Global Fund to Fight AIDS, Tuberculosis, and Malaria: U.S. Contributions and Issues for Congress [open pdf - 366KB]
The Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund, or the Fund) was established in 2002 as a public-private partnership that could provide significant financial support for global responses to HIV/AIDS, tuberculosis (TB), and malaria. As of March 31, 2011, the Global Fund has committed to provide some $21.7 billion to help 150 countries fight these three diseases. To date, the Fund reports providing support to treat 3 million HIV-positive people, about 8 million people infected with active TB, and 142.4 million cases of malaria, saving about 6.5 million lives. [...] Proposals to reduce federal spending have begun to dominate foreign aid debates, with some Members of Congress aiming to target foreign aid accounts in an attempt to balance the budget. At the same time, others argue that cutting back on the relatively small size of foreign aid (about 1% of total budget authority) will do little to cut the deficit, but could imperil the lives of millions. In early 2011, reports about misuse of Global Fund resources in some grants ignited a debate about corruption in foreign aid in general, and in the Global Fund in particular. Some have called for donors to withhold support for the Fund until adequate safeguards are established. Others argue the Fund should not be penalized for oversight shortcomings, which are familiar to many aid programs. [...] This report provides background information on the Global Fund, discusses changes the Global Fund has made to improve the efficiency of its programs and address allegations of corruption, outlines U.S. funding for the Fund, and analyzes issues Congress might consider as it debates the appropriate level of support to provide the Fund.
CRS Report for Congress, R41363