Diary Prequel Package — page 15

determining programmatic allocations, operational rules and procedures, policies and strategies, approving financial plans and work programs, and attracting additional donations. In addition, the Council would make the final determination of the list of "best practice" models the fund would underwrite and the criteria necessary to win approval of letters of intent. The president of the World Bank, the Director General of UNAIDS and the Director General of WHO would be ex officio, non-voting members of the Council. Much like a university endowment, the fund would have a two-tiered financial structure. The "core fund" would comprise a pool of resources that could be support any activity falling within the work program and eligibility criteria approved by the Governing Council (except for limited restrictions by donors). At the same time, however, the fund would permit donors to earmark contributions for use on their particular priorities, as long as they fell within the overall purposes and priorities of the trust fund. Both "core" and dedicated resources would be combined in each grant in a way transparent to the recipient. Composed of international scientific, medical, public health and development experts, a Scientific and Public Health Review Committee would perform a rigorous technical peer review process to assess the grant applications. Drawn from developing and developed countries and international organizations, with experience in the affected countries, such as UNAIDS and WHO, the Committee will make final decisions about the feasibility and sustainability of proposed programs according to criteria for each "best practice" model prescribed by the Governing Council. The Committee will also operate under broad guidelines that spell out the recommended ratio of expenditures on prevention, treatment, and research the Council would prefer projects follow. The models we might support could cover primary prevention and education programs up to more sophisticated, comprehensive efforts that could involve basic care and treatment, controlled delivery of antiretroviral therapy, medical training, and clinical trials. Applicants will determine which one of the approved packages would be most appropriate and useful for the local context. Some might ask for resources to upgrade or build health centers to deliver basic HIV/AIDS or tuberculosis care and prevention programs. Others might want help with such programs plus training for physicians, lab workers, nurses, community health volunteers, and pharmacists. Still others might integrate both models with the provision of complex drug treatment. Every funded model will also include localized monitoring to assure the efficacy of the grant and to help inform the selection of proposals in the future. We will also emphasize technical assistance to those countries and organizations that are unable to satisfy our criteria in their letters of intent, so that over time they might also be able to participate. We believe the nearly complete drive to eliminate polio offers us a model to develop a strategy to control HIV/AIDS and the other major killer infectious diseases. The Administration is committed to making the fight against the global HIV/AIDS epidemic and other killers a priority, and we ask our friends and partners to join with us in a single, worldwide effort. Bullets for above document are listed below: Draft--For Official Use Only