In the past five years, the Global Fund to fight AIDS, Tuberculosis, and Malaria has invested more than $400 million in programs for Latin American and Caribbean countries.
Do we know if these programs are really benefitting our communities?
The Global Fund to fight AIDS, Tuberculosis, and Malaria is an innovative funding mechanism the UN created in 2001, and it uses a performance based approach to disburse funds to programs that complement the national response to the three diseases.
The philosophy behind creating the Global Fund states that money raised should benefit people affected by AIDS through programs and mechanisms that respond to their comprehensive health care and treatment and prevention needs as well as by incorporating these communities into the implementation of those programs as main stakeholders.
However, after nine rounds of funding, we find the role of civil society and of the communities living with these diseases is not yet clear with respect to local implementers and principal recipients (PR’s). Moreover, there are no mechanisms in place for assisting social oversight that will guarantee transparent access to the resources.
AID FOR AIDS led a series of discussions during the 2005 Central American Conference on AIDS in San Salvador in which members of the Latin American civil society identified the need to develop a monitoring system, or social observatory, for watching over and improving the efficiency of the following areas of locally implemented, Global Fund financed programs:
- Development of the Country Coordinating Mechanism (CCMs) and Civil Society Involvement.
- The role and performance of Principal Recipients and Sub Recipients.
- Mechanisms of procurement and supply chain of medication,including princing and quality of medication and equity in access.
- Monitoring access to treatment.
- Communication between Civil Society and the Global Fund. SDFSDFSDFSDFSDFFFFFFFFFFFDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
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