Bill Clinton, Bill Gates: Fight AIDS more efficiently

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VIENNA, Austria (AP) — Two heavy hitters on the world health stage — former President Bill Clinton and billionaire philanthropist Bill Gates — called Monday for a more efficient fight worldwide against the AIDS virus.

In separate speeches at an international AIDS conference in the Austrian capital, Mr. Clinton railed against spending too much money on reports that just sit on shelves and urged that funds directly target AIDS sufferers. Mr. Gates, the co-founder of Microsoft Corp., said health groups must adopt better business practices that deliver more bang for the buck.

Mr. Clinton said many countries are misspending foreign aid. He said funding should go directly to local organizations because developing countries can deliver health services at a lower cost and less overhead than established organizations.

“In too many countries, too much money goes to pay for too many people to go to too many meetings, get on too many airplanes,” Mr. Clinton said. “Keep in mind that every dollar we waste today puts a life at risk.”

The number of people taking crucial AIDS drugs climbed by a record 1.2 million last year to 5.2 million overall, the World Health Organization said Monday. Between 2003 and 2010, the number of patients receiving lifesaving antiretroviral treatment increased twelvefold, according to the Geneva-based body.

“We are very encouraged by this increase. It is indeed the biggest increase that we have seen in any single year,” said Gottfried Hirnschall, director of the WHO’s HIV/AIDS department.

Mr. Clinton also called on aid groups to remember that the world was “awash in trouble” because of the impact of the financial crisis.

“It is easy to rail at a government and say why doesn’t the government give us more money if they’re giving somebody else money,” he said. “But the government gets its money … from taxpayers who have lower incomes today than they did two years ago.”

Mr. Gates said that although finding new funding was critical, more could be done with the resources that were already available.

The Global Fund to Fight HIV, Tuberculosis and Malaria, one of the biggest funders of AIDS programs, has in the past found evidence of fraud in countries’ health programs — such as Uganda and Zambia — and suspended their programs or tried to get the money back.

“Even if we advocate for more funding, we can do more to get the most benefit from each dollar,” Mr. Gates told delegates. “If we push for a new focus on efficiency in both treatment and prevention and we continue … to create new tools, we can drive down the number of infections dramatically and start writing the story of the end of AIDS.”

Some countries, such as Russia, are not using data to make funding decisions that target the right populations because those groups make politicians uncomfortable, Mr. Gates added.

“If you’re afraid to match your prevention efforts to the right populations, then you’re wasting money, and that costs lives,” he said.

Activists such as Asia Russell of the Health Global Access Project scoffed at the mention of efficiency and said it was misplaced.

“Unfortunately, the language around efficiency gets deployed, I think, often, as a distraction,” Ms. Russell said, adding that more funding was absolutely crucial.

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