Context: Instead, the donated money was expended through "counterfeit drugs, siphoning off of drugs to the black market, and payments to ghost employees". Ultimately, there is a sufficient amount of money for health in developing countries, but local corruption denies the wider citizenry the resource they require.

Question: What kind of employees received payments?
Answer: ghost employees

Question: Where were drugs siphoned off to?
Answer: the black market

Question: In addition to ghost employees and the black market receiving drugs, what other way was money expended?
Answer: counterfeit drugs

Question: If local corruption did not exist, there would be enough what to help the people in these countries needing medical help?
Answer: money