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AIDS
Council under fire over levy
IRIN
News
September
14, 2009
http://www.plusnews.org/report.aspx?ReportID=86147
Zimbabwe's National
AIDS Council (NAC) has purchased US$890,000 worth of antiretroviral
(ARV) drugs following allegations that it was abusing funds generated
by a three-percent tax on income known as the AIDS levy.
The government body charged
with coordinating anti-AIDS efforts had collected about US$1.7 million
since February 2009, but spent only US$20,000 on ARVs, prompting
HIV/AIDS activists to call for a financial audit.
The AIDS levy was introduced
in 1999 to help finance HIV/AIDS programmes, particularly ARV purchases,
but the NAC has consistently come under fire for failing to use
the fund to improve the welfare of people living with HIV. Several
recent reports in the local media have alleged that most of the
money was being spent on salaries and perks.
"For years this
fund has been more controversial than beneficial to us people living
with HIV," said Stanley Takaona, deputy president of the Zimbabwe
HIV and AIDS Activist Union (ZHAU), which has been calling for reform
of the NAC.
"We want the NAC
to be removed from the administration of this fund so that it can
focus on its other role of coordinating HIV/AIDS programmes in Zimbabwe
- a more credible organization should take over the role of administrator.
We also want a thorough audit of the AIDS levy over the years."
Médecins Sans
Frontières, the international medical humanitarian organization,
estimates that 400 of the more than 1.7 million people living with
HIV in Zimbabwe die every day from AIDS-related illnesses; according
to the health ministry, about 155,000 patients are getting ARVs
from public health facilities - just under half the number thought
to be in need of the drugs.
In July the Global Fund
to Fight AIDS, Tuberculosis and Malaria replaced the NAC as the
principal recipient of grants after the Reserve Bank of Zimbabwe
(RBZ) diverted more than US$7 million of Global Fund money.
The RBZ eventually returned
the money, earmarked for scaling up the national ARV programme,
but Global Fund grants are now channelled through the UN Development
Programme (UNDP).
"When the
AIDS levy was set up, it was with the intention of taking care of
those living with HIV, not to pay salaries and buy expensive cars
for administrators of the fund - if we accept this [as the norm]
then we have totally lost the plot," said Dr Douglas Gwatidzo,
Chairman of the Zimbabwe
Association of Doctors for Human Rights (ZADHR).
"The money for the
administration of the AIDS Levy must come from the fiscus, so that
this fund remains solely for procurement of ARVs, care and support
of those living with HIV," he told IRIN/PlusNews.
The NAC has refuted the
allegations, insisting in a statement that no funds had been misused,
and blaming the delay in procuring ARVs on "long tender procedures"
and "the fact that it is not cost effective to procure ARVs
using the AIDS levy on a monthly basis, as the cost of procurement
will outstrip the intended supply."
Dr Gwatidzo said the
NAC should not be allowed to "hold the lives of people living
with HIV at ransom because of tender procedures ... I don't believe
that tender procedures can take as much as eight months - we are
talking about people's lives here, and they need to be serious about
this."
In an interview with
an official daily newspaper, The Herald, NAC executive director
Dr Tapuwa Magure said the recent purchase of ARVs would provide
treatment for at least 4,000 people for one year.
Most of the ARVs available
in Zimbabwe's public health sector are provided by foreign donors,
including the Global Fund, the UN Children's Fund (UNICEF), and
the Clinton Foundation.
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