Jerry - Feb 09, 2006

It seems the Fund should look very closely at Climate Changes and the Public Health issues that are affected through these changes. Flooding is a clear example as seen in Mozambique and Malawi.

Waterborne illnesses causing malaria, dengue and lack of resistance by the population contributing to tuberculosis are draining funds from local Ministry of Health budgets.

We must look closely at the sustainable development process through the Public Health and Climate Changes.

Marcella P. Montero - Feb 09, 2006

 agree with Sammi. GF is now already linking various sectors, NGO, government, private corporations and the affected community. In the future, this can prove to be potent in addressing issues by cutting across the various sectors and countries as well. In the end, it can hasten access, service delivery, awareness and advocacy to the neediest regions.

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Message by 'Rewbdog2', Nurse:

Location: Beacon, New York
Posted: Thu Feb 09, 2006 2:58 am Post subject: the appropriate role in the future

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The appropriate role in the future should be geared towards pain management. At this time so many are infected and in the latter stages of disease, that the fund should be focused on pain managemnet and hospice type treatments (Bed nets, surgical masks, proper habdwashing and infection control are cost effective.) Dealing with dying groups based on cultural and spiritual beliefs and also non medication pain relief such as "guided imagery and controlled breathing" are not only cost effective but also non invasive.

Then step 2 would be education to prevent further outbreaks from happening again -modes of transmission, incubation periods, infection controls, proper housing and clean and running water, receiving medical attention as needed (restructuring without overstepping.)

tort5670 - Feb 09, 2006

As one other person mentioned, EDUCATION will be key to the success of the Global Fund. However, education must be two-pronged: (1) educating those in affected areas, including those who will administer the resources and those who are/may become victims of AIDS, TB, or Malaria; (2) educating persons in the developed world who may be unaware of the impact of these diseases in other lands. I believe the RED Campaign will assist greatly in enlightening the world at large to the need. I cannot suggest methods of educating those in the affected areas, having spent only a very limited time in Tanzania.

Dr. Saka Mohammed Jimoh - Feb 08, 2006

In addition to the great work performed by the Global Fund (GF), I would like it to play a big role in Advocacy on the peculiar problems facing specific countries. GF should not only give money but also build/develop the capacity of its partners in project implementation, in order to cut cost and focus on programme activities through an objectives oriented approach. More importantly GF should focus on high risk geographic areas and people living on difficult terrain. Also high-risk populations are important targets. Communities, through community driven programmes, private medical practionners, and faith based organisations could be implementing partners in future.
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Dr. Saka Mohammed Jimoh

Timothy Mbugua - Feb 08, 2006

I believe the Global Fund (GF) has so far done a wonderful job and can build on its achievements. First, the fund should explore new areas where more funding and support is needed and encourage proposals targeting these areas. For instance, many countries in sub-Saharan Africa (SSA) have reached the "third phase" of the AIDS epidemic where they are confronted with a huge number of orphans and vulnerabe children (OVC). GF should stir funds towards support for this group failure to which all the other efforts of the Millenium Development Goals (MDG) may come to naught. The institutions that have been put in place like the Country Coordinating Mechanism (CCM) should be strengthened and supported to oversee effective and efficient implementation, monitoring and evaluation. GF and other key players like the civil society should continue to play an advocacy role of which it is strategically positioned particularly in increasing the access to ARVs by those in need. There is still a huge number of people living with HIV-AIDS (PLWA) who cannot access the drugs. Lastly, as long as there is no cure for AIDS, resources will be needed to confront it. Even in regions where HIV/AIDS is not a major disease, like Asia, there is fear that it is just a matter of time before the disease becomes a major disaster there and with its huge population this can be catastrophic. GF should therefore improve and expand its core business of raising funds e.g. by engaging the private sector and encouraging governments to fulfill their obligations to the fund.

T.K. Mbugua- Canada

rosejoshi - Feb 07, 2006

GF funded components within my country (Nepal) do not include facilities for, or outreach to people with disease. People with disease, who have good knowledge and skills, are already 'underground'. I don't see any good situation in my country, but GF could provide its resources directly to young people (Like students in schools or children from the street) to educate about the diseases and attract them/ make it stylish to volunteer to educate others.
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With Love and Hug
Rose Joshi

barry coleman - Feb 07, 2006

Our field is the field of sustainable transportation for health care services and other humanitarian interventions and I must say I think it would help a little if GF funding were associated with some achievable requirements in the area of proven, sustained delivery. It seems to be that we can all gain something by shifting some of our intellectual attention slightly from the refined and important area of policy-making down to the highly critical question of what happens on the ground... Our own teams on the ground have certainly been commissioned to manage vehicles purchased from GF funding that have been bought and delivered without any funding (or thought) for running costs. This means they will soon fail in Africa, as they would under such circumstances anywhere on the planet. They needn't fail (with all the ghastly downstream consequences). Making sure they function normally is a practical, at times slightly oily matter involving the regular replacement of filters and so on. But why, because it is oily and practical, should it not be thought about seriously at the moment the dispositions are decided upon and made? Can we connect the top and the bottom of the process a little better?

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Message from Ndegwa

Posted: Tue Feb 07, 2006 12:34 pm Post subject: future role of fund

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I think that, in general, donor agencies focus too much on short-term interventions. A typical example is famine relief efforts: for decades we have been receiving millions worth of relief food to regions whose climatic and physical conditions cannot support agriculture, instead of long-term sustainable initiatives (water supply, alternative economic activities, e.g. bees, handicrafts, etc)? The Global Fund should work towards avoiding this trap. The strategy should be more towards long-term solutions, i.e. via research, vaccinations, biological/ecological controls (e.g. of mosquitoes), availability of affordable drugs, awareness/education, prevention, etc as well as support for related issues like poverty.

Feb 07, 2006

Message From Spectranine


Joined: 05 Feb 2006
Posts: 1 Posted: Mon Feb 06, 2006 5:55 pm Post subject: Appropriate role of the fund in the future
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The functions or factors you list are important and will be pursued by all partners to one degree or another. The GF's most important role both now and in the future, one that no other donor has taken up as forthrightly and as well, is to provide a measure of transparency and accountability to the development process. The stress on these elements is quite revolutionary and their integrity must be guarded and nurtured. For me, after playing my part in the "development set' for 30 years, the GF's emphasis gives me hope.
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There is no limit to what you can achieve as long as you don't worry about who gets the credit.

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Message from Luc Comhaire

Joined: 24 Jan 2006
Posts: 2 Location: Belgium Posted: Mon Feb 06, 2006 10:32 am
Post subject: Future Role of GFATM for what TB concerns


The future role will certainly be important in terms of short-term impact. Whether its effect will be long-lasting will depend on GFATM's capacity to strengthen the sustainability of existing TB control programmes.
Hence not only disease-oriented objectives but also programme-related objectives regarding sustainability need to be considered when proposals are discussed. From what I've seen so far, I get the impression that the "sustainability-dimension"is not given sufficient attention.
During evaluations, this will inevitably come to the surface.
_________________
Luc Comhaire
Project Manager
Damien Foundation (Belgium)
Boulevard Léopold II, 263
1081 Brussels
Belgium


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Message from 'Nurse'

Joined: 18 Jan 2006
Posts: 2 Location: New York
Posted: Sun Feb 05, 2006 4:51 am Post subject: Role of the Global Fund in the future / In regard to treatment of the pandemics
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Public awareness of the diseases and the suffering of others is the key to everything. ... as a nurse and emt I deal with alot of people and it scares me to say, but most of the people I speak to have neither an idea about the scale of AIDS in Africa, nor what a pandemic is ... whatever it may take to give people the knowledge they need to understand and then maybe help out a little... the world population is not concerned with others simply because they are not aware and because it doesn't effect them now. Most people don't think in the long term, of how it will have an impact on their kids and grandkids.

Feb 07, 2006

What do you think should be the appropriate role for the Global Fund in the future? In particular, what do you think are new or different roles that the Fund is in a unique position to play especially well in the future (for example, because of its principles, its design, or its skills) ?

In thinking about the Fund’s role in the future, it may be helpful to think about what factors and/or resources you look to the Global Fund to provide, versus what you look to other funders to provide. For example, you could consider, amongst others, such factors as:

- Its effect on the pricing and availability of essential health products (drugs, bednets, etc.),
- Its ability to raise money
- Its advocacy on the global stage for additional funding to fight the diseases
- Its ability to fund country programs
- Its ability to encourage results from grantees
- Its ability to demonstrate its own results
- Its ability to support country priorities, plans, actions
- Its assistance to help support grant performance (like the focused assistance provided on procurement)
- Its cooperation and coordination with other international partners
- Its cooperation and coordination with government
- Its engagement of civil society
- Its engagement of the private sector
- Its support of health systems