Global Fund, Geneva, Switzerland, January 30, 2004
Geneva, Switzerland - Concerned with the slow progress of the HIV/AIDS
prevention and care programs it supports in Ukraine, the Global Fund to
Fight AIDS, Tuberculosis & Malaria has temporarily withdrawn its support for
the three principal recipients of its grants in Ukraine.
(Click on image to enlarge it)
The Global Fund will ask a reliable organization to take over implementation
of the programs for several months, to give Ukraine the opportunity to
address concerns of slow implementation, management and governance issues.
The decision was communicated to the chair of the Global Fund's in-country
counterpart, the Country Coordinating Mechanism, Ukraine's Deputy Prime
Minister Dmytro Tabachnik, this week.
After being alerted to potential problems with implementation of its grants
to Ukraine, the Global Fund secretariat has over the past three weeks
undertaken a full review of the process leading from grant approval to
today. It has sent a mission to Ukraine to address specific issues
surrounding implementation bottlenecks and at the conclusion of this
mission, the Global Fund decided that firm action was needed to ensure that
ambitious targets for treatment and prevention of HIV/AIDS in Ukraine are
reached within the two-year grant period.
"The primary responsibility of the Global Fund is to achieve results and to
turn back the HIV/AIDS pandemic," says Dr Richard Feachem, Executive
Director of the Global Fund. "We have taken action with our colleagues in
Ukraine in order to ensure that our money flows, that the epidemic does not
spread further and those who need treatment will receive treatment. We will
take action of this kind in the future on any occasion that it is necessary
to ensure that the results are achieved in any of the programs we finance."
The Global Fund has approved three grants worth a total of $25 million over
two years to Ukraine. Of this, roughly $7.5 million has been disbursed, but
only $740,000 has been spent to date. Ukraine so far lags substantially
behind its targets to prevent the spread of HIV and provide treatment to
people living with the virus. Among the programs' targets is the expansion
of the number of people receiving AIDS treatment from less than 60 to 4,000
within two years.
"We do not believe the programs can be successful if we stay with the
current structure," says Dr Feachem. "Yet, we do not wish to stop Global
Fund funds from flowing. The Ukraine needs the money and needs it now. The
issue, therefore, is to secure operations in the short term to ensure that
in the medium term we are able to get the program back on track."
In a related development, the Global Fund has stepped in to ensure the
country's stock of AIDS medicines which was in danger of running out.
The Global Fund is a unique global public-private partnership dedicated to
attracting and disbursing additional resources to prevent and treat AIDS,
tuberculosis and malaria. This partnership between governments, civil
society, the private sector and affected communities represents a new
approach to international health financing. The Fund works in close
collaboration with other bilateral and multilateral organizations to
supplement existing efforts dealing with the three diseases. The Global Fund
has so far committed $2.1 billion to 225 programs in 121 countries.
The Global Fund has been established as an independent private foundation
governed by an international Board. Apart from a high standard of technical
quality, the Global Fund attaches no conditions to any of its grants. It is
not an implementing agency. It relies on local ownership and planning to
ensure that new resources are directed to programs on the frontline of this
global effort, reaching those most in need.
Its performance-based approach to grant-making - where grants are only
disbursed if progress has been measured and verified - is designed to ensure
that funds are used efficiently and create real change for people and
communities. All programs are monitored by independent organizations
contracted by the Global Fund to ensure that its funding has real impact in
the fight against the three pandemics.
[The Global Fund to Fight AIDS, http://www.theglobalfund.org/en/]
FOR PERSONAL AND ACADEMIC USE ONLY