Abstract

The Global Fund to fight AIDS Tuberculosis and Malaria recently released a progress report for its first 30 months. The Fund has made pledges of US$5.4 million through 2008 and has committed $3.1 billion to almost 300 2-year programmes in nearly 130 countries over four rounds of grants and is on schedule to disburse nearly $1 billion to over 200 programmes by the end of 2004. However the Fund must ensure the quick efficient and effective use of these resources to stem the suffering caused by the three diseases. The Fund’s second significant achievement has been “the pioneering of a number of innovative structures to ensure country ownership speedy and light-handed oversight and performance-based funding...[of] Country Coordinating Mechanisms (CCMs) a variety of recipient structures Local Fund Agents and monitoring and evaluations systems.” Unfortunately the linchpin organisations in this management the principal recipients are being neglected and undervalued by the Fund secretariat the CCMs UN agencies and donors. Principal recipients must be supported if the Fund is to be highly successful. (excerpt)

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