Where's Our Aid Money Gone? Panorama


Where's Our Aid Money Gone?

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Washington is about to host the biggest fundraiser the world has

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ever seen. World leaders are gathering here to try to raise $15

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billion to fight world disease. It's the celebrity-backed way to tackle

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disease in the developing world. It's called the Global Fund. No-one

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will be denied these life-saving treatments. And we're already signed

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up. At a time of cuts, the UK's just pledged another ?1 billion. We will

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be saving a life every three minutes for the next three years. But is the

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Global Fund doing enough to protect our aid money? A proportion of every

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tax dollar that they give can also be lost to fraud and corruption. The

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main thing is to find the fraud. Panorama has evidence of delayed

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reports and unpublished allegations of corruption. That is a cover-up,

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the report has been suppressed. And we confront one organisation that

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benefitted. Are you lying to me? I'm not lying. Well, why not tell the

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truth, that it's in the report? It's not in the report.

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Our aid money can change lives. Here in northern Cambodia, people are

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being saved. The mosquitoes carry a deadly type of malaria. Hundreds

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used to die. This matters because malaria is a

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very real threat here. This region has the worst record for malaria

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cases in Cambodia. Now, death rates are falling because

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of a simple solution. Anti-mosquito Neds that we have

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helped pay for have given people protection. This net is extremely

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beneficial. For us, it helps us from contracting malaria. It is not just

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stopping mosquitoes, it's for all other insects, like lice. And it's

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working. Last year, nobody was killed by Malaria in these hills.

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Now, much of the money that's spent here on the ground saving lives

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comes from you and me, the UK taxpayer. But how it's actually

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spent is decided by another organisation. A multi-billion-pound

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operation called the Global Fund. Action! You can't argue about this

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result. This result is measurable in millions of lives. We must all be

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determined to finish the race. As you can see from this slick video,

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the Global Fund has some high-profile supporters. It's an aid

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organisation that's already raised $28 billion from governments and

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private donors like Microsoft founder Bill Gates and the rock star

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Bono. The money is used to tackle three

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big killer diseases - AIDS, malaria and tuberculosis. More and more

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people reach the point in their disease where they need these drugs.

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The results speak for themselves in Cambodia. I mean, it has been

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miraculous. I mean, you look at the numbers in the drop of TB in the

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country, the drop in the cases of malaria. You look at HIV. And that

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is all direct linked to Global Fund supporting these programmes.

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The UK Government has already given more than ?1 billion to the Global

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Fund. Two months ago, the Government announced it was giving ?1 billion

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more, part of an aid budget ring-fenced from other spending

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cuts. It makes us the world's second-biggest donor.

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We will be saving a life every three minutes for the next three years.

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Which is a massive, massive amount of people's lives. But it's not just

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the lives saved. It's also the diseases prevented that's equally

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important. Ten years in. 7.7 million people are alive because

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of the Global Fund. That was two years ago. The Global Fund now claim

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even more lives saved, 8.7 million. Let's be clear, millions have been

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saved, and that's incredible. But the detail matters when you're

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asking donors for billions of pounds. Even some of those who

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support the Fund question the figures. I think 8.7 million lives

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does represent a degree of spin. It's the Global Fund trying to make

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itself look good in the eyes of donors. I think a more accurate

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figure of the number of lives saved by the Global Fund alone might be

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between four to five million lives saved, as opposed to 8.7 million

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lives saved. We believe, and we are told, that

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our numbers are actually conservative. We work with the

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leading health organisations in the world that run the calculations with

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us, the WHO, UNAIDS, other global health organisations. They're the

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gold standard. The numbers are important because

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there's a lot invested in the Global Fund's system for handing out aid.

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In a nutshell, our Government gets the Global Fund to do some of its

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aid work. The idea was that the private sector would take on the

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lead role in the whole programme for international development around the

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world. And many of the different donors, including the UK Government

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Department for International Development, followed that model.

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Many people think it is the best way. The Global Fund lets local

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organisations manage the projects and the cash. It's less

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bureaucratic, but it comes with risks. It's not the Global Fund

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going out itself with its own personnel and doing things to a

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country. It's giving the money so the country can do it itself. And

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there is, almost by definition, greater risk in that. The risk, and

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it can happen anywhere, is corruption. If you simply hand over

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the cash to local governments and local organisations, then there's a

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chance that the money won't reach the people it's supposed to help.

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Here in Cambodia, over the last ten years the Global Fund has given

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grants of more than $330 million. We know it's made a difference in

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fighting those key three diseases, but there's also been corruption.

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The Global Fund came here to do an in-depth investigation in 2011. A

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year ago, it said its report would be out in the coming weeks. When we

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were in Cambodia two months ago, the report still hadn't been published.

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This obviously is not in the interest of the programmes. The

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development partners in Cambodia are not happy with it. I think even the

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Global Fund is not happy with it, that this report has been pending

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for so long. We were leaked a copy of the unpublished investigation

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report from inside the Global Fund. It is an uncomfortable read for

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donors, including UK taxpayers. For starters, it says deals worth $20

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million for mosquito Neds were won through improper commissions. The

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detail in this report is extraordinary. It says that

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officials at the National Malaria Centre saw commissions, which are

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effectively kickbacks and bribes, as a compulsory component of the

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procurement process. And that it was a requirement imposed by senior

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government officials. Two senior officials are said to

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have taken more than half a million dollars in improper commissions.

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With AIDS funding, there was a similar story. An official issuing

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contracts admitted taking a 15% commission on every deal.

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Tia Phalla is chair of the group that oversees Global Fund spending

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in Cambodia. In some of the HIV programmes, we understand that it

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was effectively a 15% rate. I have no information about that. But

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doesn't that make you very nervous? That's in the area that you look

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after. And it's essentially a 15% rate. You've gone very quiet, that

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seems to me to be quite shocking. No, no, no, I'm not shocking. You

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know, the problem is, like, you know, how can you come with some

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picture that I don't know you know? You must have seen it in the report.

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Sir? The problem, as you know, as we talked from the beginning, is that

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needs to be confirmed, that needs to be confirmed.

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The same leaked, unpublished report also said another organisation has

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questions to answer. It's a Cambodian health organisation

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called MEDiCAM. Investigators say what they found here was evidence of

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misuse or misappropriation of tens of thousands of dollars. And just so

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we're clear, misappropriation means theft. This was what the report

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said. Double billing of staff posts, double billing of computer equipment

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and consultants who were charged to donors but were never used. Dr Sin

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Sumony runs MEDiCAM. He seemed confident the allegations of

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corruption wouldn't be in the final report. I understand that

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investigators found evidence of serious corruption here at MEDiCAM.

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No, no, no, no, no. Now, let's be clear, as I understand it, they're

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quite specific, we're talking about people who are doing jobs that have

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been charged to different people. Computers that were bought and then

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double billed, accounts that weren't right. This is what the evidence is

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on MEDiCAM, as I understand it. What do you say about that? No, nothing,

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there is nothing of that. Investigators even found evidence of

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apparently falsified documents on Dr Sumony's own office computer. That

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the investigators found documents altered to make it look like $10,000

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had been spent, but in fact nothing had been spent. No, there is nothing

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like that. Just to be clear, you were telling me definitively. Very

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clear, very clear, definite. I think if you keep going like this

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interview, I prefer that we stop right here.

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You might think a report like this would be a disaster for the Global

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Fund. In fact, this is at the heart of what the Fund is supposed to

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offer. Transparency and zero tolerance of corruption. This

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investigation was part of the Global Fund's promise to protect taxpayers'

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money. And it was this man's job to find and expose fraud. John Parsons,

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a former director at the UK's National Audit Office, was the

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Global Fund's Inspector General. I think the Office of Inspector

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General under Parsons had a reputation for going out to country

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level, to the field, which is of course the best way to audit. You

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can't audit organisations by sitting in headquarters. Mr Parsons seemed

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to find a lot of fraud. In 2010, he published a series of reports.

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Corruption became a global story. The Global Fund Against AIDS,

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Tuberculosis and Malaria has announced new financial safeguards

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following allegations of corruption. Rooting out corruption was exactly

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what the fund's biggest donor wanted. The United States had

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insisted on an independent Inspector General. But rather than donors

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feeling reassured that fraud was being hunted down, all this honesty

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caused panic. Donors including the European Union suspended payments.

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People were scared to spend, you know, so three stories about fraud

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basically turned off the money totally. It had a huge chilling

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effect. So, I think it's been quite a negative experience and it hasn't

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helped create incentives for more rigorous fraud prevention. A year

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ago, the man whose investigations prompted the bad publicity was

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fired. The Global Fund says John Parsons was sacked for

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unsatisfactory performance. They said there had been three critical

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reviews of his work. Bernard Rivers founded an organisation that

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monitors the Global Fund. It is my understanding that Parsons was

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sacked because he was not a good manager and not a good leader. I

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dealt with him many times, I criticised him and his office in

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print many times, I concluded when the board finally fired him that the

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board had done the right thing. But, just a year before he was

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fired, the work of Mr Parsons and his team had been praised by an

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independent report, which called it...

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The only risk-mitigation strategy within the Global Fund that has

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worked. Panorama has discovered there was a lot more going on behind

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the scenes. We've been told inspectors felt under pressure to

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change the way they work. In public, the Fund was promising

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zero tolerance on corruption. But, in private, we understand the

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Inspector General was being put under pressure to water down his

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reports. Documents from inside the Global

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Fund show the inspectors felt they were being undermined. Saying they

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were repeatedly told not to look so deep. One said... The organisation,

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while parading transparency and openness, in practice views

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disclosure of results as negative, harmful and unwanted.

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Was there an attempt after 2011 to keep corruption quiet? No, no, quite

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the opposite. It would actually be a silly reaction. Because the worst

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thing you can do in this world today is try to hide things and be

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non-transparent. You have got to pursue and be honest and open and

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that's why we have pursued transparency and accountability so

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much. The issue of independence came to a

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head when the Inspector General stood his ground. The United States

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only releases all the cash if it is satisfied that the inspector is

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independent and free to do his job. John Parsons felt unable to say he

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was. A whistle blowing organisation has investigated some of the claims

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surrounding his dismissal. He was told that he should soften up

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reports, that his site visits should be curtailed. He should be a little

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bit more lenient in the conclusions that he drew and that was pressure

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brought to bear on his office. Then he's asked to certify that his

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office is acting independently and he says no.

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Without Parsons confirming that his office was independent and undue

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influence, the money from one of the fund's biggest donors would be at

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risk. At least $250 million was on the line. If the United States

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withheld the cash it would be hugely damaging to the Fund. Pressure was

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growing. John Parsons wrote to his bosses complaining about harassment,

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intimidation and retaliation. It is clear that your true intention is to

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weaken the function, simply because you don't like what we find and

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report upon. The following morning he was sacked. Even some Fund

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supporters were shocked. This is somebody, whose job was to

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ferret out waste and abuse and he did a very good job of it. It was

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embarrassing to the fund. And you know conveniently letting go of the

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person who exposed these problems was you know based on the evidence

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at the time akin to a hatchet job. Simply not true. It's simply not

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true but from what I have seen the decision was entirely based on

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performance and the inspector general's office since he left has

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actually published more reports, has started more investigations and is

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better staffed than when he was there. Those are the facts. After Mr

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Parson's dismissal, that vital US funding was approved. He's now

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taking legal action for unfair dismissal and defamation. But the

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Global Fund is fighting the case. Tonight, world leaders are in

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Washington. The Global Fund wants to raise $15 billion. But should

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donors, like the UK taxpayer, be worried about their investment?

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A proportion of every tax dollar that they give can also be lost to

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fraud and corruption. The main thing is to find the fraud. Fraud will

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exist. It's that we know how to find it and then that it's transparently

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shared with the world and those that are responsible are prosecuted.

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Remember that leaked report into corruption in Cambodia that was

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expected a year ago? - well the official report was finally

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published last month. Panorama can reveal there are

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significant differences between what the investigators wrote in the

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unpublished version and what the Global Fund now tells the world.

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For example, the unpublished report recommended the three organisations

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involved in the corruption should be banned for up to five years. That

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was gone from the published version. And remember MEDiCAM? Evidence in

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our leaked report suggested they were involved in four counts of

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corruption. In the published report, there's only one count left. Page

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148. It fails to mention the $105,000 supposedly spent on

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consultants. When inspectors tracked many of them down, they discovered

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these individuals had not been hired to perform consulting work and did

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not receive the payments recorded. It looked like a scam. The Global

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Fund only lost $20,000 because most of the consultants were paid for by

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the UK taxpayer. It cost us $80,000. MEDiCAM's boss denies the

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allegations against his organisation. Well, let's just

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choose one example, did you or did you not? You tell me, this is your

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chance. Did you or did you not bill more than $100,000 for consultants

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who didn't do any work for you at all? No. That didn't happen? No,

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that did not happen. Are you lying to me? I'm not lying. Well, why not

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tell the truth that's in the report? It's not in the report. We don't

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know, at the moment, what is the finalisation on the report. We have

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to see the finalisation report. That was filmed before the Global Fund's

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report was published. When it was, there was also no mention of the

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apparently falsified documents being found on Dr Sumony's computer.

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The fact that a report for a country that is a major recipient of funds

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of grants is suppressed for almost a year and then apparently the version

:21:33.:21:36.

that is to be released is somewhat less detailed than the original

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version, that is a cover up. The report has been suppressed. The

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Executive Director of the Global Fund agreed to an interview in

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Washington last Friday. We'd told him we wanted to ask about the

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Inspector General and the Cambodian report. But when I put the

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questions, he said he couldn't answer all the points. He didn't

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know why Cambodian allegations had been removed. I would imagine

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because they found out they were inaccurate or shouldn't be included.

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Allegations of corruption that directly the UK taxpayer have

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disappeared before it gets to the final report. Are you concerned

:22:20.:22:22.

about that? Depends on what the Inspector General says. I can't tell

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you that because I'm not involved in that process. Yesterday, the fund

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told us the Cambodia report was delayed because fresh evidence

:22:32.:22:34.

emerged a year ago. On the corruption allegations being

:22:35.:22:37.

removed, it said reports were limited to Global Fund grants and

:22:38.:22:38.

confirmed facts. The UK Government says it was warned

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about potential losses at MEDiCAM, but wasn't given the details.

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Obviously, I will ask the Global Fund but this is not something I'm

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aware of. You're aware of it because you've seen a report that I have not

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seen. While we were in Cambodia, we obtained another report from inside

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the Global Fund. It was about corruption in Africa - an alleged

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ten million euro scam. But this is the terrifying bit. It left nearly

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two million people, who thought they were protected, still at risk from

:23:15.:23:15.

malaria. It was in Burkina Faso. A company

:23:16.:23:26.

with apparently no experience of supplying mosquito nets won the

:23:27.:23:31.

contract to provide two million. The local company took ten million euros

:23:32.:23:35.

but bought cheaper nets from China which hadn't been properly treated

:23:36.:23:39.

with insecticide. The investigation was finished a year ago, but the

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report still hasn't been released. Are you worried by that? A year

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since that report was concluded and you still don't know about it? I am

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worried if there is verified corruption that we don't know about

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yet. I can't comment on that because I don't know. I haven't seen the

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report. The Fund replaced the nets and says the Burkina Faso report

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will be published when the investigation is complete and its

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standards of disclosure remain exceptionally high.

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If the Global Fund is imperfect in delaying for three months publishing

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something, naughty Global Fund, but more naughty the other donors who

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probably would never publish that stuff at all.

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Panorama has discovered that other Global Fund reports haven't been

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published. The investigations are also into corruption and were

:24:37.:24:39.

started more than a year ago but they have not been released.

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The official expression is potential value at risk. It's an estimate of

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the Global Fund money that could be lost to fraud. In Burundi, $2.7

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million. In the Democratic Republic of Congo,

:24:59.:25:07.

3.3 million. In Ghana, six million. And in Niger, $15 million. So, why

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haven't the figures been published? Well, unfortunately, there was a

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significant backlog from the previous inspector general that the

:25:19.:25:20.

current inspector general is working through. They started more than a

:25:21.:25:24.

year ago? You will have to ask the inspector general because it's an

:25:25.:25:27.

independent function. All I know is the inspector general waits until

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they have verification and accuracy of data, there's a due process that

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they need to go through. So, where does this leave donors to the Global

:25:35.:25:37.

Fund, including British taxpayers, who have just invested another ?1

:25:38.:25:45.

billion. You know, this is a huge amount of money and you need to make

:25:46.:25:48.

sure that money from the British taxpayer on my behalf is being spent

:25:49.:25:54.

wisely, rightly, etc, etc. What really matters is firstly that the

:25:55.:25:57.

Fund exposes these things itself, which it has, and secondly that it

:25:58.:25:58.

acts on them. And, in Cambodia, we found an

:25:59.:26:07.

example that shows why transparency is so important.

:26:08.:26:11.

It's Dr Sumony again. His organisation might have been accused

:26:12.:26:16.

of stealing taxpayers' cash a year ago but the aid money is still

:26:17.:26:18.

flowing. Is MEDiCAM still getting money from

:26:19.:26:26.

the Global Fund? After this ongoing investigation, we currently got the

:26:27.:26:27.

second phase. How much is that? This year is 700

:26:28.:26:41.

over 720,000. So, you have got another $720,000. Ahem. Is that

:26:42.:26:50.

right, even if it is just allegations, should you be given

:26:51.:26:53.

that amount of money, it's not, it seems to me like not learning the

:26:54.:26:57.

lessons. I don't think so. I think, number one, we did not commit that

:26:58.:27:00.

corruption. Number two, there has been a lot of system that, through

:27:01.:27:03.

the Global Fund support, that their financial management system has

:27:04.:27:08.

improved. Despite the allegations, Dr Sumony remains on the Global

:27:09.:27:11.

Fund's management committee in Cambodia. His organisation is still

:27:12.:27:16.

getting the Fund's cash and he is deciding who else gets it. The

:27:17.:27:20.

Global Fund suspended contracts with two companies who admitted paying

:27:21.:27:25.

improper commissions. It says there is now greater scrutiny. It is

:27:26.:27:30.

recovering stolen funds from MEDiCAM but wants to protect services. We

:27:31.:27:36.

don't want to punish the wrong people. As soon as we have an

:27:37.:27:39.

alternative for those individuals, that they don't life-saving services

:27:40.:27:43.

disrupted, then we can take action. That's zero tolerance, that's zero

:27:44.:27:44.

tolerance. Donors like the Bill and Melinda

:27:45.:27:52.

Gates Foundation say the Global Fund is one of the smartest investments

:27:53.:27:54.

they can make to save lives. And we have seen the sort of

:27:55.:28:04.

difference it makes to millions of lives - which is why it is so

:28:05.:28:09.

important the money gets through. Corruption damages trust and makes

:28:10.:28:15.

fools out of donors. But its real impact is felt in places like this

:28:16.:28:18.

because life-saving care is stolen away. The Global Fund is today

:28:19.:28:28.

trying to raise another $15 billion. Everyone agrees with the good work.

:28:29.:28:33.

We just need to be sure that the money gets to the people who need

:28:34.:28:35.

it.

:28:36.:28:41.

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