Angry

Not many things make me as angry as this.

However, both of Mr Bush's African initiatives have made slower progress than expected - partly because of the reluctance of Congress - stuck in the middle of the budget crisis - to fund them and because of problems of implementation.

The Millennium Challenge Account has only certified eight countries in Africa as qualified for aid, and only one (Madagascar) has received any funds.

The US Aids fund has been partly stymied by a debate over whether in order to qualify countries have to teach abstinence, rather than condom use, as the key means to prevent the spread of Aids.

Its donations can only be used to buy drugs approved by the US drugs authority, the FDA, which excludes many cheaper generic drugs and favours American manufacturers.

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