Can the Global Fund Weather The Corruption Storm?

Global Fund Ambassador Carla Bruni-Sarkozy with executive director Michel Kazatchkine and Melinda Gates in Benin. Photograph: John Rae/The Global Fund
By Sarah Boseley

Germany, Ireland and Sweden have suspended payments to the Global Fund to fight Aids, TB and Malaria over the corrupt use of grants by African countries. Could the media storm trigger a domino effect among donors that could severely undermine the fund’s capacity to help the poor?

Until a few days ago, the Global Fund to fight Aids, TB and Malaria had the enviable reputation of being one of the cleanest and safest channels of donor money to the poor in the developing world. Everybody knows there is corruption in Africa – but it never tainted the Global Fund. But now Germany, the third biggest donor to the fund after the US and France, has suspended the €200m it pledged for 2011, asking for an investigation into the fraud and misuse of money in four countries – Mauritania, Mali, Zambia and Djibouti. Ireland has also put its wallet away for the moment, delaying a decision on whether to continue its donations to the fund.

What a difference a few days makes – and how fragile is reputation. The fund now fears a domino effect. As bank crashes have taught us, loss of confidence can do terrible things. And at a time of economic recession, revelations like these can give donor governments just the excuse they need to pull the plug.

So the consequences are potentially very serious. But what has happened to cause the first dominoes to tumble? You’d think it must be some new and terrible revelation. In fact, it was a story on an agency newswire based on a report from October that is on the Global Fund’s website. Although the fund does well in preventing its money being misused, it can’t stop it entirely. The report of its inspector general detailed the corruption that had been found in a number of countries – and the steps that had been taken to root out the corruption and get the money back. The total amount of money involved is US$34m. That is 0.3% of the $13bn the fund has dispensed for disease-fighting programmes since 2007.

The frauds were not a secret. The fund, which has in the past been praised for its transparency, issued a series of press releases – the first one in September 2009, when it suspended grants to Mauritania. In June 2010, it announced that action had been taken against Zambia, which I wrote about. In December, the fund announced it had suspended grants to Mali.

So given that 0.3% ended up in the wrong hands is pretty good going – as many an NGO or business working in Africa will tell you. This should have been a storm in a teacup. But the agency story was followed up by Fox News, which laid into the fund with both fists.

Germany’s decision may have much to do with disagreements between development minister Dirk Niebel and chancellor Angela Merkel over how to prune the aid budget. Ireland’s is inevitably connected with its financial problems. Ironically, Sweden, which suspended its grant to the fund last October after seeing the inspector general’s report, was thought to have been completely satisfied by the explanations it was given and be about to announce its reinstatement, but is unlikely to do so until things quieten down.

But the real fear for the fund’s supporters will be that the storm may have been whipped up by those who want the US to slash its spending on foreign aid and will not only have the Global Fund in their sights, but also the UN. The Global Fund is already short of the money it hoped it would have to pass on to developing countries in the next two years. If the US cuts back, there can be no doubt that the cost will be measured in lives.

Sarah Boseley has won a number of awards for her work on HIV/Aids in Africa, including the One World Media Award (twice)
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Germany Halts Payment to Malaria Fund Over Corruption Concerns

 Germany has halted its annual payments of 200 million euros ($274 million) to the Global Fund Against AIDS, TB and Malaria due to concerns over allegations of corruption against the Fund.

Announcing suspension of the funds, German Development Minister Dirk Niebel said on Wednesday: “I take the allegations of corruption and breach of trust carried by media against the Global Fund very seriously, and I expect that the fund will promptly clear them up.”

Stressing that an investigation was urgently required into the allegations, Niebel indicated that he had halted all “further payments to the Fund until it is fully cleared up.”

With its annual contribution of 20 million euros, Germany is the third-largest donor to the U.N.-backed Fund that has an annual budget of more than $20 billion. The Fund is the single largest source for fighting AIDS, Tuberculosis and Malaria across the world.

The latest developments come after an international news agency raised allegations of misappropriation and corruption against the Fund. The news agency alleged in a report that funds might have been misappropriated in several countries where the Global Fund’s controls were poor.

Following the report, the Fund acknowledged that its internal investigations had revealed some minor misappropriation of funds in several cases. But the Fund insists that it has taken strict measures to tackle the problem in all identified cases.

According to the Fund, internal investigations and audits carried out in 33 of the 145 countries where the it has grants have unearthed $34 million in misappropriated or unsubstantiated funds.

The Fund acknowledged that the amount found to be misappropriated was a large enough figure by itself, but pointed out that it amounted to only 0.3 per cent of the $13 billion the Fund has distributed to countries so far.

by RTT Staff Writer

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African Rats Can Smell Presence of TB Bacteria

African rat

An overweight African rat! This is not a phrase that normally evokes feelings of gratitude, but just waits a minute. African Scientists have reported that rats can save lives by sniffing out tuberculosis with accuracy greater than that of a microscope.

The rat in question is the Gambian pouched rats, which are found in most places in Africa.  Researchers are training the rats to be able to smell Mycobacterium tuberculosis, the bacteria that cause TB.

The New York times reports a study conducted in which rats were able to smell the difference between TB bacteria and the other germs found in human sputum sample or phlegm.  The rats’ ability to detect TB was as high as 86.6 percent, and their ability to rule it out was over 93 percent!

Most TB tests involve staining a sample of phlegm with a special compound and examining it under a microscope. This 100-year-old method is notoriously unreliable, however — as many as 60 to 80 percent of positive TB cases are undiagnosed, partly because the bacteria are hard to spot unless there are a lot of them in the sample. But the rats were able to sniff them out, detecting 44 percent more positive cases in a head-to-head competition.

Last month, the World Health Organization endorsed a new machine that can provide accurate results within two hours, but it costs $17,000, and each test requires a $17 cartridge. Rats, needless to, come cheap and what a treasure.

Worldwide, TB killed an estimated 1.7 million people in 2009, and 9.4 million people developed active.

The data is still preliminary but encouraging. Eventually, the rats could be used as a first line of detection for the disease

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