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• W2040577907 abstract "Michael McCarthy's World Report (July 28, p 308)1McCarthy M The Global Fund: 5 years on.Lancet. 2007; 370: 308-309Google Scholar nicely summarises the success story of the Global Fund to Fight AIDS, Tuberculosis and Malaria in the past 5 years. However, we think that two important points have not received adequate attention.First, the Global Fund has signed the Paris Declaration on aid effectiveness.2OECD-DAC Working Party on Aid EffectivenessHarmonisation, alignment, results: progress report on aid effectiveness. OECD, Paris2005: 85-93Google Scholar Meetings of the Global Fund leadership are necessary, but will not suffice to achieve harmonisation, which also requires attention at the country level. In many countries malaria and HIV/AIDS control programmes are still executed in parallel, often by the same body, without even a minimum dialogue across programmes. Country coordinating mechanisms required by the Global Fund could have a more prominent role here and should be actively encouraged to pay attention to this aspect.Second, McCarthy briefly mentions the need for transparency. Indeed, the Global Fund has been instrumental in promoting transparency and practices of good governance. Global Fund support to Uganda and Ukraine, for example, was interrupted partly because of poor governance and oversight from the country coordinating mechanisms.3Bass E Uganda is learning from its Global Fund grant suspension.Lancet. 2005; 366: 1839-1840Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar This is not a problem specific to the Global Fund, but concerns many other global health initiatives4Lorenz N Effectiveness of global health partnerships: will the past repeat itself?.Bull World Health Organ. 2007; 85: 501-568Crossref Scopus (17) Google Scholar and new financial management mechanisms such as sector-wide approaches and budget support.One way forward could be a mechanism of critical incident reporting as used in clinical practice.5Staender S Davies J Helmreich B Sexton B Kaufmann M The anaesthesia critical incident reporting system: an experience based database.Int J Med Inform. 1997; 47: 87-90Summary Full Text Full Text PDF PubMed Scopus (86) Google Scholar In this way, individuals and institutions would have the opportunity to report anonymously critical observations and claims of mismanagement, corruption, or fraud. This mechanism would serve as a complement to the Early Alert and Response System that the Global Fund has already put into place. Reported claims would need to be verified by an independent body or committee and could provide a safeguard for the Global Fund to maintain its good reputation as an innovative and efficient funding mechanism, which is vital for attracting and maintaining financial support.The Swiss Centre for International Health of the Swiss Tropical Institute is currently acting as Local Fund Agent for the Global Fund in 11 countries. Michael McCarthy's World Report (July 28, p 308)1McCarthy M The Global Fund: 5 years on.Lancet. 2007; 370: 308-309Google Scholar nicely summarises the success story of the Global Fund to Fight AIDS, Tuberculosis and Malaria in the past 5 years. However, we think that two important points have not received adequate attention. First, the Global Fund has signed the Paris Declaration on aid effectiveness.2OECD-DAC Working Party on Aid EffectivenessHarmonisation, alignment, results: progress report on aid effectiveness. OECD, Paris2005: 85-93Google Scholar Meetings of the Global Fund leadership are necessary, but will not suffice to achieve harmonisation, which also requires attention at the country level. In many countries malaria and HIV/AIDS control programmes are still executed in parallel, often by the same body, without even a minimum dialogue across programmes. Country coordinating mechanisms required by the Global Fund could have a more prominent role here and should be actively encouraged to pay attention to this aspect. Second, McCarthy briefly mentions the need for transparency. Indeed, the Global Fund has been instrumental in promoting transparency and practices of good governance. Global Fund support to Uganda and Ukraine, for example, was interrupted partly because of poor governance and oversight from the country coordinating mechanisms.3Bass E Uganda is learning from its Global Fund grant suspension.Lancet. 2005; 366: 1839-1840Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar This is not a problem specific to the Global Fund, but concerns many other global health initiatives4Lorenz N Effectiveness of global health partnerships: will the past repeat itself?.Bull World Health Organ. 2007; 85: 501-568Crossref Scopus (17) Google Scholar and new financial management mechanisms such as sector-wide approaches and budget support. One way forward could be a mechanism of critical incident reporting as used in clinical practice.5Staender S Davies J Helmreich B Sexton B Kaufmann M The anaesthesia critical incident reporting system: an experience based database.Int J Med Inform. 1997; 47: 87-90Summary Full Text Full Text PDF PubMed Scopus (86) Google Scholar In this way, individuals and institutions would have the opportunity to report anonymously critical observations and claims of mismanagement, corruption, or fraud. This mechanism would serve as a complement to the Early Alert and Response System that the Global Fund has already put into place. Reported claims would need to be verified by an independent body or committee and could provide a safeguard for the Global Fund to maintain its good reputation as an innovative and efficient funding mechanism, which is vital for attracting and maintaining financial support. The Swiss Centre for International Health of the Swiss Tropical Institute is currently acting as Local Fund Agent for the Global Fund in 11 countries." @default.
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• W2040577907 title "Global Fund: harmonisation and good governance vital" @default.
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• W2040577907 doi "https://doi.org/10.1016/s0140-6736(07)61509-8" @default.
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