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The Global Fund for AIDS, tuberculosis, and malaria

BMJ 2005; 331 doi: (Published 01 December 2005) Cite this as: BMJ 2005;331:0512478
  1. Jennifer Hall, preregistration house officer1
  1. 1King's College Hospital, London

The Global Fund for AIDS, tuberculosis and malaria seemed like a major player in the fight against these diseases from the outset, but its implementation to date has faced many criticisms. Jenny Hall explains

HIV/AIDS, tuberculosis, and malaria together kill more than six million people every year, and this number is growing1 even though these diseases can be prevented, controlled, and treated. The idea of an international funding mechanism to fight these diseases emerged at the Okinawa G8 summit in July 2000 and was unanimously endorsed at the UN General Assembly special session on HIV/AIDS in June 2001. By the end of 2001 a board had been selected, and the Global Fund for AIDS, tuberculosis and malaria (hereafter the fund) became operational in January 2002, with Professor Richard Feacham chosen as the executive director in April 2002.2

The purpose of the fund is to increase the resources available to fight these three diseases and to direct resources to those most in need. It attracts, manages, and disburses additional resources through a new public-private initiative. It aims to make a substantial and sustainable contribution to the reduction of infections, illnesses, and death from these three diseases, therefore contributing to the achievement of the millenium development goals.3 The eight millenium development goals-which range from halving extreme poverty to halting the spread of HIV/AIDS and providing universal primary education, all by the target date of 2015-form a blueprint agreed to by all the world's countries and all the world's leading development institutions. They have galvanised unprecedented efforts to meet the needs of the world's poorest.4 To date, the fund has committed $4.4bn (£2.5bn; €3.6bn) over two years to programmes in 128 countries.1

The principles

The fund has seven general principles that guide its activities. These are:

  • Operate as a financial …

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