Diary Prequel Package — page 16

Global Fund to Fight Infectious Diseases Bush Administration response to the crisis HIV/AIDS and other diseases have triggered in international public health. Multi-lateral, international public-private partnership to provide grants for prevention and health infrastructure development focused on fighting HIV/AIDS, malaria, and tuberculosis. Comprehensive plan to begin building a public health delivery system in Africa and elsewhere, an effort that should include prevention of new infections, care for the sick, provision of drugs, and training of medical professionals. Cooperation by many partners: our G-8 allies, the international community, pharmaceutical manufacturers, non-profits like the Gates Foundation, and the faith-based community that has a presence on the ground in the developing world. Goals • Prevent new infections, treat those already afflicted, build infrastructure for health care and disease control, and develop and train medical personnel. • Identify the needs of affected areas and allow communities themselves to develop an appropriate, comprehensive set of medical, social and support services. • Build on already established institutions and networks in local areas, including research relationships to ensure countries can sustain the fight on their own over time. Approach • Integrated approach focusing on prevention, delivery, care and treatment, along with components for health infrastructure improvement, surveillance of epidemics and care for orphans. • Start with a relatively limited number of projects, to research which approaches work best and are adaptable to local conditions, before scaling up over the next few years. • Link our efforts in health to expanded programs in the areas of education and nutrition in an international parallel to the Administration's campaign to "Leave No Child Behind." • Work cooperatively with major pharmaceutical companies to ensure greater availability of access to key drug treatments. • Continue to promote intellectual property protection, including for pharmaceutical patents, because of its critical role in the rapid innovation, development, and commercialization of effective and safe drug therapies. Structure • World Bank as trustee-- not involved in matters of policy, but repository for contributions from both governments and private donors • Small Executive Secretariat jointly staffed by the Bank, UNAIDS and the World Health Organization to undertake day-to-day management of the trust fund, including soliciting grant proposals. • Two-tiered financial structure like a university endowment: • "core fund" of resources to support any activity falling within the work program and eligibility criteria