Global Fund Watch [to 29 November 2014]
:: Global Fund Calls for End to Compulsory Treatment
26 November 2014
The Global Fund called for the closure of compulsory treatment programs to change sexual orientation, compulsory rehabilitation of sex workers and compulsory drug detention centers. The Global Fund committed not to finance programs in such facilities.
The Strategy, Investment and Impact Committee of the Global Fund Board reported to a meeting of the full Board on 20-21 November that under a new policy the Global Fund explicitly refuses to fund programs with compulsory treatment.
The Global Fund is committed to ensuring that programs it supports do not infringe upon human rights. The United Nations Special Rapporteur on the Right to Health and other UN experts have found that these programs frequently include torture, cruel, inhuman and degrading treatment, as well as forced labor, among other abuses. Twelve UN agencies have called for the closure of compulsory drug detention and rehabilitation programs.
“The evidence is overwhelming that compulsory treatment facilities for sex workers and drug users, and programs that seek to change sexual orientation, are not scientifically valid and undermine the fight against HIV, TB and malaria,” said Mark Dybul, Executive Director of the Global Fund. “Trust is essential in the relationship between health workers and patients. The fear of compulsory treatment drives people underground and makes it harder to reach them.”
While opposing compulsory treatment facilities, the Global Fund may in exceptional circumstances finance scientifically sound medical services to save lives, where there are heightened processes and scrutiny. For instance, to provide lifesaving treatment to people detained in a compulsory treatment facility, the Global Fund may fund health services for detainees in a voluntary, community-based treatment program located outside the detention facility. Exceptions would be determined based on consultation with UN partners.
:: Global Fund Analysis of Audits and Investigations
25 November 2014
At the 32nd Board meeting of the Global Fund to Fight AIDS, Tuberculosis and Malaria, held 20-21 November, the Board was informed of an analysis of audits and investigations, reaffirming a policy of zero tolerance for corruption and a commitment to a high degree of transparency. The Global Fund reports all cases of misused funds, publishing audits and investigations reports on its website.
The analysis found that 1.8 percent of funding that was audited or investigated from 2005-2014 was misspent, fraudulently misappropriated or inadequately accounted for. The Global Fund has recovered a key portion of those funds, and is actively pursuing the remaining amount…
…Of the 1.8 percent of funds that were detected as misused, 0.4 percent were lost to fraud, 0.7 percent were unsupported by proper accounting, and 0.6 percent were deemed ineligible, or spent on activities not covered by the grant agreements. A further 0.1 percent were not adequately reported.
Cees Klumper, Chief Risk Officer, reported to the Board that the analysis is a factual rendering of the percentages of funding revealed in audits and investigations to be ineligible, misappropriated or inadequately accounted for. He cautioned that the analysis did not reflect a representative sampling of all Global Fund grants, as audits and investigations tend to focus where specific risks have been identified.
The analysis shows that US$103 million were misused and recoverable by the Global Fund, equivalent to 1.8 percent of US$5.7 billion in grants that were audited or investigated. US$30.4 million has already been recovered. Written commitments to repay a further US$16.8 million have been received and US$1 million has been adjusted. Efforts are being pursued to recover the remaining amount….