Several months of turmoil have set back the efforts of The Global Fund to Fight AIDS, Tuberculosis and Malaria. Self-initiated investigations have uncovered financial abuses by local representatives of the organization in a small handful of the many countries the fund serves. Yet, Bill Gates has called this worthy international organization one of the most effective entities to which the Bill and Melinda Gates Foundation contributes.
Today, 25% of all international funding for HIV/AIDS-related programs, over half for tuberculosis, and almost three-quarters for malaria worldwide comes from The Global Fund. An estimated $15 billion is needed annually.
Gate’s support was further affirmed by an unbelievable $750 million promissory note, announced last week in a story in the New York Times. Before his announcement, Gates wrote a cogent op-ed piece calling for continued support for foreign aid.
Reduction in malaria deaths
The Global Fund is a funding mechanism, a bank, if you will, that makes grants to governments and non-governmental organizations that submit program plans in advance at a scale sufficiently broad to have national and regional impact. It fell a billion dollars short of its needs last year, causing it to suspend its grant-making.
This is particularly harmful because the grants are built on a two-year planning cycle, so the suspension of funds means a potentially deadly delay in treatment and prevention for the people who depend most on the fund’s work. Since 2000, malaria deaths have been reduced by 20 percent, according to the Times report. The time lag could set back these gains, resulting in increased human suffering and even deaths.
Amid the global economic crisis, the news of fund abuse was doubly harmful. For economic reasons, and in reaction to the misuse of funds, some donor governments withheld new pledges or did not fulfill past pledges. This meant programs and people unrelated to the misappropriated funds would not get much-needed prevention and treatment programs for these three diseases of poverty. It is important to note that the diseases targeted by the Global Fund take an unconscionable toll on the world’s most vulnerable and resource-deprived people.
The measurable progress that has been made in treating and preventing deaths from AIDS, malaria and tuberculosis is well documented. But it is fragile, and interrupting it is even dangerous because these diseases can easily blossom and return with a vengeance. The parasites and viruses through which they’re transmitted are adaptable and resilient. This is not a time to slow down or turn away.
The funding abuses also gave opponents of humanitarian assistance a talking point to call for reducing aid from government sources. Governments are the largest donors for humanitarian assistance. Nongovernmental organizations can never hope to fill the gap.
A call to the faith community
As supporters and partners of the Global Fund, I believe it’s critical that members of the United Methodist and Lutheran faith communities not only continue their support but also advocate on behalf of the fund.
The diseases of poverty will not be addressed at scale without governments, foundations, nongovernmental organizations, religious organizations and corporations working together and providing funds. If ever there were a strong witness for continuing to support this worthy organization and its vitally important mission to fight the diseases of poverty, the Gates endorsement was it.
The Global Fund was as transparent in investigating and reporting internal abuses as any organization I’ve seen in years of writing about international development. This forthcoming approach speaks well for the organization and its credibility. The fund has also prosecuted and achieved convictions against some of the culprits, who sit in prison as I write this. This comes at some risk to the fund in the host countries where offenders have been prosecuted.
Last week, the fund’s board reviewed the duties of the executive director and changed the responsibilities of the position. The board appointed a manager to run the daily affairs of the organization. Executive Director Michael Kazatchkine resigned.
My hope is that, in the future, the fund will regain the ground lost these past few months, recover from the economic downturn that has reduced its funding, and receive support from donors large and small to continue the march to end the suffering caused by these diseases.
At the end of the day, we are talking about people, vulnerable people, many of whom are without voice, suffering exclusion and discrimination as well as the effects of terrible diseases. Without the programs made possible by the Global Fund, their suffering will only increase. Many will die. And that is an abuse that all of us must not allow to happen.