British Medical Journal
April 6, 2002 |
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Fund overwhelmed by requests
By Fiona Fleck, Geneva |
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The Fund, hailed as a major step in the fight against
AIDS,
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tuberculosis, and malaria when it was launched last year,
has been
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overwhelmed with applications from developing countries.
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A key project of United Nations' secretary general Kofi
Annan, the fund
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has received pledges from developed countries and private
donors to the
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value of $1.92bn (œ1.35bn; 2.20bn), of which $700-800m
will be disbursed
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this year and the rest in 2003.
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But developing countries are asking for $1.15bn, much more
than is
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available for 2002.
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Melanie Zipperer, a spokeswoman for the fund, said it was
unlikely that
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all applications would be successful and unlikely that,
despite the
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overwhelming demand, the fund would increase global spending
by 50% this
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year.
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"We have to raise more money, that's for sure. The
fight against AIDS
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alone requires between $7bn and $10bn globally. The fund
was never
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envisaged as the sole source, but as an additional mechanism,"
she said.
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A technical panel is meeting in Geneva, where the fund
is based, to
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consider the flood of applications most of which, totalling
$641m, came
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from 36 countries in Africa. All the applications are for
the prevention
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of infections and the treatment, care, and support of people
who are
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infected and others who are directly affected. The final
decisions on
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which proposals get funding will be taken at a board meeting
in New York
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on 22-24 April.
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According to the organisation, 40 million people are infected
with HIV. In
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seven countries in sub-Saharan Africa over 20% of all adults
are infected
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with the virus.
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Most applications were for existing programmes to fight
HIV/AIDS. Many of
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these focused on prevention: information campaigns, voluntary
counselling
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and testing, and prevention of mother to child transmission.
Some
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proposals aimed to strengthen treatment and community health
care. Ms
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Zipperer said there were also some requests for condoms
and a few for
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drugs.
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Proposals for fighting malaria included effective distribution
of bed
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nets, funding for treatment and better laboratory research
facilities.
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