Important note: Information in this article was accurate in 2009. The state of the art may have changed since the publication date.
Integrated Regional Information Networks - September 11, 2009
The government was hoping to sign a contract with the Global Fund in September to complete the transition, but "Negotiations have yet to be concluded and there is no confirmation on when the donation will be made official," said Marcela Rojo, the Global Fund's spokesperson in Geneva.
"We are worried," said Daniel Delgado, president of the Esperança ("Hope" in Portuguese) Association, an NGO in the municipality of Santa Cruz, on Santiago Island, which relies on government-disbursed donor funds to distribute food parcels to orphans, HIV-positive people and their families. "The latest funds received were only enough to pay past-due bills," he told IRIN/PlusNews.
Zaida*, 40, an HIV-positive beneficiary of the food parcel programme, said she had not received anything in August: "I'm unemployed and I don't know what's going to happen to me from here on."
ARVs guaranteed until January
The national HIV/AIDS programme of Cape Verde, a small archipelago off Senegal in West Africa, has managed to reduce HIV prevalence from one percent to 0.8 percent and is seen as a model for other African countries.
Zaida is among the 405 HIV-positive people receiving antiretroviral (ARV) treatment, while 631 orphans are given psychosocial support and another 260 families affected by HIV receive food parcels.
Minister of Health Basílio Mosso Ramos said the transition between donors would not have any affect on the support provided to people living with HIV and their families because the government would take responsibility for supplying ARVs and support to AIDS orphans if the first disbursement of the Global Fund grant was delayed.
Cape Verde has enough HIV test kits and ARVs to last until January 2010, but Ramos warned that a lack of funds could jeopardize the ordering of new stocks, which could take months to arrive and be distributed.
Problems
"As CCS-SIDA [Coordination Committee for the Fight Against AIDS] is no longer performing the same role that it had alongside the World Bank, and because there were not enough resources to pay all of the employees, it was necessary to reduce the committee to a minimal structure," said Ramos. The CCS-SIDA staff of nine was reduced to five when World Bank funding ended in June.
He acknowledged that the government had relied on the experience of CCS-SIDA staff to successfully apply for a Global Fund grant. "The Global Fund's management requirements are much stricter than those of the World Bank - proof of this is that Cape Verde's proposal was only accepted in the eighth [funding] round," he commented.
CCS-SIDA will be the main recipient of grant money destined for the public sector, while an NGO platform will manage funds to be channelled to non-governmental HIV/AIDS organizations.
Ramos said a mission to the country by Global Fund representatives in July had found "weaknesses" and CCS-SIDA was instructed to improve its procedures for acquiring goods and services, while the NGO platform was asked to strengthen its human resource capacity and improve accounting practices.
Another Global Fund mission, expected in the next few weeks, will monitor improvements. Although no date has been set for signing the contract, the Global Fund's Rojo was confident that "the Fund will work with Cape Verde so that the first disbursement comes as quickly as possible in order to guarantee the ARV purchase process."
* Not her real name
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