A Lancet series on family planning, published Tuesday, “reviews the evidence for the effects of population and family planning on people’s well-being and the environment,” according to the series’ executive summary (7/10). One study in the series, conducted by researchers at Johns Hopkins University, “shows that fulfilling unmet contraception demand by women in developing countries could reduce global maternal mortality by nearly a third, a potentially great improvement for one of the world’s most vulnerable populations,” the New York Times reports (Tavernise, 7/9). A second study, led by John Cleland, a professor at the London School of Hygiene and Tropical Medicine, found “[c]ontraceptive use saves the lives of more than a quarter of million women each year, either from death in childbirth or unsafe abortions,” according to Agence France-Presse (7/10).
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Punitive Laws, Human Rights Violations Inhibiting Global AIDS Response, Global Commission On HIV And Law Report Says
“Punitive laws and human rights abuses are costing lives, wasting money, and stifling the global AIDS response,” according to a report (.pdf) released Monday by the independent Global Commission on HIV and the Law, which estimated the number of new HIV infections worldwide could be halved from 2.1 million to 1.2 million annually with changes in law and public policy, BMJ reports (Roehr, 7/9). The report, “based on 18 months of extensive research and analysis, as well as first-hand accounts from more than 1,000 people in 140 countries,” “finds evidence that governments in every region of the world have wasted the potential of legal systems in the fight against HIV,” according to the U.N. News Centre. The commission comprises “former heads of state and leading legal, human rights and HIV experts, and [is] supported by the U.N. Development Programme (UNDP) on behalf of the Joint United Nations Programme on HIV/AIDS (UNAIDS),” the news service notes (7/9).
The 2012 International AIDS Conference, which will take place in Washington, D.C., from July 22-27, “will highlight a sense of optimism among top HIV researchers about stemming the spread of the virus around the globe,” according to PRI’s “The World.” In an audio report, anchor Lisa Mullins “talks to Peter Piot, former executive director of UNAIDS, about the new optimism and his career as a virus hunter.”
Agence France-Presse examines a rise in tuberculosis (TB) cases in Madagascar, writing, “Last year alone, 26,700 people contracted TB, according to the health ministry, a jump of more than 16 percent compared with 2009, when a military coup precipitated an economic crisis as donors suspended aid to one of the world’s poorest countries.” The news service notes, “Chronic malnutrition and poverty deepened, contributing to the spike in TB, experts say” and adds, “Even before the political crisis, Madagascar suffered one of the highest rates of malnutrition in the world.”
The widespread incidence of drug-resistant tuberculosis (TB) “calls for a new approach to TB in the developing world,” a Bloomberg editorial states. A “breakthrough test,” called Xpert MTB/RIF, “makes mass screening [for drug-resistant TB] feasible,” according to the editorial, which notes the test, developed by “California-based Cephied Inc. in collaboration with the non-profit Foundation for Innovative Diagnostics with funding from the Bill & Melinda Gates Foundation,” detects resistance to the TB drug rifampicin, provides results in two hours, and can be used without advanced laboratory facilities.
On World Population Day, observed on Wednesday, the U.K. Government and the Bill & Melinda Gates Foundation will host the London Summit on Family Planning. The following are summaries of opinion pieces published ahead of the conference.
Philippines To Spend Nearly $12M On Contraceptives To Bolster Family Planning, Reduce Maternal Mortality Rate
The government of the Philippines plans to spend nearly $12 million on contraceptives this year in an effort to “save its ‘failed’ family planning program and drastically cut maternal deaths,” according to the Department of Health, IRIN reports. However, “[i]t is a controversial decision that even public health officials and family planning advocates admit may not be carried out by local officials wary of angering the [Catholic] Church or losing the votes of Catholic supporters,” the news service writes. In addition to purchasing and distributing condoms, intra-uterine devices (IUDs), birth control pills, and other contraceptives “on a large scale for the first time in largely underfunded community centers across the country,” health officials say the plan “is aimed at cutting maternal mortality rates, which went from just 162 deaths per 100,000 live births in 2006 to 221 in 2011 — a rise [of] 35 percent — according to the government’s 2011 Family Health Survey,” IRIN notes.
Advocacy Groups Say Corruption Leaving Millions Of HIV-Positive Ukrainians Without Treatment, AP Reports
The Associated Press/San Francisco Chronicle reports on how Ukrainian “advocacy groups are accusing the government of embezzling millions of dollars in corrupt drug tenders and thus depriving patients of vital treatment.” The news service notes, “Of the estimated 450,000 Ukrainians who are HIV-positive, 70,000 require urgent treatment today, … [but] only 28,000 are receiving it, leaving over 40,000 of patients without antiretroviral therapy, which could greatly prolong their lives, according to WHO.” Igor Pokanevych, head of the WHO Country Office in Ukraine, said, “More resources should be allocated to fight against AIDS in this country,” but the AP reports that “advocacy groups charge that the government in fact has the necessary funds to treat all of its AIDS patients” and “accuse health ministry officials [of] embezzling money that should be used to treat patients by buying AIDS drugs at hugely inflated prices and then pocketing kickbacks.”
“For the first time in many years, a new message is on the lips of the people on the frontlines [of the AIDS response] — together, we will end AIDS,” UNAIDS Executive Director Michel Sidibe writes in the Huffington Post’s “Global Living” blog. He notes, “Just a decade ago, this very thought would have been dismissed,” and asks, “What has changed? Where has this hope come from?” He writes, “It comes from the resilience and steadfastness of the global community, led by people living with HIV, grandmothers, sisters, brothers, mothers, doctors, nurses, scientists, activists to halt the AIDS epidemic from defining our lives.” He provides a recap of the global response, highlighting results, investments, scientific progress, and the protection of human rights, and continues, “Above all, it is people who have changed the face of the AIDS epidemic.” He concludes, “We can end AIDS. We will end AIDS” (7/25).
Noting new guidelines released at the XIX International AIDS Conference (AIDS 2012) in Washington, D.C., this week “call for everybody with HIV to be started on antiretroviral drugs [ARVs] as soon as they test positive for the virus,” NPR’s “Shots” blog examines “whether the goal is achievable, and who would pay for this enormous expansion in treatment.” “Right now about eight million people across the world are getting treated for HIV at a cost of around $17 billion a year,” the blog writes, adding, “Universal treatment would cost another $22 billion, by some estimates.” The blog notes Bernhard Schwartlander, director for evidence, strategy and results at UNAIDS, in a plenary speech at the conference on Tuesday “offered up several possible ways to raise the money,” including a tax on shipping and aviation fuel (Knox, 7/26).