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Note: This document is from the archive of the Africa Policy E-Journal, published by the Africa Policy Information Center (APIC) from 1995 to 2001 and by Africa Action from 2001 to 2003. APIC was merged into Africa Action in 2001. Please note that many outdated links in this archived document may not work.


Africa: Global Health Fund Update, 1 Africa: Global Health Fund Update, 1
Date distributed (ymd): 020130
Document reposted by Africa Action

Africa Policy Electronic Distribution List: an information service provided by AFRICA ACTION (incorporating the Africa Policy Information Center, The Africa Fund, and the American Committee on Africa). Find more information for action for Africa at http://www.africaaction.org

++++++++++++++++++++Document Profile+++++++++++++++++++++

Region: Continent-Wide
Issue Areas: +economy/development+ +health+

SUMMARY CONTENTS:

The Global Fund to Fight AIDS, TB and Malaria held its first board meeting in Geneva on January 28-29, and announced funding criteria for grants to be decided in April. Simultaneously President Bush announced his budget proposal including a U.S contribution to the Fund for Fiscal Year 2003 (beginning October 2002) at the same low level of $200 million as for the current fiscal year. President Bush's State of the Union address contained no mention of AIDS, global health, poverty, or any other global or African issue except terrorism.

This posting contains a brief introductory note by Africa Action executive director Salih Booker, the press release from the Global Fund calling for funding proposals to be submitted, and a note from the selection committee on the NGO members chosen for the Global Fund board.

Another posting sent out today contains three action-related documents concerning the current status of the fund and related issues, from the Global Aids Alliance, the Treatment Action Campaign, and the Health Gap Coalition.

The British Medical Journal for January 26, 2002 (available on-line at http://bmj.com), has a special issue on HIV/AIDS, including an editorial calling for increased funding and effective quick action by the Global Fund. The UK Stop Aids Campaign has issued a similar call (http://www.stopaidscampaign.org.uk)

+++++++++++++++++end profile++++++++++++++++++++++++++++++

Bush Disregards Africa & the Larger Struggle for Human Security

In May last year, when President Bush announced the initial pledge of only $200 million towards the $10 billion annual requirement of the Global Health Fund launched by UN Secretary-General Kofi Annan, he sent a clear signal to the millions of Africans and others around the world dying of AIDS: "Drop Dead!" Now, despite congressional resolutions calling for contributions as high as $750 million a year,the President has repeated his message.

The President has adamantly refused to consider any increase, while proposing over $40 billion in increased military spending and maintaining his tax cut for the richest Americans. The White House inaccurately described the $200 million pledge as a "doubling" of its previous cotribution.

Other developed and developing countries and even the World Bank argue that September 11 should be a signal for renewed global commitment to address the structural violence of poverty that creates conditions that foster insecurity and terrorism. The U.S., however, is lobbying against any commitments to global public investment. It is, for example, seeking to sabotage the global conference on Financing for Development, to be held in Monterrey, Mexico in March, by refusing to tolerate any language calling for a doubling of development assistance resources for poor countries.

Nevertheless, the Global Fund has been launched, and expects to receive some $700 million (of the total $1.7 million pledged thus far) for its first year of operation. The key test, as spelled out in several of the documents posted here, will be whether these limited funds quickly reach those on the front lines. -- Salih Booker

P.S. For our article in the Nation (January 10), "AIDS: Another World War, see
http://www.africaaction.org/desk/nat0201.htm

For Africa Action's press release of May 11, 2001, see http://www.africaaction.org/desk/pres0105.htmN


PRESS RELEASE

GLOBAL FUND TO FIGHT AIDS, TB AND MALARIA ISSUES CALL FOR FUNDING PROPOSALS

Funding Criteria Announced and Board of Directors Elected; First Round of Grants To Be Awarded in April

Contacts: Melanie Zipperer at +41 22 791 9456 or Leyla Alyanak at +41 22 791 9455.

Further information on the Global Fund can be found at http://www.globalfundatm.org.

GENEVA, 29 January 2002 The Global Fund to fight AIDS, Tuberculosis and Malaria, set up to help combat these three diseases that kill a daunting six million people a year, has approved its first call for funding proposals from country partnerships hard hit by the epidemics. The initial round of grants, to be awarded in April, will be the first made from the Fund, which was initiated last year by an alliance of private donors, non-governmental organizations (NGOs), foundations, national governments and intergovernmental organizations.

"The Fund is an unprecedented cooperative effort to combat the world's deadliest epidemics," said Paul Ehmer, Team Leader of the Secretariat. "Today, we are taking a major step forward, moving rapidly to get these resources to the people that need them most. This is not just a matter of caring and compassion -- it is economically wise as well. The diseases we are addressing have a terrible impact both on human lives and on economic development." A report released recently by leading economists and health experts reaffirms that healthy people are essential to a nation's economic prosperity.

The Fund will finance plans developed through country partnerships in severely affected countries as well as in areas with growing epidemics. It will also support plans in countries that have demonstrated the highest level political commitment to eradicating these diseases. Its approach will be integrated and balanced, covering prevention, treatment, and care and support in dealing with the three diseases.

Proposals will be funded rapidly, with minimum red tape, but with enough safeguards to make sure funds are used responsibly and effectively. Also, the Fund will finance projects that are most likely to clearly demonstrate measurable success.

To date, industrialized and developing countries, corporations, foundations and individuals have pledged some US$ 1.9 billion to the Fund, including a US$ 200 million pledged by the US yesterday. Up to US$ 700 million are expected to be disbursed in 2002. While this is an important start, far more resources are needed. The Fund's aim is to attract significant additional resources that will increase the pool of money already available to fight AIDS, tuberculosis and malaria.

"To be able to responsibly spend millions of dollars in a way that will make a measurable difference takes time," said Mr Ehmer. "We must get it right."

The Purpose of the Global Fund

At a meeting concluded today in Geneva, the newly-elected Board of Directors approved a call for proposals and finalized a set of guidelines for their submission, which are designed to help potential recipient country partnerships apply for funding. The guidelines explain eligibility, application procedures, the types of project the Fund is prepared to support, and the criteria on which funding decisions will be based. The guidelines also explain the proposal review process, and provide details on how the projects will be monitored and evaluated.

"The Fund will support interventions based on best practice that have the potential to fight the three diseases effectively and with lasting results," said Paul Ehmer. "AIDS, tuberculosis and malaria have a devastating global impact. The objective of the Fund is to raise significant new resources to fight them, and to apply these resources in the most strategic and intelligent manner possible. The streamlined grant-making process we are announcing today is designed to minimize unnecessary delays, and maximize the support available for front-line efforts to control these epidemics."

The Global Fund is an independent, public-private partnership whose cornerstone objective is to help save lives by making an ongoing and significant contribution to reducing infections, illness and death. It was created to share resources and expertise across national boundaries and private and public sectors in order to make significant progress in fighting AIDS, TB and malaria. These three diseases have a devastating global impact and together are responsible for nearly six million deaths a year - 10% of the world's total - as well as unimaginable social and economic hardship. Together, the three diseases are responsible for more than one-third of all deaths in Africa. HIV/AIDS kills about half - three million deaths in 2001 - while malaria and TB share the rest of the burden.

How the Global Fund is Administered

A unique feature of the Global Fund is its composition. Non-governmental organizations (NGOs) sit on the Board with two voting seats, as does the private sector. The NGO seats, one from a developing country and one from an industrialized one, belong to the German Institute for Medical Mission and to Health Rights Action from Uganda. The private sector has two seats, one for foundations, held by the Gates Foundation, and the other for private companies, represented by Anglo-American PLC.

All members were chosen by their own constituencies - governments, NGOs and the private sector. Board members are appointed for two years, with equal representation - seven seats each - from donor and developing country governments.

Donor countries represented on the Board are France, Italy, Japan, Sweden, the UK, the US and the European Commission. Some of these seats have alternates and will rotate among countries. The seven developing countries on the Board include, China, Brazil, Nigeria, Pakistan, Thailand, Uganda, Ukraine.

In addition to regular Board members, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO), along with the World Bank, which handles the Global Fund's finances, hold ex-officio non-voting seats on the Board. The Board's composition includes a person living with or affected by HIV/AIDS, TB or malaria, also in a non-voting seat.

The Fund will not be business as usual. Nor will it be a large bureaucracy. A small Secretariat located in Geneva manages the Global Fund's work and recruitment of the permanent executive head and staff is beginning. Meantime, an interim Secretariat is being staffed by secondments from UN organizations and governments.

The Road to the Fund

The concept of a fund was initially raised 18 months ago at the G-8 summit in Okinawa. The notion was endorsed at the UN General Assembly Special Session on HIV/AIDS in June 2001 and again at the G-8 Summit in Genoa under the Italian presidency in July 2001. It was championed by UN Secretary-General Kofi Annan, whose calls for stronger action kept attention focused on the Fund. Shortly thereafter, a Transitional Working Group (TWG) was set up to establish a new Global Fund, broadened to include tuberculosis and malaria.

During its mandate, the TWG - made up of more than 40 representatives from developing and donor countries, NGOs, the private sector, foundations and associations of people living or affected by HIV/AIDS, TB or malaria –negotiated the design and operations of the Global Fund, including its legal status, management structure, financial systems and general eligibility criteria. This process involved three meetings of the TWG, regional consultations in Africa, Asia, Latin America and Eastern Europe, and thematic consultations with civil society, the private sector and academia. At its last meeting in December 2001, the TWG handed over its package of recommendations to the new Board and was dissolved.

Mobilizing additional public and private resources will be a key goal for the Fund. The Fund's second board meeting will take place towards the end of April in New York.

N


BTS (break-the-silence) Listserv, January 25, 2002

BTS discussion archives and subscription information are available at: http://www.hdnet.org

Dear Colleagues,

The Selection Committee would like to thank everyone who applied for an NGO position on the GFATM Board. We received strong applications, and hope that everyone will continue their interest in the GFATM. Having strong NGO involvement and representation in the country processes will help to see that the Fund addresses the needs of the communities we serve.

The following candidates and alternates have been selected as NGO representatives on the Board of the Global Fund to Fight AIDS, Tuberculosis & Malaria:

NGO Representative from a Developing Country:

Milly Katana is currently the Lobbying and Advocacy Officer for Health Rights Action Group in Uganda. Milly has worked with various UN agencies such as the United National Industrial Development Organization (UNIDO) and the United Nations Program Joint Program on HIV/AIDS (UNAIDS). She has recently concluded an assignment on Strengthening Programs for People Living with HIV/AIDS in Botswana, working with the Government of Botswana and the World Health Organization. Milly is a woman living with HIV/AIDS. She has extensive experience with various national and international networks, including the African Council of AIDS Service Organizations (AfriCASO), the Society of Women Against AIDS in Africa (SWAA) and the Network of African People Living with HIV/AIDS (NAP+) and the Global Network of People Living With HIV/AIDS (GNP+). Milly has a keen interest in issues affecting women with HIV and families affected.

Milly Katana Health Rights Action Group P.O. Box 40126, Kampala, Uganda Tel: +256- 41-223957 / +256-41-403836 Fax: +256-41-222201 / +256-41-343301 E-mail: katanam@infocom.co.ug

NGO Representative from a Developed Country

Christoph Benn is the Head of the Department for Health Policy and Studies with the German Institute for Medical Mission. As a medical doctor in tropical medicine and public health he has experience in the treatment and prevention of AIDS, TB and malaria. Since 1992, he has spent several months per year particularly in Africa and Asia to work with communities and NGOs in the planning, implementation and evaluation of health care programs. As the current secretary of the German working group on international health, he coordinates more than 50 organizations from all sectors. Christoph works with many national and international organizations including the World Council of Churches, the Ecumenical Advocacy Alliance and is cofounder of the German network Covenant for Action Against AIDS.

Christoph Benn German Institute for Medical Mission Paul-Lechler-Str. 24, D-72076 Tübingen, Germany Tel: +7071-206520 E-mail: benn@difam.de

Representative of PWA/Malaria/TB Communities

Philippa Lawson is the International HIV/AIDS Team Leader/ Senior Program Manager for the Academy for Educational Development. She has worked in numerous countries in Asia, Africa, Europe, the Caribbean and Latin America. Philippa is a woman living with HIV/AIDS and has extensive linkages to key local, national and international networks including the International Community of Women Living with HIV/AIDS (ICW). Philippa has worked with numerous marginalized communities, and her emphasis over the years has always been to ensure that the needs of women and children are always considered. She has extensive experience working with advocacy and on review and technical bodies.

Philippa Lawson Academy for Educational Development 1825 Connecticut Avenue, NW, Washington, DC 20009, USA Tel: (202) 884-8586; Fax: (202) 884-85474 E-mail: Plawson@aed.org

Alternate NGO representative from a developing country:

Fidon R. Mwombeki is the General Secretary of the Northwestern Diocese Evangelical Lutheran Church in Tanzania (ELCT). He lives in a community that has been severely affected by AIDS, malaria and TB and is committed to fighting all three diseases. Fidon has been involved in the fight against AIDS since 1986 when his diocese first intervened to provide support and care for orphans. He has extensive experience working at community, national and international levels. He has worked with ELCT's Primary Health Care Program, the Building Eastern Africa Community Network, the Tanzania Coalition on Debt and Development, the Jubilee 2000 campaign and the Ecumenical Advocacy Alliance.

Fidon R. Mwombeki, Evangelical Lutheran Church in Tanzania, Northwestern Diocese P.O. Box 98, Bukoba, Tanzania Tel: (+255-28) 222-1313; Fax: (+255-28) 222-0954 E-mail: elct-nwd@twiga.com

Alternate NGO representative from a developed country:

Peter Poore is a Health Adviser with extensive experience with Save the Children. As a medical doctor Peter has 28 years of experience in health care delivery and the development and management of health care systems in developing countries. He has been involved in policy work on HIV since the mid 1980s; his experience working with malaria and TB extends back to the 1970s. He has extensive international experience and has worked with the Department for International Development (DFID) UK, The World Health Organization, UNICEF, the World Bank and the Global Alliance for Vaccines and Immunisation.

Peter Poore Reading Green Farmhouse, Denham, Eye, Suffolk, United Kingdom Tel: (+44-137) 966-8134 E-mail: pdpoore@aol.com

Alternate representative of PWA/Malaria/TB communities:

Charles Roy is the Executive Director of the AIDS Committee of Toronto (ACT), the largest AIDS service organization in Canada. Charles is a man living with HIV/AIDS and has been a leader in the Canadian HIV/AIDS field for the past decade, working with community, professional and academic organizations to advocate for the rights of people living with HIV/AIDS. His interest in promoting the dignity and well-being of people living with HIV/AIDS expands beyond non-governmental work and has also been demonstrated through his lecturing and writing. Charles' interest in promoting the dignity and well-being of people living with HIV/AIDS expands beyond non-governmental work and has also been demonstrated through his lecturing and writing. His docteral dissertation, "Living and Serving: Persons with HIV in the Canadian AIDS Movement", explores the challenges and opportunities that consumer involvement brings to a health movement.

Charles Roy, AIDS Committee of Toronto 399 Church Street, Toronto, Ontario, Canada M5B 2J6 Tel: (+1-416) 340-8484 ext. 271; Fax: (+1-416) 340-8224 E-mail: croy@actoronto.org

We wish them success in moving our issues and priorities forward. Information on the specific roles of the Alternates will be circulated as it is available.

The members of the Selection Committee were:

Alex Coutinho - TASO, former TWG member; Joseph Scheich - Aids Fonds, former TWG member; Paula Fujiwara - International Union Against Tuberculosis and Lung Disease (IUATLD), former TWG member; Richard Burzynski - ICASO, former TWG member; Linda Hartke - World Council of Churches, Ecumenical Advocacy Alliance; Leslie Wright "C CONGO; Bai Bagasao - UNAIDS (advisor, no vote)

[submitted by: tanyaj@icaso.org on behalf of the committee]


This material is being reposted for wider distribution by Africa Action (incorporating the Africa Policy Information Center, The Africa Fund, and the American Committee on Africa). Africa Action's information services provide accessible information and analysis in order to promote U.S. and international policies toward Africa that advance economic, political and social justice and the full spectrum of human rights.

URL for this file: http://www.africafocus.org/docs02/gf0201a.php