Concluding the second day of the regional meeting, full day devoted to discuss challenges and agree on recommendations on the participation and inclusion of all sectors MCPs, there are mixed feelings among participants. One side feels that progress on recommendations and promotes dialogue and others argue that repeat old ideas and rhetoric abounds, not necessarily have the effect of changes and improvements.
In a series of meetings that the Global Fund Executive Director Michel Kazatchkine today held with various sectors, shared an analysis of the Fund and the MCPs very interesting from the conceptual and political. "The Global Fund and its governance mechanisms (national and global) proposes a concept of" health democracy. " A new paradigm of public health which has a policy that overcomes pose hygienists traditionally authoritarian and with partial eyes, "said Kazatchkine. "The current response to HIV / AIDS, Tuberculosis and Malaria action raises superseders to promote a collective responsibility and genuine participation of all sectors involved in the problem," he said.
But the political and cultural changes that are needed to reflect on ways of government programs and national responses seem to require different times to the urgency of these diseases.
Some of the major challenges that exist from the first minute of life remain the Global Fund over the years, accompanied by a sense of frustration for both the public sector, government and civil society.
There have been advances in terms of participation and ownership in countries, but there are serious bottlenecks when progress on issues the importance of harmonization, the need for monitoring performance and communicating progress and results. This takes on special importance this time there are trends that question the effectiveness of international aid, the rarity of these diseases and the need to concentrate efforts to prevent and treat them quickly.
much energy is spent on issues related to the "power", the institutional or economic power, losing focus on the need to more efficiently coordinate efforts to "power" to change things, improve them.
8 years ago, the international community concluded that it needed more financial and technical resources to respond to AIDS, TB and Malaria. Comparatively countries now have greater access to these resources, is when there is evidence that these needs were only part of the solution. There are still many loose knots, most are at the national level. The urgency of saving lives and mitigating the impact of the disease persists. But this is short today, the pressure to demonstrate that we still need a strong commitment of the international community to reverse the impact of epidemics. In such a way to continue funding efforts to meet Millennium Development Goals related to health.
Without falling into a metaphor related to climate change, it seems that we might lose in a forest, on how to solve an effective multisectoral participation in the Country Coordinating Mechanism of the Global Fund, losing sight that perhaps concerned only a tree, another great forest that is much harder to find the exit.
Javier Hourcade Bellocq
Key Correspondent Team - Asunción, 08/12/2009.
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