Secretary of State Hillary Clinton reflects on changes in U.S. global health diplomacy since taking office in this Global Health and Diplomacy opinion piece. “America had been leading the global health fight for decades,” but “we recognized that to sustain the impact of our work, we needed to change the way we did business,” she writes. “For example, while our agencies were providing tremendous leadership in isolation, they could still do more to collaborate effectively,” she writes, adding, “[W]e weren’t doing enough to coordinate our efforts with other donors or our partner countries,” and “we weren’t building sustainable systems to eventually allow our partner countries to manage more of their own health needs.” She says, “We were unintentionally putting a ceiling on the number of lives we could save.”
Access to Health Services
“African leaders meeting on the sidelines of the 67th session of the United Nations General Assembly called [Wednesday] for innovative solutions to accelerate the response to AIDS, tuberculosis and malaria and to advance health for people on the continent,” the U.N. News Centre reports. “At their meeting at U.N. Headquarters, the leaders discussed the African Union (A.U.) Roadmap, which outlines long-term sustainable strategies to finance and provide access to HIV treatment and prevention services and other health services in Africa as called for in the Millennium Development Goals (MDGs),” the news service writes, adding, “Leaders echoed the need for strong political leadership and enhanced country ownership and, as a first step, agreed to accelerate the implementation of the Roadmap, according to a news release issued by UNAIDS” (9/26).
NPR’s “Shots” blog profiles Vanessa Kerry, a physician and daughter of Sen. John Kerry (D-Mass.), and her work to develop the Global Health Service Partnership to send nurses and doctors to work abroad in exchange for a pay-down in their student loans. The partnership’s goal “is to reduce the severe shortage of medical workers in developing countries,” according to the blog, which adds Kerry “thinks the partnership will also strengthen health care here stateside by infusing U.S. doctors with a worldview centered on making the most of available resources.” The program is working with the Peace Corps and receives funding through PEPFAR, the blog notes (Doucleff, 9/26).
“When President Obama made a landmark speech against modern slavery on Tuesday, many of us in the news media shrugged,” but women survivors of human trafficking “noticed,” Nicholas Kristof writes in his New York Times column. “[T]he world often scorns the victims and sees them as criminals: these girls are the lepers of the 21st century,” he says, adding, “So bravo to the president for giving a major speech on human trafficking and, crucially, for promising greater resources to fight pimps and support those who escape the streets. Until recently, the Obama White House hasn’t shown strong leadership on human trafficking, but this could be a breakthrough. The test will be whether Obama continues to press the issue.”
Noting the U.N. Commission on Life-Saving Commodities for Women and Children on Wednesday “released 10 bold recommendations which, if achieved, will ensure women and children will have access to 13 life-saving commodities,” Jennifer Bergeson-Lockwood, a maternal health adviser with USAID, writes in USAID’s “IMPACTblog” that the agency is working “to integrate systems across commodities to better and more efficiently serve women and children everywhere, and scale up programs to have nation-wide impact.” She adds, “Country leadership is also a vital component to successfully addressing many of the Commission’s recommendations.” Saying that integration and country ownership “form the cornerstones of our work,” she continues, “With our host country partners in the lead, we are working to strengthen supply chains for commodities, which include use of mHealth solutions; support local market shaping; improve the quality of medicines; and increase demand by mothers for necessary medicines” (9/26).
The following blog posts were published in recognition of World Contraception Day, observed annually on September 26.
The U.N. on Wednesday “presented a plan to make life-saving health supplies more accessible, while a new report found that, despite impressive reductions in maternal and child mortality in the past decade in some countries, millions of women and children still die every year from preventable causes,” the U.N. News Centre reports. “With its new plan, the U.N. Commission on Life-Saving Commodities for Women and Children aims to improve access and use of essential medicines, medical devices and health supplies that effectively address causes of death during pregnancy, childbirth and into childhood,” the news service writes (9/26). “Prices for long-acting contraception will be halved for 27 million women in the developing world through [the] new partnership, former President Bill Clinton and other world leaders announced” on the sidelines of the U.N. General Assembly, the Associated Press writes. “The deal will help avoid almost 30 million unwanted pregnancies and save an estimated $250 million in health costs, the partnership said,” according to the AP (DePasquale, 9/26).
“India has had a positive global impact through its supply of vast quantities of low-cost, good-quality generic medicines, which have saved or prolonged millions of lives … [b]ut there are also many factors that may hinder the continuation of the [country’s] role as chief supplier of medicines to developing countries,” Martin Khor, executive director of the South Centre in Geneva, writes in an Inter Press Service opinion piece. He examines the history of generic drug production in India and says the 1995 World Trade Organization TRIPS agreement negatively affected the country’s ability to produce generic drugs. Though “India has one of the best patent laws in the world that still gives some space to its producers to make generic drugs, … it is also true that the old policy space has been eroded because many new drugs have, since 2005, been patented by multinational companies that are selling them at exorbitant prices,” Khor writes.
The Coca-Cola Company and the Global Fund to Fight AIDS, Tuberculosis and Malaria have announced the expansion of a pilot project, called “Project Last Mile,” that uses Coca Cola’s “‘expansive global distribution system and core business expertise’ to help deliver critical medicines to remote parts of the world, beginning in rural Africa,” Pharma Times reports. “The public-private partnership was established in 2010 to help Tanzania’s government-run medicine distribution network, Medical Stores Department, build a more efficient supply chain by using Coca-Cola’s” delivery system model, the news service writes, adding, “The latest phase of the partnership, developed in cooperation with the likes of the Bill & Melinda Gates Foundation, Accenture and Yale University, will increase the availability of critical medicines to 75 percent of Tanzania and expand the initiative to Ghana and Mozambique” (Grogan, 9/26).
In the BMJ Groups blog, Amanda Glassman, director of the global health policy program at the Center for Global Development (CGD), and her colleagues at CGD examine “whether [universal health coverage (UHC)] as a post-2015 development goal is a good idea.” They write, “While we support the notion and concept of UHC, it may not be a useful banner for the global health community to rally around in pushing for a post 2015 development goal.” The authors describe four reasons for this opinion, saying, for example, that “the concept of UHC is not easily understood or defined” and “there is still limited empirical evidence connecting general health care utilization and/or financial risk protection to health impact.” They conclude, “Universal health coverage is important for all countries to pursue, but it is not yet a universally agreed analytical concept that will be useful as a post 2015 development goal” (9/25).