About Us

We are a Principal Recipient

Our Mandate

The mandate of the Project Management Unit (PMU) of the Ministry of Finance is to “efficiently manage (receive, disburse, monitor and report) the Global Fund grants to fight HIV/AIDS, and Tuberculosis in Lesotho”.

Our Vision

The PMU vision is to “contribute to zero new HIV infections and improved quality of life of people living and affected by HIV and AIDS, and TB”.

Our Mission

The mission of PMU is to “strengthen the financial and technical capacity of sub recipients to plan and implement high impact HIV and AIDS, and TB interventions that will contribute to the prevention of new HIV infections, reduction in the spread of TB and improved quality of life of people affected and infected by the two diseases.”

Guiding Principles

In carrying out its mandate PMU will be guided by the following principles.

I. Efficiency and effectiveness: PMU will endeavour to achieve efficiency and effectiveness in service delivery to sub-recipients and advocate for the sub recipients to do the right things, the right way, at the right time and in a good scale to achieve desired results through high impact interventions.

II. Innovation and best practices:PMU will promote innovation and application of best practices by SR in the design and delivery of services based on available evidence of what works well for the target beneficiaries.

III. Focus on measurable results: PMUwill institutionalise performance-based contracting with staff and performance-based funding with sub recipients. Mentorship and technical assistance will be provided.

IV. Shared Vision, Mission and Accountability:The work of the various PMU sections is interrelated, and hence demands team work, shared vision, values and commitment to its mission to ensure institutional and individual accountability.

V. Strategic Partnerships and Alliances:PMU is cognisant that the challenges of HIV and AIDS, and TB transcend institutional boundaries. No one institution has the resources and the technical capacity to address such challenges alone. For this reason PMU will consolidate existing strategic partnerships and alliances, and create new ones where need arises. Such partnerships will be guided by shared values, comparative advantages, and mandates

Three-One Principles: The PMU subscribes to the principle of having one national coordinating authority, one national strategic plan, and one national M&E framework. PMU will continue to support the implementation of national priorities articulated in the NSP, and reviewed periodically to ascertain their continued relevance to the national response

The Priority Strategies for the PMU Strategic Plan

The following are the priority strategies for the PMU strategic plan

i. Strengthen the internal capacity of PMU to receive, disburse, monitor and report on Global Fund Grants.

ii. Strengthen the technical capacity of PMU to support SR to implement high impact HIV/AIDS and TB interventions, by providing financial support, technical assistance and mentorship.

iii. Strengthen strategic partnerships and alliances to support SR, to implement planned interventions efficiently.

iv. Strengthen organisational leadership, governance and accountability of financial, human and technological resources earmarked to support national multisectoral HIV/AIDS response.

Overview of the National Strategic Plan (NSP)

The Global Fund support mainly focusing on supporting country’s priorities as stipulated in the National HIV Strategic Plan (NSP). The Lesotho HIV NSP adopted the investment approach model. Based on this approach Lesotho identified high impact interventions with the potential of significantly reducing new HIV infections and improving the quality of life of people living with HIV and AIDS. The following core programmes were identified to be the focus of the NSP namely:

i. Treatment Care and Support.

ii. Elimination of Mother to Child Transmission of HIV (eMTCT)

iii. Voluntary Medical Male Circumcision (VMMC)

iv. Condom Promotion and Distribution.

v. Prevention of new infections among key populations through targeted programmes

HIV testing and counselling (HTC) and Social and Behaviour Change (SBCC) were considered as cross cutting interventions.Treatment was adopted as a key prevention strategy based on global evidence on its impact in preventing new infections. The NSP also suggested the change of the eligibility criteria for treatment from CD4 350 to CD4 500, improved provision of PITC, adoption of option B+, and treatment of Sero-discordant couples among others, based on the 2013 WHO guidelines.

Lesotho aims to eliminate mother to child transmission of HIV by 2015 and is placing emphasis on preventing new infections among children while keeping their mothers alive. All infected mothers will be offered ART to prevent MTCT and for their own health.

Voluntary medical male circumcision will target sexually active men between the ages of 15 and 39 years. Lesotho will also continue the routine practice of medical circumcisions of neonates and boys below 14 years. A key NSP strategy for this programme is intensifying demand creation.

Condoms promotion and distribution will be intensified and coverage expanded, condom outlets will be established in user-friendly locations for the general population and in particular for young people and key populations at higher risk of HIV infection, including discordant couples, sex workers, migrant workers and mobile populations. Efforts will be made to estimate key populations to inform planning and service delivery.

The NSP has further identified and articulated critical social and programme enablers that are necessary to ensure successful implementation and services uptake of the core programmes. These range from political commitment and advocacy, laws, legal policies, and practices, community engagement and mobilization, stigma reduction, mass media and local responses to change risk environment. The programme enabler’s include community centred design and delivery of key services, programme communication, procurement and supply management, gender equality and gender-based violence interventions, research and innovation. Strategic development synergies have also been identified with key development partners that are aimed at directly or indirectly contributing to the efficacy of the core programmes. They include systems strengthening, social protection, food security, care and support of orphan and vulnerable children (OVC) among others.

NSP have promoted a number of paradigm shifts that include a shift from funding to investing in high impact activities, from measuring the epidemic based on prevalence to incidence, from social welfare to social development, from OVC to vulnerable children support. NSP advocates for meaningful community and civil society participation in-order to enhance services uptake, retention, and ownership.

The outlined of the NSP priorities above give us clear picture on the priorities of the Global Fund support’s focus in Lesotho. Global Fund does not support individual or organisation’s plans or strategies but only national or country’s strategies. This means all organisations that would receive the grant support would be working towards one national goal in order to make high impact and successful outcome.

Strategic linkages between the Global Fund and other policy frameworks

The role of PMU is to support national priorities identified in the NSP by providing financial and technical support. The support provided targets the financial and programmatic gaps of the national multisectoral response. This support helps to improve coverage, demand creation, systems strengthening, and equitable distribution, access and utilisation of services.

Global Fund support contributes to the achievement of the objectives of Vision 2016, Millennium Development Goals (MDG), the Political Declaration on HIV and AIDS (2012), the SADC Maseru Declaration, and the African Union Roadmap for Shared Responsibility and Global Solidarity for HIV, TB, and Malaria in Africa.

Background

The Ministry of Finance was appointed as a Principal Recipient in 2003. In 2004, the PR established the PMU as its operational arm with the core function of receiving, disbursing, monitoring and reporting on the Global Fund grants performance. PR/PMU is not an implementing agency. The PR/ PMU organisational or capacity development is premised against this background. The objective of the strategic plan therefore is to ensure that PMU has adequate and relevant capacity to undertake these functions.

Since first being selected to serve as a GFATM grants PR, the MOF has been called upon to provide that service of PR in all the GF grants in the country: R2 HIV and TB, R5 HIV, R6 TB, R7 HIV, R8 HIV/HSS, R8 TB and R8 HIV/CSS, R9 HIV, SSF HIV .

A snapshot for GF grants coordinated by PR, The Ministry of Finance and Development Planning (MOF):

Round 2 (2004 to 2009) [HIV and TB] worth USD $ 34,312,000 (Phased out)
Round 5 (2006-2011) [HIV] USD $ 40,346,059 (Phased out)
Round 6 (2007-2012) [TB] USD $ 6,630,995 ((Phased out)
Round 7 (2008-2013) [HIV] USD $ 33,64,808 (Phased out)
Round 8 (Oct 2009- Sept 2014) [HIV HSS] $89million
(Phased out)
Round 8 (Oct 2010- Sept 2015) [TB] Phase $29,360,692
(Active grant)
Round 8 (Apr 2013- Feb 2016) [HIV CSS] Phase 2 $3.3 million (Active grant)
Round 9 (Jan 2011-Dec 2015) [HIV] USD $30,796,000 (It is no more existing but consolidated to SSF grant below)
SSF (July 2011 -March 2013) [HIV] USD $ 24,566,976 later extended to March 2014 (Phased out)
SSF IA (Sept 2014 to March 2017) [HIV] USD $ 45,408,323.00 Active grant)
Currently there are only three Active grant as pointed above. It should be noted that all these grants are implemented in two phases: Phase I which takes two years and Phase II which takes three years. However lately, the Global Fund processes have changed and only provide a three year budget with one phase instead of a five year budget with two phases.

The PMU is accountable to the Principal Secretary  of the Ministry of Finance. At operational level the PMU has a responsibility to keep the sub-recipients informed on issues related to grant management. In this regard PMU will compile and disseminate progress reports to all the key stakeholders and organise feedback workshop as appropriate. PMU also provides feedback to parliament on grants implementation.

The Office of Director is in charge of the management of PMU, i.e. Oversees financial management grants implementation, human resources management and ensures efficient running of the unit. The Director has the overall responsibility of providing day-to-day leadership and guidance to PMU operations including maintaining high-level contacts and public relations with Senior Government officials, the Global Fund, SR and development partners.

The MOF through the Project Management Unit has established Finance Section that has complement staff of Five people Finance Manager , Senior Accountant, Compliance Officer and one Accountant to work closely with all the Sub Recipients.

The Finance Management Section of the PMU is responsible for ensuring effective and efficient use of Global Fund grants in high impact HIV and AIDS, and TB interventions. The Section is responsible for timely submission of disbursement requests to Global Fund and the subsequent receipt and disbursement of grants to SRs. On a day-to-day basis, the Section facilitates utilization, recording, accounting and reporting of the grants by PMU and SRs.

To achieve this, the section maintains Financial Management System that is capable of tracking, documenting and reporting financial services from both the supply and demand sides. For the next five years, the Section will strengthen its capacity in financial management, accounting, and auditing of the Global Fund grants and funding received from other donors.

The Section will facilitate internal and external financial audits of both the PMU and SRs. All audits will be carried out in line with the policy guidelines provided by Global Fund and the Government of Lesotho. Where necessary the Section may initiate an independent audit of an SR’s financial records if PMU’s view is that the SR is not adequately managing or is having problems with managing the grants.

Data generated from the financial management reports, including audits will be used in the first instance for finding solutions and strengthening the capacity of SRs and PMU to manage funds properly and secondly for reporting to the Global Fund and the Government of Lesotho.

The PMU currently has an M&E dedicated staff consisting of an M&E manager and M&E Officers. These personnel are dedicated to meeting GF M&E requirements, including:

The core business of the M&E section of the PMU is to monitor and report on individual grants performance. This implies a systematic monitoring, collection, analysis, compilation and dissemination of strategic information and data in the form of prescribed reports. The sub recipients have the primary responsibility for monitoring and collecting data, while PMU has the responsibility of ensuring that sub-recipients have the necessary capacity and tools, and equally understand what data needs to be collected, when and how. PMU is also responsible for data verification based on SR reports. Data verification is necessary to ensure data accuracy and reliability. A clear identification of indicators and targets is a pre-requisite.

PMU will work with partners to ensure that data collected is consistent, complete and comprehensive. Data reporting will use standardized reporting tools. Efforts will be made to use existing tools rather than creating new ones where such tools exist. PMU will work with appropriate institutions to develop and implement short training courses in M&E.

PMU will continue to support efforts to generate, utilise and share strategic information and knowledge on HIV and AIDS, and TB programmes

The Programme Management Section has three primary functions. First to ensure

Effective and efficient implementation of the Global Fund Grants disbursed to the sub recipients.
That non-health works, goods and services necessary for grants implementation are procured on time.
Improve Public awareness of Global Fund supported programmes

To achieve these functions the Section has the responsibility to facilitate the sub recipients capacity development necessary for planning, implementing, monitoring and reporting on activities they have received funding for from the Global Fund. In doing so, the Section will support SR to comply with the Global Fund and national guidelines, policies and procedures for grant management and implementation.

The Section will support the LCCM in the application of new grants, consolidation, re-programming or closure of existing ones. In particular the Section will facilitate the assessment of SR, conclusions of SR grants agreements and subsequent grants disbursements to SR.

4.a Programme Management

The Programme Management section has the overall responsibility to ensure that SRs have the necessary capacity to plan, implement, monitor and report on the grants. However other PMU sections that have the comparative advantage and technical expertise in financial management, monitoring and procurement are responsible for undertaking the relevant capacity development.

The Programme Management Section facilitate SR access to technical assistance, transfer of skills, knowledge and experiences, and promote the application of best practices. In collaboration with the other sections, the Programme Management Section will continue providing SRs with updates on new and emerging technologies, strategic information, effective strategies that has the potential to improve grant performance.

The Programme Management Section being the Programme Coordination section of the PMU is strategic in providing leadership in the overall grants management. In ensuring efficiency it will be necessary to realign some of the internal operations and linkages with other sections and in particular Supply Chain Management (SCM), and some of the functions (assets management) currently under The Finance Management Section.

4.b Communication

The Communication unit is responsible for both internal and external communication and advocacy on the PMU work and for creating broad public awareness and understanding of the nature and support provided by Global Fund.

It is expected to work with all the other sections in developing, compiling and disseminating reports. While the technical quality of the reports is the responsibility of other relevant sections, the Communication is expected to provide inputs in terms of overall design, editing and packaging of those reports.

For purposes of reporting PMU is expected to produce quarterly and annual reports, in addition to other grant specific reports. Quarterly services coverage and progress reports will be produced using routine monitoring data. The annual report will be a synthesis of the quarterly progress reports.

4.c Procurement of non-health works, goods and services

The processes for procuring non-health works, goods and services process are articulated in the Operational Policies and Procedures Manual (OPPM-2013). The section will be responsible to ensure that these policies and guidelines are followed.

Lesotho is in the process of assessing the capacities of sub recipients for approval by the Global Fund as procurement entities. Once this process is completed the role of PMU will be to ensure that the appropriate processes are followed and that the sub recipients adhere to policies and guidelines by Global Fund and the Government of Lesotho. PMU will also strengthen the capacity of SR to undertake procurement.

It is anticipated that the new approach to procurement will lessen the workload at PMU and address challenges ranging from institutional capacity and arrangement, quality assurance, delays in procurement processes and delivery, storage, distribution, poor quantification, to usage monitoring.

PMU will strengthen internal and external procurement systems to leverage economies of scale identify strategies to achieve best value for money, and improve coordination between the SRs and suppliers to ensure goods and services are available when they are needed.

The Supply Chain Management section provides technical support to MOH in the procurement and supplyof pharmaceuticals and health related commodities procured with funds from Global Fund.

A key role of PMU is to ensure that procurement is premised on good practices and in particular based on the principles of competitiveness, transparency, fairness, consistency, accountability, integrity and value for money. Procurement follows guidelines and policies provided the Government of Lesotho. These include GF Procurement and Supply Management Guidelines, The Global Fund Quality Assurance Policy for Pharmaceutical production (Amended in 2009) and conform to national processes stipulated in the Government of Lesotho Public Procurement Regulations (2007).

Global Fund have assessed and approved the Ministry of Health as a procurement entity. The procurement of pharmaceuticals and other health commoditiesare initiated by the MOH and procured through NDSO. While the procurement process is guided by, national laws and policies, it also adheres to Global Fund policies and guidelines, especially with regard to quality assurance of pharmaceuticals and other prescribed health products. These policy documents also suggests how PR can reduce cost inefficiencies, ensure the reliability and security of the distribution system.

The PMU has four functional sections i.e. Programme Management, SCM, M&E, Finance, and Administration.

The structure is intentionally lean to promote operational effectiveness and efficiency. The core functions are premised on the understanding that PMU is not an implementing organisation, and neither a coordinating structure for the national multisectoral response. This coordination role is the mandate of NAC. However, PMU coordinates the implementation of the Global Fund supported projects that contribute to the national response.

The purpose of the organisational structure below is mainly to articulate and clarify institutional and sectional linkages, reporting and accountability lines. In order to improve efficient operations at the PMU, it is necessary to review the current organisational structure to ensure efficiency and effectiveness. The suggested changes are included in the organ gram below.