This independent review, commissioned by the Community, Rights and Gender (CRG) Department at the Global Fund Secretariat and published by MSMGF, shares findings, conclusions, and recommendations for enhancing the meaningful engagement of communities in all phases of Global Fund grants, with an emphasis on grant making and grant implementation. The review synthesizes lessons learned and good practices for how communities engage meaningfully, and identifies key principles and strategic actions the Global Fund can take to ensure greater accountability between communities, Country Coordinating Mechanisms, other key stakeholders, and the Global Fund itself.