In this post in the Results for Development Institute’s “Center for Global Health R&D Policy Assessment” blog, Project Director Jean Arkedis and Program Associate Edith Han interview Megumi Gordon, deputy director for malaria at the Clinton Health Access Initiative (CHAI), “to take an exclusive look into the [Affordable Medicines Facility for Malaria (AMFm)] and its innovative mechanism to increase access to antimalarials.” Megumi discusses “AMFm’s current status, early lessons, and the latest in the ongoing — and sometimes contentious — debate about whether to subsidize [artemisinin-based combination therapies (ACTs)] in the private sector” (2/22).
Access to Health Services
“More than seven months overdue, the Global Fund to Fight AIDS, Tuberculosis and Malaria grant will finally be released to key South African AIDS organizations that have been struggling to survive,” PlusNews writes, adding, “Some were on the verge of shutting down.” According to the news service, “The Global Fund released US$7,106,426.91 to the South African National Treasury on February 6, the same day seven of the grant’s sub-recipients delivered an open letter to Minister of Health Aaron Motsoaledi, pleading for intervention.”
“Burkina Faso’s Network for Access to Essential Medicines (RAME) has called on the BurkinabÃ¨ government to increase the budget allocation to the health sector to avoid interruptions to AIDS treatment,” Inter Press Service reports. “Despite an emergency plan announced in January, which will see the government spend around one billion CFA francs — two million dollars — to procure AIDS drugs in this West African country, patients and civil society groups are demanding permanent measures to ensure the availability of antiretrovirals (ARVs) and reagents,” the news service notes.
As part of a week-long series, titled “Generation Positive,” looking at the HIV epidemic in the U.S. and Washington, D.C., WTOP’s Thomas Warren examines the history of HIV/AIDS in the U.S. compared with Germany, where he traveled as a fellow with the RIAS Berlin Kommission. The article describes “the history of HIV in Germany, including the governmental policies aimed at handling the disease and how the virus is treated medically,” according to the introduction (Warren, 2/1).
This report from the Center for Strategic & International Studies’ Global Health Policy Center, titled “Protection of Health Care in Armed and Civil Conflict,” examines how “action [last year] at the U.N. Security Council, the World Health Organization, and the U.S. Department of State, combined with a new campaign by the International Committee of the Red Cross and civil society mobilization, led to potential breakthroughs in three key dimensions of protection — documentation, prevention, and accountability.” The summary states, “The opportunity to better protect health services during conflict is palpable” (Rubenstein, 2/1).
The Guardian examines the future of the Global Fund to Fight AIDS, Tuberculosis and Malaria as it enters its second decade, writing, “Despite its staggering successes — including helping put 3.3 million people on AIDS treatment, 8.6 million on anti-tuberculosis treatment and providing 230 million insecticide-treated nets for the prevention of malaria — the fund’s recent troubles had threatened to overshadow its accomplishments as it prepared to mark a decade as the world’s main financier of programs to fight these three global epidemics.” The news service highlights a $750 million pledge to the Fund by Bill Gates, co-chair of the Bill & Melinda Gates Foundation, discusses recent managerial changes within the Fund, and quotes a number of experts about future challenges (Kelly, 2/2).
In this Global Health and Diplomacy opinion piece, Tanzanian President Jakaya Mrisho Kikwete examines efforts to meet Millennium Development Goal (MDG) targets on maternal and child mortality in Africa, noting, “Although Africa has just 12 percent of the global population, it accounts for half of all maternal deaths and half the deaths of children under five.” He writes, “Though global maternal deaths are in decline and women’s health has at last become a global priority, our goal of reducing maternal mortality by 75 percent in 2015 is still a long way off. … It is unacceptable to allow mothers and children to die when we have the knowledge and resources to save them.”
Approximately 85,000 HIV-positive people in Burma, also known as Myanmar, are in need of antiretroviral treatment (ART) and cannot access it “due to a lack of funding, despite renewed international engagement with the government amid a wave of political reform, according to a report released Wednesday” by the medical aid group Medecins Sans Frontieres (MSF), the Associated Press/CBS News reports (2/22). “At the launch of a new report called ‘Lives in the Balance,’ MSF said that only a quarter of the estimated 120,000 people living with HIV and AIDS were receiving treatment, and that it was turning people away from its clinics,” BBC News writes. While plans were made last year among MSF and its partners to scale up treatment for HIV and tuberculosis (TB), “those proposals were shelved after the Global Fund” to Fight AIDS, Tuberculosis and Malaria cancelled its Round 11 grants, according to the news agency. “The money was expected to provide HIV drugs for 46,500 people in Myanmar, along with treatment for another 10,000 people sicken[ed] by drug-resistant tuberculosis in the country, [the report] said,” BBC writes (Fisher, 2/22).
“While international attention focuses on Burma, [also known as Myanmar,] a health crisis in the country looms large,” Joe Billiveau, operations manager of Medecins Sans Frontieres’ (MSF) operational center in Amsterdam, writes in this opinion piece in Bangkok’s Nation. He continues, “An estimated 85,000 people infected with HIV in Burma are not receiving life-saving antiretroviral treatment (ART). This is an improvement on previous years, with new momentum in the country to tackle the crisis,” but the cancellation of the Global Fund to Fight AIDS, Tuberculosis and Malaria Round 11 grants “threatens to undo improvements” and prevent the planned scale-up of ART for an additional 46,500 patients and treatment for another 10,000 tuberculosis (TB) patients.
This post in the UHC Forward blog describes the second meeting of the Universal Health Coverage Roundtable Series, “Toward Sustainable Universal Health Coverage,” which was hosted by the Council on Foreign Relations in New York City on February 9. The panelists “examined the possibilities, challenges, and paths toward achieving Universal Health Coverage in different resource settings by exploring the methods for expanding and supporting coverage worldwide” and discussed issues such as how to define UHC, the importance of quality in health care, improving cost-effectiveness, and how to increase utilization of existing services, according to the blog (Wellington, 2/20).