The Global Fund to Fight AIDS, Tuberculosis, and Malaria Has Been Established but It is Premature to Evaluate its Effectiveness

GAO-02-819R: Published: Jun 7, 2002. Publicly Released: Jun 7, 2002.

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Title I of the Global AIDS and Tuberculosis Relief Act provided for the creation of a trust fund to be administered by the World Bank to combat the HIV/AIDS epidemic. The act mandates that the Comptroller General of the United States submit a report to Congress evaluating the effectiveness of the fund within 2 years of enactment of the statute. In January 2002, the Global Fund to Fight AIDS, Tuberculosis, and Malaria was formally established, but as of May 2002, funds had not been disbursed to any project. GAO reviewed the status of the Global Fund and found that as of May 2002, the Global Fund had received more than $2 billion in pledges, with $700 million available for disbursement in 2002. The United States has pledged a total of $300 million to the Fund through fiscal year 2002, and the administration has requested an additional $200 million in its fiscal year 2003 budget request. At its first board meeting in January 2002, the Fund called for proposals for its first round of grants and had received 322 proposals for projects in 101 countries by the March deadline. At its second board meeting in April 2002, the Fund awarded a total of $378 million over 2 years to 40 programs in 31 countries and also agreed to a fast-track process to approve an additional $238 million for 18 proposals in 12 countries.

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