Replies

http://www.cbchsportal.org/blog/

The Cameroon Baptist Convention Health Board (CBCHB) is a non-profit, faith-based healthcare organization, which started over 50 years ago in a small village (Mbem) in Donga/Mantung Division of the North West Province. It has over the years expanded into six of Cameroon’s 10 provinces: Northwest, Southwest, Center, West, Adamawa, and Littoral. Services offered by the CBCHB range from village Primary Health Care to highly specialized hospital-based care with an integration of other social services. It comprises 5 hospitals (2 of which are 250-bed hospitals), 23 integrated Health Centers, 43 primary Health Centers, Pharmaceutical procurement and distribution department, a Private Training School for Health Personnel (PTSHP), a Center for Clinical Pastoral Education and Social Services (CECPES), Services for People with Disabilities, among others. The CBCHB works in partnership with national and international governmental and non-governmental health care organizations, and funding agencies in Africa and other parts of the world.

http://www.pepfar.gov/documents/organization/212134.pdf

About 70-80% of Cameroon’s national HIV/AIDS program is donor-funded with the Global Fund for AIDS, Tuberculosis, and Malaria (“Global Fund”) as the largest donor. In prior years, the Global Fund (GF) provided $78 million (out of an approved $86.6 million) in assistance to Cameroon through three rounds of funding (3, 4, and 5). The GF Board recently approved Cameroon’s Round 10 request for $133 million with grant agreements signed in December 2011. Other key donors in Cameroon are the World Bank, France, Germany, UNITAID, and UN agencies.

With strong German and French support, the World Bank recently launched a four-year €100 million Health Sector-Wide Approach Project (SWAP) that will strengthen key systems, including those that support HIV/AIDS services. Germany focuses on budgeting, financial management, and support to regional and district-level institutions. Germany and France also support ESTHER (Ensemble pour une Solidarite Therapeutique Hospitaliere en Reseau) activities, which includes a twinning program with French hospitals in order to deliver TA and training. The Clinton Foundation, through its Clinton Health Access Initiative (CHAI), administers UNITAID funds and provides 100% coverage of second-line and pediatric ARVs.

UNITAID provides €10 million to ESTHER to: improve the performance of the supply circuit for pediatric ARVs, second-line treatment and laboratory testing reagents; facilitate early detection and treatment for children; build capacity for identifying and monitoring patients and improve the pharmaceutical chain.

Ten UN agencies are active on HIV/AIDS issues in Cameroon with the WHO leading in health sector coordination, providing TA to the MOH for planning and evaluation. UNAIDS has a small staff in Cameroon but provides important leadership for the national response with a strong program of support to PMTCT, early infant diagnosis, and in- and out-of-school youth programs, including some HTC.

UNESCO has supported development of a life skills curriculum covering HIV/AIDS that is being integrated into teacher training and schools. The UNDP supports civil society strengthening.

Faith-based organizations operate health networks and are active partners in the national HIV/AIDS response, with little information on the financial scope of these activities. The Roman Catholic operates the largest health network and the Cameroon Baptist Convention Health Board (CBCHB) operates in 6 regions (is currently a key USG implementing partner for the PMTCT). The Presbyterian and Seventh Day Adventist also have a large network.

http://www.breitbart.com/big-government/2015/03/16/clinton-foundation-financial-disclosures-still-a-shambles-despite-hillary-clinton-oversight/

Trouble with the largest element within the Clinton Foundation

The single largest portion of the Clinton Foundation (in monetary terms) is the Clinton Health Access Initiative, which is based in Boston but operates extensively throughout the developing world.

Until 2012, the financial statements for CHAI were audited by B.K.D. LLP out of their Little Rock office–for the year ended December 2012, CHAI switched auditors, selecting a team based in Boston from another U.S.-based firm with limited international capabilities called Mayer Hoffman McCann, PC.

The most significant activity performed by CHAI and by a predecessor Clinton charity that operated in the same field, is working with an unusual organization called UNITAID to distribute certain health products to needy recipients.

In 2006, UNITAID was formed by a group of governments, led by France, the United Kingdom, and Norway; and is supported by the Bill and Melinda Gates Foundation. Governments in the UNITAID consortium take “voluntary assessments” chiefly from airline tickets having a foot inside each participating nation and channel these into a central pool. This pool and links with the World Health Organization are used by UNITAID to achieve price discounts for key health products in negotiations with vendors.

In UNITAID’s financial statements, the Clinton Foundation and CHAI are described as “implementers”–essential organizations that help ensure essential health products reach intended beneficiaries.

Unlike BKD, MHM concluded by May 23, 2013 that CHAI had been acting all along only as an agent in performing work in conjunction with UNITAID—this meant that CHAI’s consolidated revenues and expenses were much smaller than originally reported in BKD’s 2011 audit.

For 2011, BKD’s audit (completed June 27, 2012 but listed as having been updated November 22, 2013) confirmed consolidated revenues of $171.3 million for CHAI, consolidated program costs of $164.5 million, consolidated total costs of $172.7 million, and a consolidated decrease in net assets of $1.4 million.

MHM explains in its report how it believes CHAI was acting performing work with UNITAID:

“CHAI acts as an agent acting on behalf of UNITAID overseeing the various business aspects of enabling the efficient and effective administration of the program. As an agent, CHAI does not record revenue or expenses associated with UNITAID funds….”