Lancet: signs of wear and tear in key global partnerships

20 October 2010

Editorials and commentaries in last week's Lancet raise questions about the future of the Global Fund and Stop TB

Donor pledges at the third replenishment conference for the Global Fund to Fight AIDS, Tuberculosis and Malaria, fell badly short of what is needed, suggesting that the world is backsliding on its commitments which head's of state boldly reaffirmed only the week before at the Millennium Development Goal Summit in New York.  The Lancet points to failures in global health governance asking "why does WHO stay silent? Those close to discussions about the Fund's replenishment have often voiced surprise and sadness that WHO played little part in galvanising donor commitments to the Fund, viewing money going to the Fund as money not going to WHO. Multilateral failures have been matched by failures in the governance of global health." These are challenging statements which drive to the core of the ongoing debates over the role of WHO in global health governance.

The same Lancet issue presented a commentary from US global health experts, such as Professor Paul E. Farmer, suggesting the need for a "bold new vision" at the Stop TB partnership which is about to undergo a transitional phase as a new Executive Secretary takes over. "Here is an opportunity to reinvigorate the struggle against tuberculosis by recruiting new talent and energy from outside the traditional world of global tuberculosis control" state the authors, "Recruiting such a person will show serious commitment to a bold new vision. This opportunity should not be missed."

The above mentioned articles can be found at:




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