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From: PlusNews <[email protected]>
Date: Wed, Apr 18, 2012 at 2:56 PM
Subject: HIV/AIDS: A Rogues' Gallery
To: Elisabeth Janaina <[email protected]>


HIV/AIDS: A Rogues' Gallery

JOHANNESBURG, 15 April 2012 (PLUSNEWS) - Grantees of the Global Fund
to Fight AIDS, Tuberculosis (TB) and Malaria who allegedly committed
fraud or misused funds unwittingly did a lot of damage to the Fund -
and, many say, global health - as donors withdrew and the beleaguered
organization faced a "crisis of confidence" in recent years. But the
Fund has responded and is undergoing an extensive restructuring
process. IRIN/PlusNews takes a look at some of the alleged fraudsters
and the progress of the investigations.

2009 Mali [ http://www.scribd.com/doc/83403550 ]

Alleged culprits: Malian Ministry of Health, National Control
Programme against TB, National Council for the Fight Against AIDS, and
the National Programme for the Fight Against Malaria.

Allegations: In December 2010 the Global Fund announced that it had
suspended two malaria grants with immediate effect, and had terminated
a third TB grant after it found evidence of misappropriation and
unjustified expenditure.

The Fund found that at least US$5.2 million in disbursements related
to HIV, TB and malaria had been misappropriated and little money was
dedicated to purchasing medicines. Organizations pilfered funds using
fraudulent invoices, per diem payments and training events. The Fund's
investigation revealed that organizations often colluded with the
Ministry of Health and national TB and malaria control programmes to
falsify invoices, signatures, bank statements and official stamps,
which were discovered buried in someone's garden.

By December 2010, the Malian authorities had arrested 15 people in
connection with the allegations and the Ministry of Health had repaid
$304,000. Due to possible threats against Global Fund staff, the US
government provided them with protection.

The investigation into the mismanagement of HIV funds was still
ongoing in July 2011.

2009 Mauritania [ http://www.scribd.com/doc/83397462 ]

Culprits: The national AIDS committee, the national TB programme, two
NGO networks, ROMATUB and RNLPV, the National Institute for Public
Health.

Allegations: In July 2009 the Global Fund suspended funding to the
executive secretariat of the national AIDS committee after finding
evidence of fraudulent and unjustified expenditures. The Fund demanded
the reimbursement of $1.7 million within three months, and immediate
removal of the people identified as being responsible.

Fake receipts, invoices and companies had been used to defraud the
Fund since 2004. According to audits by the Fund's Office of the
Inspector General (OIG), various local oversight bodies had failed to
bring this to the Global Fund's attention.

Officials of the national AIDS committee also instituted a kickback
scheme that required payments of up to 50 percent of a grant from the
NGO sub-recipient as a pre-condition for participation in Global Fund
programmes. Sub-recipients were also forced to issue invoices for
bogus training or expenses and then return this money to the national
AIDS committee. Witnesses said this was a long-running practice at the
national body and pre-dated Global Fund support.

The NGO network, ROMATUB, was an implementing partner in Global Fund
tuberculosis programmes. The Fund found that the network charged for
work never completed. It submitted photographs of the same people in
the same locations as proof of nationwide community outreach work
supposedly carried out in different villages.

The Mauritanian government cooperated in the investigations, refunding
$1.7 million and arresting four national AIDS committee officials. The
executive director of the national AIDS committee and all employees
working on Global Fund grants were removed.

As of March 2012, the Fund did not know whether those arrested had
been brought to trial, as prosecutions had not yet commenced by July
2011. According to the OIG, national law enforcement agents had not
communicated with the Fund since 2009.

The OIG has recommended that any further disbursements to Mauritania
be conditional upon the completion of all related criminal inquiries,
and those convicted serving sentences.

Mauritania, Cote d'Ivoire, Djibouti, Mali and Papua New Guinea have
been placed on an "Additional Safeguards Policy" list. Countries on
this list are subjected to closer scrutiny and restrictions on
financial transactions relating to grants. [
http://www.theglobalfund.org/es/mediacenter/pressreleases/Global_Fund_suspends_two_malaria_grants,_terminates_TB_grant_to_Mali/
]

2009 Zambia [ http://www.plusnews.org/report.aspx?reportid=92191 ]

Alleged culprits: Zambian Ministry of Health and Ministry of Finance,
Zambian National AIDS Network (ZNAN).

Allegations: After reports by a whistle-blower of fraud in Zambia's
Ministry of Health (MoH) in 2009, the Global Fund - with help from
Zambia's Office of the Auditor General - found that the ministry had
misspent $6.7 million. The Ministry of Finance and National Planning
had similarly misspent about $3 million and one of its accountants had
defrauded the Global Fund of about $104,000.

The Fund also allegedly uncovered fraud and misuse in the Zambian
National AIDS Network, then headed by former UN Special Envoy for AIDS
in Africa Elizabeth Mataka. The Global Fund audit of ZNAN highlighted
financial mismanagement that included the purchase of cars for
personal use by ZNAN management, exorbitant salaries that were
sometimes more than double the local sector standard, and the
disbursement of funds to sub-recipients who could not provide auditors
with financial records, as in the case of disbursements to the Maureen
Mwanawasa Community Initiative, headed by Zambia's former First Lady.

The Global Fund subsequently suspended grants to all these
organizations and stripped the MoH of its Principal Recipient status,
transferring this responsibility to the Zambia country office of the
UNDP. The change in Principle Recipient led to major delays in the
distribution of funds and stock-outs of antiretroviral (ARV) and TB
drugs for treating this common co-infection.

In August 2011 Zambian HIV activists delivered a petition to the
national AIDS council, demanding that government seize some of ZNAN's
assets in order to repay the money, and that government move to pay
back some of the money on the organization's behalf - as it had done
for the Ministry of Health.

2010 Nigeria [ http://www.scribd.com/doc/83398634 ]

Alleged culprits: Yakubu Gowon Centre for National Unity and
International Cooperation, Christian Health Association of Nigeria.

Allegations: The Global Fund alleges that the Yakubu Gowon Centre
misappropriated funds and exchanged $22 million of Global Fund money
for Naira, the Nigerian currency, on the black market. At least one
party involved in the transactions allegedly had previous links to
money laundering, fraud and conflict diamonds. The Christian Health
Association of Nigeria also engaged in black market currency trading.

As a result of the Yakubu Gowon Centre's transactions between 2005 and
2009, about $825,000 in Global Fund money for malaria programming was
lost, according to a Global Fund OIG investigation report, which
recommended that the Fund immediately terminate the Centre as a
Principle Recipient for its grants and bar it from any future
participation in Global Fund programmes.

When asked, the Yakubu Gowon Centre could not account for missing
funds. In a written response to the Global Fund's investigation
report, the Centre said the allegedly missing funds had gone to
operational expenses, management fees, maintenance and salaries.
Despite documentation demonstrating the contrary, the centre denied
allegations that it had used the black market to exchange currency.

In June 2011 the Yakubu Gowon Centre was replaced as a Principle
Recipient. Accounting firm KMPG, which was supposed to provide
in-country financial oversight, was also relieved of its position with
the Global Fund.

llg/kn/he[END]

This report online: http://www.plusnews.org/report.aspx?reportID=95294



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