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Agence France-Presse
Troubled Global AIDS fund shifts focus ten years on
<p>Peter Kenny</p>
January 27, 2012

GENEVA, Jan 27, 2012 (AFP) - Set up to roll back diseases that kill some
four million people each year, the Global Fund to Fight Aids, Tuberculosis and
Malaria is shifting focus under new leadership even as it struggles to shake
off corruption charges and keep its coffers full.

Founded on January 28, 2002, the Geneva-based fund has grown quickly into a
major player in global health and can take credit for saving millions of
lives, mostly in low income nations.

In 2009 it accounted for 20 percent of international public funding for
HIV, 65 percent for TB, and 65 percent for malaria.

But a scandal last year in which millions of dollars went missing, combined
with the economic crisis, have rattled the widely-praised organisation.

This week the fund announced a leadership change "to meet the new
challenges of our second decade".

"Our focus is shifting from an emergency response," to being a "sustainable
and efficient channel for funding to fight AIDS, TB and malaria," it said
following Tuesday's announcement that embattled head Michel Kazatchkine was to
step down.

In November, the fund said it would not bankroll new AIDS treatment
projects until 2014 because the world financial crisis had curtailed donor
country spending.

But the fund got a huge boost Thursday at the World Economic Forum in Davos
when IT-mogul turned philanthropist Bill Gates said his foundation would
donate an additional $750 million (570 million euros) above its current

"These are tough economic times, but that is no excuse for cutting aid to
the worlds poorest," Gates said in making the announcement.

"The Global Fund is one of the most effective ways we invest our money
every year."

Since 2002, the fund has disbursed some 15 billion dollars and is currently
saving some 100,000 lives a month, by its own estimate.

In the battle against HIV/AIDS, it has over that period provided
antiretroviral treatment to more than 3.3 million people.

It has also detected and treated 8.2 million people with tuberculosis, and
provided 230 million bed nets to families to prevent malaria.

Part of its mandate is to provide grants for projects in developing
nations, allocating money provided by governments and supporters, notably the
Bill and Melinda Gates Foundation.

Yet the fund has also faced controversies.

In February last year it announced it was beefing up its financial
safeguards after auditors found that $34 million (25 million euros) had gone
missing or been siphoned off in four African countries, leading donor Germany
to suspend payments.

On Tuesday the fund announced that Kazatchkine, a French clinician and
health advocate, was stepping down.

He said his decision was triggered by a management reshuffle and planned
spending cuts, and dismissed as unfounded allegations in the French media
suggesting favouritism in the funding of an AIDS awareness project supported
by Carla Bruni-Sarkozy, the wife of French President Nicolas Sarkozy.

Colombian native and Brazilian citizen Gabriel Jaramillo will take up a
12-month managerial post on February 1.

Since his retirement as Sovereign Bank CEO in January last year, Jaramillo
has served as an advisor to the Office of the Special Envoy for Malaria of the
United Nations secretary-general.

Praise for the fund came from Australian lawyer Peter Prove, heads of the
Geneva-based faith-backed Ecumenical Advocacy Alliance, which battles against
HIV/AIDS stigmatisation.

"We have enormous respect for the transparency with which the Global Fund
has identified, and is seeking to address, misuse and corruption related to
its funding," Prove told AFP.

The sense of emergency that enveloped the Fund after the revelations has
passed, he said.

"But the fight is not yet won, and the global HIV response will, for the
time being, need continuing and increasing support," he added.

UNAIDS says that although new infections show signs of declining, 34
million people were living with HIV at the end of 2010.