Global Fund toughens stance against corruption

BMJ 2005; 331 doi: (Published 29 September 2005) Cite this as: BMJ 2005;331:718
  1. Lynn Eaton
  1. London

    Richard Feachem of the Global Fund to Fight AIDS, Tuberculosis, and Malaria tells Lynn Eaton how the fund sees the enforcement of transparency and accountability as a vital step in ensuring results

    The recent decision by the Global Fund to Fight AIDS, Tuberculosis, and Malaria to suspend grants to Uganda on the grounds that the funds were misappropriated (BMJ 2005;331: 475) feeds the common perception that corruption is more rife in African countries than elsewhere around the world.

    Whether corruption is any worse in an African country than, say, in India or El Salvador, is open to debate. But how do aid agencies ensure that their funds are used for the purposes for which they are intended? And, from a medical viewpoint, what are the ramifications for public health if a funding organisation takes the difficult decision to suspend a grant?

    Dr Richard Feachem, executive director of the fund, fully accepts the difficulty of what he described as the “life and death” decision they had to …

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