E-drug: General Accounting Review of Global Fund (con't)
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[Pressure on the Global Fund to deliver appears to be rising! HH]
Dear Colleagues:
The US General Accounting Office has published a review of the
Global Fund (see URL's below).
An excerpt from their executive summary:
"The Fund has made noteworthy progress in establishing essential
governance and other supporting structures and is responding to
challenges that have impeded its ability to quickly disburse grants.
In its first year of operation, the Fund successfully established a
board of directors, a permanent secretariat, and a grant review
process. It called on countries to establish governance structures
to develop, implement, and oversee grants. The principal
country-level governance structure, the Country Coordinating
Mechanism (CCM), is designed to provide a forum for all
stakeholders to (1) review and submit proposals and (2) follow the
progress of Fund-supported programs.
However, as of late 2002, in three of the four countries we visited
there was limited communication between the secretariat and the
CCM and between CCM leadership and other members. These
communication problems and the evolving nature of the country
level structures resulted in key participants being unsure of their
roles in the proposal process and unprepared to support grant
implementation...
Global Health: Global Fund to Fight AIDS, TB and Malaria Has
Advanced in Key Areas, but Significant Challenges Remain.
GAO-03-601,
May 7.
http://www.gao.gov/cgi-bin/getrpt?GAO-03-601
http://www.gao.gov/highlights/d03601high.pdf Highlights
Warren Kaplan, Ph.D., JD, MPH
Consultant: Intellectual Property/Public Health
Adjunct Assistant Professor
Department of International Health
Boston University School of Public Health
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