World AIDS Day, December 1, 2005Financial management is the Achilles heel for rapidly scaling up civil society's role in mitigating the HIV/AIDS pandemic, especially when the donor community is caught between the "rock" of getting the money out there and the "hard place" of timely and accurate financial reporting to keep the funds flowing.The challenge is to develop innovative agreements and management mechanisms that will get the money out into the community where it can do the most good, without putting an undue administrative burden on either the giver or the recipient.

Expanding Access to Medicines in Cambodia   Each year, thousands of children die from treatable illnesses in areas with few resources and little medical knowledge. To address this situation, Management Sciences for Health works through the USAID-funded Rational Pharmaceutical Management Plus (RPM Plus) Program to expand access to essential medicines and increase awareness about effective treatments. One Cambodian mother's story is a tragic example of why expanding access to medicines is critical to decrease child mortality.

Expediting the Roll-Out of TB and HIV/AIDS Programs"I have learnt that a laboratory service is the engine oil that lubricates the 'mechanical system' of the hospital, without which the engine breaks down. As a leader, I will ensure that the oil is always available."A participant in Uganda's Laboratory Performance Improvement Program used this metaphor to portray the power of laboratory management teams. These teams have broken through hospital barriers that hinder the roll-out of tuberculosis and HIV/AIDS programs.