Foreign Affairs committee  That's an excellent question. First, you're absolutely right. Human papillomavirus is very important globally, particularly because of the effect on women, as it increases the risk for cervical cancer. This vaccine is made available globally, which again is a huge development. F

Foreign Affairs committee  Thank you so much. Honourable Chairman, Svend and I are really delighted to be here to speak to you today about the Global Fund to Fight AIDS, Tuberculosis and Malaria. It's a great pleasure. We've been doing that regularly over the years, but there is also a particular reason t

Foreign Affairs committee  It's still achieving results. That is true particularly for malaria, I would suggest, because we have had some successful bed net distribution campaigns. That's not too difficult. You don't need an elaborate health system for providing communities and villages with bed nets. They

Foreign Affairs committee  Let me think of three examples, because then you will also see that the method of results-based funding will change, depending on the situation. You're right that the Global Fund has always said we are a results-based funding organization. That applies across the whole portfoli

Foreign Affairs committee  Yes, the whole question of resistance is a very important one. In your question you mentioned several challenges. One is that there is real criminal activity in some places where they produce fake drugs that are then brought onto the market. This is clearly criminal. This is, by

Foreign Affairs committee  It is a problem for any kind of global donor investing money in these countries. I think all agencies, bilateral or multilateral like the Global Fund, have built up systems that enable us as much as possible to not only help them build the systems but also detect when something g

Foreign Affairs committee  Yes, but it's significant money.

Foreign Affairs committee  It's significant money, but you should also know that if we find that, we follow that. In every single case we go after them and tell them that they have to repay it. That's what we call the recovery, so if you identify that loss, it doesn't mean that we just write it off. We ask

Foreign Affairs committee  That does not happen always and immediately, but we can recover at least about 50% of what has been identified as loss. Sometimes it's politically sensitive. You're sometimes dealing with political leaders. There have been court cases in these countries, but we do follow up on th

Foreign Affairs committee  It is quite a significant challenge. Homosexuality is strongly discriminated against in many countries, particularly in Africa, and it becomes particularly difficult if then some countries issue legislation, as you probably have followed, where they criminalize homosexuality. We

Foreign Affairs committee  We have to differentiate among the three diseases. For AIDS, where the biggest budget is in terms of antiretroviral drugs, we purchase 90% of those as generics and the bulk of that comes from India. India has a very vibrant generic industry of high quality, because it's not onl

Foreign Affairs committee  It's a challenge, but not one that would revise our predictions there. Malaria, among the three diseases, is probably the first candidate for elimination because so many countries are in the process of eliminating malaria. There are fantastic examples like Sri Lanka that had a bi

Foreign Affairs committee  I can reassure you there are many things that keep me awake at night. Also, I want to be clear. What I described was a very positive development globally, of which the Global Fund is a part. I did not claim that this was all just because of the work of the Global Fund. It is the

Foreign Affairs committee  Thank you very much, indeed. It's great you're mentioning Botswana as an example, so let me take that and answer your question through that. Botswana is one of the countries where I worked and advised hospitals before the Global Fund was created. In the years 2000 and 2001, Bot

Foreign Affairs committee  Thank you very much. That's an excellent question and provides me with the opportunity to talk a little bit about TB, which in some ways is the most neglected of the three diseases. I think there is much more public discussion on AIDS and on malaria. TB Reach has been extremely