HIV drugs have not only “transformed a fatal disease into a chronic one,” but “[t]hey have also made HIV a big business,” this Economist editorial states. The editorial examines the market for HIV drugs, writing, “The market is as unusual as it is large, both buoyed by government support and worryingly dependent on it. The past decade has brought fancier medicine in rich countries and copious aid for poor ones. But the war is far from won.” The editorial writes, “In total, public and private investment has yielded more than two dozen HIV drugs,” adding, “Sales of antiretroviral drugs in America and the five biggest European markets reached $13.3 billion in 2011, according to Datamonitor, a research outfit.”
Access to Health Services
The Nairobi-based African Institute for Development Policy on Tuesday presented a report called “Africa on the Move!” at the Woodrow Wilson International Center for Scholars in Washington, VOA News reports, noting the report “says that in some African countries, political will, maternal and child health concerns as well as more and more funding are helping to develop effective family planning.” According to VOA, “Steve McDonald, the host of the event and Africa director at the Wilson Center, said partnerships between governments and religious organizations, which sometimes provide the bulk of health services in remote areas, are also crucial.”
In this post in the Global Network for Neglected Tropical Diseases’ “End the Neglect” blog, Helen Hamilton, policy adviser for neglected tropical diseases at Sightsavers, reflects on the Rio+20 conference, “which took place last week in Brazil to discuss how the world can develop more sustainably.” She writes, “Following three long days of discussions on water, climate change and other sustainable development topics to advocate for this group of debilitating diseases, I left feeling there were some hopeful signs.” She discusses the final outcome document from the conference, titled “The Future We Want,” (.pdf) and writes that “with 2.5 billion people not having access to adequate sanitation it was the evolution from just discussing the right to access water to discussing water AND sanitation that was so refreshing” (6/28).
“As a young woman, I felt confident in my future because I knew I had the power to plan my family,” Melinda Gates, co-chair of the Bill & Melinda Gates Foundation, writes in this post in the foundation’s “Impatient Optimists” blog. “What if every girl and woman in the world, even the poorest, had the opportunity to determine her future?” she asks and provides video footage of her addressing this question on Comedy Central’s “The Colbert Report” on Wednesday. “Surely, there’s no controversy in all of us coming together to help women and girls lead healthy and productive lives,” she writes and asks readers to “pledge [their] support around the uncontroversial idea that every girl and woman deserves the opportunity to determine her future” (6/28).
In this post in the Huffington Post’s “Global Motherhood” blog, Doug Horswill, senior vice president of the Canadian resource company Teck, and Venkatesh Mannar, president of the Micronutrient Initiative, which works to eliminate vitamin and mineral deficiencies in the world’s most vulnerable populations, examine global efforts to end child deaths from diarrhea, a campaign they say “many are calling the next revolution in child survival.” “Diarrhea kills up to one million children every year,” they write, adding, “It is a terrible waste of life and untapped potential, made even more terrible by the fact that it costs less than a dollar to treat” with oral rehydration salts and zinc supplements.
Ugandan Civil Organizations Ask Supreme Court To Declare Death During Childbirth Violates Women's Rights
In an effort to lower the maternal mortality rate in Uganda, activists from more than 50 civil service organizations on Tuesday asked the country’s Supreme Court “to declare that women’s rights are violated when they die in childbirth,” which could help make the government put more resources toward maternal health care and lower the rate of maternal deaths, currently about 100 per week, the Associated Press/Fox News reports. “All we want is a declaration that when women die during childbirth it is a violation of their rights,” Noor Musisi of the Center for Health, Human Rights and Development in Kampala said, according to the news agency.
New UNICEF Publications Show Universal Health Coverage Achievable Through Social Protection Measures
“Two newly released UNICEF publications demonstrate that while reaching universal health coverage (UHC) is possible in most countries, this requires a comprehensive social protection system of which health insurance is a crucial component,” according to this post on the UHC Forward blog. A recent UNICEF study “finds that even in middle and low-income countries that have adopted a formal policy of universal health coverage … many socio-economic barriers to access persist,” the blog reports, adding, “It is for this reason that the study has been framed in the broader approach recommended by UNICEF’s first global Social Protection Strategic Framework, which stresses the importance of developing and strengthening integrated social protection systems” (O’Connell, 6/4).
Al Jazeera examines Afghanistan’s health care system since the fall of the Taliban, writing, “Standards of health care in Afghanistan have improved significantly since the fall of the Taliban, but security continues to play a large role in determining access to and quality of care provided.” According to the video report, Afghanistan’s constitution mandates that health services be provided free of charge, which “leaves many small clinics reliant on foreign aid.” The news service notes, “There’s a big difference in the type of care you can get [in] rural areas and in urban areas,” adding, “Many procedures still require patients to travel to city hospitals, putting them at risk from violence and grueling journeys on poorly maintained roads” (Smith, 6/3).
“Abortions are just as safe when performed by trained nurse practitioners, midwives and physician assistants as when doctors do them, a new review of the evidence suggests,” Reuters reports. “Researchers analyzed five studies that compared first-trimester abortion complications and side effects based on who performed the procedures in close to 9,000 women — and typically found no differences,” the news service writes. The review is published in BJOG: An International Journal of Obstetrics and Gynaecology, according to the news service.
“Government assurances that the scaling back of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) program in South Africa (SA) will be carefully managed to protect patients are welcome, but … [t]he reality is that the Department of Health is struggling to cope with severe medical staff shortages, financial resources that never seem to stretch far enough, inadequate infrastructure and maintenance programs, and administrative bottlenecks,” a Business Day editorial states. Though the reworking of PEPFAR funding will take place over five years “and does not entail the complete loss” of funding, “the shortfall will have to come from somewhere,” the editorial says, adding, “It will be tragic if, just as we are starting to see light at the end of the long, dark tunnel of the HIV/AIDS epidemic in SA, the gains of the past few years were to be reversed due to the loss of critical foreign funding and the government’s lack of capacity to plug the gap.”