653","projects":{}},"12":{"title":"Viet Nam, Hanoi","description":"<p><\/p>","latitude":"21.9903611","longitude":"102.4960898","projects":{}},"13":{"title":"Bolivia, La Paz","description":"<p><\/p>","latitude":"-16.494167","longitude":"-68.1475","projects":{}},"14":{"title":"S\u00e3o Tom\u00e9","description":"<p><\/p>","latitude":"0.240556","longitude":"6.596944","projects":{}},"15":{"title":"Pr\u00edncipe","description":"<p><\/p>","latitude":"1.619722","longitude":"7.398889","projects":{}},"16":{"title":"Palestine, Gaza","description":"<p><\/p>","latitude":"31.5000000","longitude":"34.4666700","projects":{}},"17":{"title":"Jordan, Amman","description":"<p><\/p>","latitude":"31.95","longitude":"35.933333","projects":{}},"18":{"title":"Lebanon, Beirut","description":"<p><\/p>","latitude":"33.886944","longitude":"35.513333","projects":{}},"19":{"title":"Yemen, Sana'a","description":"<p><\/p>","latitude":"15.348333","longitude":"44.206389","projects":{}},"20":{"title":"Central African Republic, Bangui","description":"<p><\/p>","latitude":"4.367222","longitude":"18.5775","projects":{}},"21":{"title":"Congo, Brazzaville","description":"<p><\/p>","latitude":"-4.251667","longitude":"15.253056","projects":{}},"22":{"title":"C\u00f4te d'Ivoire, Abidjan","description":"<p><\/p>","latitude":"5.316667","longitude":"-4.033333","projects":{}},"23":{"title":"DR Congo, Kinshasa","description":"<p><\/p>","latitude":"-4.325","longitude":"15.322222","projects":{}}}}
Selected projects at this location:

Jittamala P et al. A systematic review and an individual patient data meta-analysis of ivermectin use in children weighing less than fifteen kilograms: is it time to reconsider the current contraindication?. PLoS Negl Trop Dis. 2021;15(3):e0009144. DOI: 10.1371/journal.pntd.0009144

Camacho S et al. Incorporating operational research in programmes funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria in four sub-Saharan African countries. Global Health. 2020;16:67. DOI: 10.1186/s12992-020-00599-8

Martineau T et al. Strengthening health district management competencies in Ghana, Tanzania and Uganda: lessons from using action research to improve health workforce performance. BMJ Glob Health. 2018;3(2):e000619. DOI: 10.1136/bmjgh-2017-000619

Olotu A et al. Advancing global health through development and clinical trials partnerships: a randomized, placebo-controlled, double-blind assessment of safety, tolerability, and immunogenicity of PfSPZ vaccine for malaria in healthy Equatoguinean men. Am J Trop Med Hyg. 2018;98(1):308-318. DOI: 10.4269/ajtmh.17-0449

Pothin E et al. A methodology for malaria programme impact evaluation. PeerJ Preprints. 2017;5:e3263v1