In this post in her Global Health Blog, Guardian Health Editor Sarah Boseley examines the potential impact of reform within the Global Fund to Fight AIDS, Tuberculosis and Malaria on the organization’s future. She writes, “It’s been only seven weeks since banker Gabriel Jaramillo took over as general manager of the [fund], but it is already clear the worthy organization set up by Kofi Annan to channel money to treat and prevent diseases in poor countries is a leaner, meaner machine.” She continues, “Jaramillo, former chair and chief executive of Sovereign Bank, brings a tougher attitude to the organization.”

“In London on Tuesday to talk to the international development secretary, Andrew Mitchell, and give evidence with him to a committee of MPs inquiring into the changes at the fund, he talked to me of wholesale restructuring,” Boseley writes, and discusses some of these changes. She continues, “It may feel like rapid and unwelcome change to some of those in Geneva, but Jaramillo says it is not fast enough.” Boseley concludes, “Will it change the fortunes of the fund, win back the confidence of the donor countries and refill the coffers to allow more lives to be saved? Jaramillo certainly thinks so” (4/18).