A report (.pdf), released Wednesday by the group ACTION (Advocacy to Control TB Internationally), finds that the World Bank and its partners’ programs to fight tuberculosis in sub-Saharan Africa are “not achieving intended outcomes” and have been mostly ineffective, Agence France-Presse reports.

The report “criticized the so-called sector-wide approaches (SWAps) in which donors support a government for broad-based improvements in the country’s health care system instead of more targeted aid,” AFP writes. The analysis, which was released to coincide with an upcoming World Bank funding replenishment, received funding from the Bill & Melinda Gates Foundation, according to the AFP (6/9).