The process differs considerably from most global financing mechanisms: there is no standalone application process. The GFF-supported countries have been selected based on a combination of need, willingness and ability to allocate IDA resources, and the opportunity to learn about aspects of the GFF financing model.

Once a country has been selected to receive GFF Trust Fund financing, to access the resources a country must develop a well-prioritized investment case or have a well-prioritized costed RMNCAH-N plan that can serve as an investment case, demonstrate that it is committed to increasing domestic resource mobilization through the development of a health financing strategy, and be willing to use IDA or IBRD resources for RMNCAH-N.