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Will the Gates Foundation Fit the Bill?
J) Funding was disproportionately allocated to promote new technologies rather than helping to overcome the barriers to the use of existing ones.
k) Certain diseases such as diarrhea, pneumonia, malaria, HIV/AIDS, and tuberculosis, as well as vaccine-preventable diseases were prioritized not necessarily based on the need of the hour.
l) The foundation's over emphasis on technology has helped to take the focus away from the social determinants of health.
Conclusion
Gates foundation directly funds certain World Bank activities AND acts as a conduit to channel funds to other recipients as a result of which it is likely to have a major say in global health governance. It would therefore be necessary to monitor and evaluate the nature of the relationship between the Gates Foundation and the World Bank and its effects.
The Foundation funds the management, prevention and eradication of diseases not necessarily on the basis of priority. There are some indirect implications of the various reports that indicate that factors besides science, technology and opportunity play some role in decision making!
The active role played by the Gates foundation has promoted the formation of loose horizontal networks and has also helped to further increase the existing disparities between developed and developing countries.
Taking all this into account one wonders Who is Bill Gates accountable to for influencing or promoting these policies? As an organization that enjoys tax exemptions it must be subjected to some form of auditing by indepandant outside agencies to ensure it's credibility and in order for it not be marred by controversy.
Although no one doubts Bill Gates' genuine desire to help the poor and to do good, it is important to ensure that this desire is translated into genuine measures that effectively improve the health and well being of the poor and the needy.
References
David McCoy, Gayatri Kembhavi, Jinesh Patel, Akish Luintel
The Bill & Melinda Gates Foundation's grant-making programme for global health
The Lancet, Vol. 373 No. 9675 pp 1645-1653 (May 09, 2009)
Source-Medindia
Dr. Reeja Tharu/L
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