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- W2615708596 abstract "Introduction The Global Fund to fight AIDS, Tuberculosis and Malaria (the Global Fund) was created to finance a dramatic turnaround in the fight against human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), tuberculosis (TB) and malaria, which cause over six million deaths each year. To date, the Global Fund has committed US$ 4.4 billion to country coordinating mechanisms (CCMs) in 128 countries. CCMs are central to the Global Fund commitment to local ownership and participatory decision-making, as well as responsible for developing each country's control programme and monitoring its implementation. (1) The the Global Fund recommends that CCMs should have a wide stakeholder representation from both the public and private sectors. The Global Fund Secretariat has developed extensive structures to ensure transparency and proper accountability, including detailed guidelines and criteria for (1) selecting projects for funding; (2) governing internal appeal mechanisms; and (3) selecting and defining roles of CCMs. In addition, local funding agents (LFA), who are supposed to be the eyes and ears of the Secretariat in each country, assess the capacity of the nominated principal recipient, verify disbursement of requests and progress, and review the annual audit reports. (2) To promote early identification of challenges to programme implementation, an Early Alert and Response System (EARS) has also been designed; this facilitates systematic sharing of information on grant progress within and outside the Secretariat and ensures timely response to the identified challenges. (3) The information gathered through this system--the guideline, criteria, grant application and programme monitoring--are available from the Global Fund web page. (4) What happened in Uganda? In August 2005, the Global Fund Secretariat suspended Uganda's funding of five grants (US$ 367 million) subsequent to a PricewaterhouseCoopers audit report, following a country evaluation, that exposed gross mismanagement in the Project Management Unit (PMU). (5,6) The mismanagement was evidenced by inadequate monitoring and accounting of grant expenditures; inappropriate, unexplained and/or improperly documented expenses; and lack of adherence to set criteria (such as for vetting of sub-recipients) resulting in entities being funded without evidence of their legal status. (7) The possible causes of mismanagement were considered to be (1) lack of capacity to manage the funds and undertake planned programme activities; (8) (2) low levels of civil society participation; (3) unclear roles and responsibilities of the CCMs, principal recipient and the project implementation unit, which led to the sidelining of the CCM (i.e. instead of reporting to the CCM, the PMU was reporting to the Ministry of Health); (9) and (4) poor communication between the members of the CCMs (for example lack of advance notice about meetings, late circulation of project proposal documents for review, and lack of, or failure to disseminate, guidelines such as the Project Implementation Manual which should provide guidance on how the PMU should select recipients for funds, disburse money and verify accountability). (10) In response to the suspension of the Global Fund funding to Uganda, the Head of State appointed a five-member commission, chaired by a high court judge, to probe and make recommendations for criminal prosecution of those found guilty, and also for recovering the Global Fund money from those who had misappropriated the funds. (11) In addition, an international accounting and auditing firm was temporarily hired to take over the management of the country's funding, while the entire staff of the PMU was relieved of their duties. Although the commission has not yet concluded their inquiries, the Global Fund Secretariat was satisfied with these measures and reinstated the funding. Over the past two months, the Global Fund has been heartened by the intensive efforts of our partners in Uganda. …" @default.
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- W2615708596 date "2006-07-01" @default.
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- W2615708596 title "The Global Fund Secretariat's Suspension of Funding to Uganda: How Could This Have Been avoided?/Comment Aurait-On Pu Eviter la Suspension Des Versements Du Secretariat Du Fonds Mondial a l'Ouganda ?/ Suspension De la Financiacion a Uganda Por la Secretaria del Fondo Mundial: [??]Como Podria Haberse Evitado?" @default.
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