Back In The Closet: tdf

The Philippines and HIV have made headlines again. International headlines at that. It’s just a shame that it’s not something good. And nope, it wasn’t even anything about the number of deaths, new infections or prevalence or anything like that. It was something even more controversial. I doubt if you could even fathom it.

But then again, in the Philippines, anything can happen.

Global Fund grants have been directed towards efforts for three major areas of concern: Malaria, Tuberculosis, and HIV. The Global Fund has given over US$200 million in grants to the Philippines, a part of which is instrumental in affording free ARVs to 636 of us Filipinos who live with HIV, as well as the provision of other services, programs and efforts in line with HIV. And now, this funding has been suspended. Yes, suspended. What happened?

The Global Fund has three Principal Recipients of its grants for HIV to the Philippines: Pilipinas Shell Foundation, the Department of Health or DOH, and the Tropical Disease Foundation or TDF. And one of them has racked up over US$195 million in grants, of which US$1,000,000 remains unaccounted for. You’d expect it to be the DOH, because of the reputation of the Philippine government and its officials... but surprisingly, it’s not the DOH.

I first encountered the TDF during my debut into the HIV world, back when I was still frantically searching online. I was searching for information, and individuals and groups that could possibly help me out. I chanced onto their website, and remember sending an e-mail to someone from their HIV program, whose e-mail address I found on the site. I was simply asking what kind of assistance they provided, and if I could be eligible for any of it considering I was just diagnosed with HIV. Sadly, I never received any reply from them.

As the Principal Recipients of the Global Fund, I’m guessing that from the TDF and the other Principal Recipients, the money gets distributed to the grassroots institutions like the RITM and San Lazaro, as well as organizations like our faaaaavorite NGOs. But then of course, as the top-level beneficiaries to the grants, it is the Principal Recipients who are held accountable for whatever money they received... an accountability and a responsibility that the TDF has allegedly forgotten.

According to reports, the TDF has failed to properly account for US$1,000,000 of the grants that it has received from Global Fund. The Global Fund has coined the amount as “unauthorized expenditures”. As a result, the Global Fund has opted to suspend further funding until the whole amount has been accounted for or reimbursed. US$1,000,000?! Almost PhP50,000,000?! Good luck with that.

Indeed, good luck is what is needed, especially for us who should be benefitting directly from the grant. Because of the controversy that the TDF has fallen into, Global Fund is said to have suspended enrollment of new beneficiaries into the program. New beneficiaries, as in new pusits. Which I think means no one will be starting their HIV journeys under the support of Global Fund in the meanwhile. Fortunately, the way I understand it, for us who are already under the programme, the support will continue. Whew.

I’m not going to go on ranting to whomever and at whatever at this point. I certainly do not know all the details. Of course, I do still hope against the possibility of the money making its way towards the personal gain of those who should not have been benefitting from it. We all know how money can make the world go ‘round... and how it can harden hearts and cloud minds. Hopefully, it’s just some administrative or accounting glitch that we’re dealing with here. Only heaven knows what really happened to that money.

One solution that is being looked into, I believe, is to replace the TDF as Principal Recipient of their part of the grant. Meetings for this have been scheduled for October 19th. It is said that the DOH is being eyed to fill the void. And if I understand it right, once the new Principal Recipient of TDF’s part of the grant has been established, the support will also be reinstated along with it. My fingers are crossed that it will really be that easy.

I’m running on my last month’s supply of ARVs. I’m scheduled to get a refill sometime November. Should I be worried that the next time I go to get a refill, I might not get any? Not yet. Not at this point, at least. Until someone comes up to me and says, “I’m sorry B.I.T.C.H., we’re no longer going to be able to provide free ARVs from now on,” I refuse to be bothered. Worrying just won’t help.

I see “suspended” as postponed, deferred, or delayed. Not stopped. Meaning it can go back to how it was before. I’m really trying to stay positive in all senses of the word. I’m just thankful that the Global Fund has not decided to completely cut its ties with the country and its beneficiaries here altogether... myself included. I know that as someone who may be directly affected by this problem, it should be easy for me to crucify anyone who may be the cause of this controversy. But you know what, if there is indeed anyone letting greed run his show, then I leave him to his karma.

Read more on this story from the Global Fund and the Philippine Star, and the response of the Tropical Disease Foundation to the allegations.