The Lancet  
Nov 19, 2011  Volume 378  Number 9805  p1757 – 1824 e8
http://www.thelancet.com/journals/lancet/issue/current

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The Global Fund: getting the reforms right
Richard GA Feachem

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As its Board meets this month in Accra, Ghana, for its 25th meeting, the Global Fund to fight AIDS, Tuberculosis, and Malaria finds itself at a crossroads.1 Major reforms are needed to ensure its survival. The final report of a High-Level Independent Review Panel, which was tasked to examine the Global Fund’s operations in light of allegations of fraud, made six recommendations.2 The Global Fund, it argued, must transition from an emergency to a sustainable response; develop new risk-management approaches; strengthen internal governance; institute a new grant-approval process; strengthen decision making by middle management; and “get serious about results”.