I would like to congratulate the civil society team at the secretariat for being open and responsive to requests from civil society. I have had good experiences with the secretariat.

A Very Important Note: The Global Fund is perceived as a dictating hierachy and not a team player. I have wondering for a very long time if the Global Fund considers the rural communities, rural people to be partners or service recipients? For one thing, if we all work in a partnership, all partners must be educated and treated equally. If we work as a team, the rural communities are actually also team players. It is no longer "us" versus "them", but "we". I think this is one of the biggest problems I see in the models in that we do not see those we serve as the centre of our prevention, care and education activities. Instead, we see our communities as mere service recipients. In Nursing profession, the patient is at the centre of the care continuum. We all have a job because the patient is who we are caring for and therefore our customer service has to be exceptional. If we transfer this cross transfer this concept from patient centered care into community centered care we will be far more understanding and highly sensitive to our community's needs and do a good job. What is most pathetic is that our rural communities don't even know that strange word called MDGs. How can we talk about achieving the MDGs when we have millions and millions that don't understand its meaning?. Our rural communities have zero conceptualization of our MDG jargon and therefore not included in the participatory model that have been portrayed in the CCM reports. This is a very sad state of affairs and futher magnifies the problem of how deep and in how many layers functional illiteracy is rooted. If our people don't understand the jargon (what we are doing) how do we expect them work towards the achievement of the MDG's. At last check this was also a new phenomean within Higher Education. Our results should be a joint effort and better stated a team efforts with our communities as equal teamplayers in the care and prevention continuum. In conclusion I want to say that the MDGs have never been functionalized and that is the reason we have not been able to achieve them. Fenna

Secretariat can interact with many stakeholders in the form of companies, NGOs and non-governmental organizations, private and public sectors, and social institution for the allocation of the work of the Global Fund has been limited to a small number of stakeholders, especially in urban areas who may They can have access to technological facilities such as the Internet. People in rural areas may not even be aware of the exhibition to the Global Fund because of the limited facilities and technology that could help the Secretariat in the process of decision-making grants, and grants from various stakeholders including proposals, and an estimate of integrated approaches to disease prevention and treatment, as well as administrative support to the affected population And the participation of civil society

My response to the esteemed member Mr. Joseph Ngunju - to the e-forum facilitators, I appreciate you respecting my way freedom of expression on this e-forum. Thank You. The Unqualified Chosen People are often unreasonable, illogical, and self-centered; Forgive them anyway. If you are kind, people may accuse you Of selfish, ulterior motives; Be kind anyway. If you are successful, you will win some False friends and some true enemies; Succeed anyway. What you spend years building, someone could destroy overnight; Build anyway. If you find serenity and happiness They may be jealous; Be happy anyway. The good you do today, People often will forget tomorrow; Do good anyway. Give the world the best you have, And it may never be enough; Give the world the best you’ve got anyway. You see in the final analysis, It is between you and God; It is never between you and them anyway. This poem is engraved on the wall of Mother Teresa’s home for the children in Calcutta Fenna E. Bacchus + 254 728 76 9090 Im in Kenya I look forward meeting you.

Great Fenna, I have carefully been following your contributions to the e-forum which have demonstrated uniqueness in skills,advocacy and courage. It is unworthy to continue committing the public to make observations on health and operational issues that are never acted upon- mere gimmick. I agree with you the secretariat lacks global image,representation,and it's otable that the Gf is biased against the African diaspora leading to ommission on recrutment of African academic giants within the secretariat. We therefore call upon the G8, for mmediate intervention to ensure establishment of regional secretariat offices if at all the MDG targets on universal ccess to prevention,treatment, care and support of all in need will ever be achivable. However, the UNITAID should show commitment in addressing the intellectual property rights issue. In unison, the voices you have raised will not go waste but will help to save millions of women and children living with TB/HIV and malairia prone in sub-saharan Africa going to human waste. in solidarity. Joseph Ngunju

I believe going regional would help GF secretariat to be more effective because it will make it easier for GF's repients to work better and also be able to have first hand information on the goings on of any given project. As things are now, it costs alot in terms of money and time for staff members to travel ong distances in far away projects and sites to obtain information on the progress or shortcomings of the projects and sometimes depending on the commitment of the staff member, they go back to headquarters not having obtained the real picture of what is going on. This is because due to the distance and the time frame the staff member is allowed to spend in any given project, he/she may not have enough time to really assess what is going on and that means they have to go bythe information that is made available to them by the owners of the project. You can see that even the best assessor may not have the capacity to verify the information made available to them. You must also take note of the fact that the distance makes it easier for some scruplous Ngos to take advantage by not giving the right information to the staff member. It is easy for them to manipulate information because they that know the staff member may not have the capacity and/or enough time to verify the information. What happens in such cases therefore is that the staff members will surely go back not having got the real picture of what is going on. On the other hand if there was a regional office, things would be made much easier because atleast the staff member can afford to spend more time in any given project and therefore making it easy and more effective for them to get the right information on whether the project is progressing or declining. And it would also make the GF secretariat more accessable to their recipients.

To: The Global Fund Secretariat: From the Offices of the Literacy MDG Doctor I have read the glowing recommendations given by members of the Global Fund e-forum and appreciate their sincere contributions and input. This e-forum has been an eye-opener in many ways. In as much as the Global Fund Secretariat has tried we commend them for the wonderful things they have done in terms of establishing partnerships, fundraising and care to affected populations. However, we the forum of Public Opinion are the ultimate judges of your performance. You have to be tried in the court of public opinion. Therefore, it is recommended that your jobs be tied into performance-based evaluations and that your performance score is above 85% to remain eligible for employment. When US tax-dollars are used in programmes it holds you to far tougher standards because you have to be personally accountable to every US tax payers. You have not tamed corruption among some of your partners that provide pharmaceuticals. I have uncovered evidence that showed up in certain countries. Your grade is therefore in this area a standing "F" since you have indirectly risked the lives of millions of indigenous citizens by not stemming this vice. I have not experienced open-mindedness /transparency from the secretariat. You have scored an "F" in this area. When one tries to stifle the voice of reason and democracy it has come to a very tragic stage. It is equally a tragedy that so many questions have been posted to this secretariat and that no one had the decency and/or intellectual capacity to respond to me. You have also scored a standing "F" for failing to respond to such critical issues. What is most disturbing is that questions regarding intellectual property rights were never answered which implies that they are not respected by the secretariat. You have also scored another "F". Therefore, I abstained from participating in the GF Futures Scenario because this is no way to treat any person of respect and dignity. I do believe that we need more diversely qualified people in Global Fund Secretariat that can answer questions posed by global experts. We need qualified people in the Secretariat that have a strong interdisciplinary background of a minimum of 3-4 specializations in terms of educational preparation besides work experience. This will enable them to respond using a wealth of interdisciplinary knowledge and provide credible multi-sectoral solutions and also cut out the cost for hiring these so called outfit called "consultants". That is one quality that is lacking and critical to the future of the Global Fund. This is what the wave of the future is if we want to learn to solve problems and deliver credible results. The other problem I have noted is that the e-forum facilitators do not represent the ethnic diversity of the wide and broad ethnicity that they serve across Asia, the Middle East and Africa especially. This has left less favorable impressions about issues crossing cultural sensitivity and professionalism which I have first hand encountered. This has also put into question the hiring practices of the Global Fund. This needs to be put under the microscope of the global spotlight. Why don't we have representation of the African diaspora? Why don't we see an Asian face? Why don't we see a face from the Middle East? Does anyone want to tell me that Asia, Africa and the Middle East don't have highly qualified people to lead in such an e-forum? I am shocked if that is the case... then all of us are dummies. My question to the Global Fund Secretariat is: Is there equal opportunity employment practiced in the GF Secretariat, and if it is why is it that there is an appearance or representation of "one race"? If you have to be scored on this it will not be with a passing mark. You have let us down. I have already left permanent footprints as a plenary speaker at the International Conference on Higher Education and Quality Assurance that has dealt exclusively with the achievement of the MDGs. My voice can and will no longer be stifled; instead, I became the poster child of MDG implementation, collaboration and achievement within the framework of Higher Education. I was provided with an unrestricted platform and issued a clarion call for change by igniting a FIRE you will not be able to kill. I was welcomed with open arms to provide strong global leadership and respected for my international expertise. In closing, I don't feel I have made any impact for the past 5 months being part of the e-forum because of the attitudes, reprimands/deterrents and intimidation I have encountered within the Global Fund Secretariat. I do think we need a complete overhaul of leadership in the Secretariat in all departments to reflect stronger leadership that is in tune and in touch with the realities on the ground especially with the marginalized peoples better known as the nameless, faceless, voiceless and homeless constituents all over the underdeveloped world. Should we want to achieve the Malaria, TB and HIV/AIDS MDGs we cannot continue with this kind of mediocrity in attitudes and low level of performance. We need a complete overhaul of this outfit that is it representative in every department of the ethnic diversity, cultural sensitivity, scholastic ability and academic aptitude. I demand to see qualified people in this Secretariat. We have no time to waste. I do hope your Board of Directors is reading and listening what is coming your way. I will make sure the US Senate Committee on Foreign Relations is informed of this score card since we the US Citizens/tax payers along with many private citizens, the Bill and Melinda Gates Foundation and the Clinton Foundation have made significant contributions to the Global Fund and do not feel you have performed up to a high standard. Besides, your performance as the GF Secretariat as demonstrated in MDG 2008 Steering Committee report is wanting, shameful and disgraceful. You have not provided that leadership the underdeveloped world requires. Besides, you are nowhere close at the halfway mark in 2008, in achieving the MDGs by 2015. In fact, you are so remote from achieving these goals that anyone that understands all what is at stake will just get a massive myocardial infarction or cerebral vascular accident and drop dead. If you have not and cannot achieve the MDGs at the half way mark for the first 5-6 years, there is absolutely no reason to justify any of you keeping your positions, including your high profile consultants, because you have let down the very people you needed to look out for and serve. This is not a period of trial and error where you are experimenting with people's life especially when we are dealing with likely close to 1 billion people suffering from various kinds of morbidities and co-morbidities. Many of them also have to contend with Malaria, TB and HIV/AIDS. Do you realize how debilitating these diseases are? Unless you have contracted any of them you may not know how these people are suffering. These are all preventable diseases from the perspective of Epidemiology and Infectious Diseases. I feel you people have not taken these MDGs serious at all; and if you did we would have not seen this kind of mediocre performance. You are dealing with real people despite their illiteracy and poverty. They are people with a heart and a soul just like you. They deserve dignity and opportunity which has been denied them because of your poor implementation framework and strategic plan. The winds of change are blowing and, with me, millions in the world are rallying foro change and a completely overhauled Global Fund Secretariat. If all of you have a conscience for God's sake please step down and allow a complete overhaul of the GF Secretariat. Enough is enough. You have performed below standard; therefore, make room for people that are ready to take up the mantle and effect the critical shift in paradigm needed to rescue the human race. Fenna E. Bacchus

I fully agree with what Javad Ahmed have said. I think communication will be more efficient and valuable once it happened in close contact. We used to contact daily by internet and sometimes we used the telephone conference for detailed discussions about many activities about the grant. However, I believe that we consume too much time on issues that can be sorted out within few times if we the secretariat (focal person of the GF) close to us in the country. In many times the communication messages is clear but not understandable to one part, because the context of working environments and difficulties which we faced in the developing countries not realized by the secretariat. Its worthy to mention that most of the people I’m contact with in the secretariat are very cooperative and supportive. However, reaching on common understanding and meet the time of deliverables require the creation of new channel of communication between the GF and beneficiaries. One could say, the LFA! With high respect to the LFA whom very cooperative with us also. But, we need a technical sound communication not only a supervisors and a direct link authorized body not just channel of communication. To be more reasonable I think GF has to establish a regional offices and in-countries focal points as first step.

I noticed a little number of medical doctors knows the Global Fund in China. The funding opportunity could not be opened. The Global Fund Secretariat needs to make effort to make the organization more well-known.

I really appreciate the efforts and dedication of the secretariat staff, they are wonderful people. I wish to recommend that that more efforts should be intensified on the instructions given on call for proposal and there is an urgent need for capacity building on GF proposal development at the grass root level Thank you