Noting that “[n]on-communicable diseases (NCDs) kill four times the number of people in low- and middle-income countries (LMICs) that they do in high-income countries,” Benn Grover, a health communications specialist who manages policy for the National Forum for Heart Disease and Stroke Prevention, and Felicia Knaul, an associate professor at Harvard Medical School and director of the Harvard Global Equity Initiative, write in the Huffington Post Blog, “The right to health of the majority of the world’s inhabitants is severely hampered due to vast inequalities in access to care and many of the social rights that determine their health. These inequalities are not just a matter of health, but issues of social justice and human rights.”
Access to Health Services
Global Health Funding Cuts Threatening Fight Against HIV, TB In Eastern Europe, Central Asia, NGO Report Says
The fight against HIV and tuberculosis (TB) in Eastern Europe and Central Asia is being threatened by cuts in global health funding, according to “a report [.pdf] by leading European non-governmental health organizations,” Reuters reports. In the report, “experts called on the European Union to step in to fill the gaps left by global donors to countries within and neighboring its borders,” the news service notes. According to Reuters, “[c]ountries in Eastern Europe and Central Asia have some of the world’s fastest growing HIV epidemics,” and “Europe is also home to the world’s highest documented rates of drug-resistant TB” (Kelland, 9/18).
Bill Gates Describes How 'Catalytic Philanthropy' Can Help Bring Vaccines, Medicines To Untouched Markets
In an essay adapted for Forbes magazine from a speech given at the Forbes 400 Summit on Philanthropy in June, Bill Gates, co-chair of the Bill & Melinda Gates Foundation, discusses how “[i]nnovations for the poor suffer from … market limitations” and his idea of “catalytic philanthropy.” Gates writes, “The market is not going to place huge bets on research when there are no buyers for a breakthrough. This explains why we have no vaccine for malaria today, even though a million people die from it every year.” Therefore, “when you come to the end of the innovations that business and government are willing to invest in, you still find a vast, unexplored space of innovation where the returns can be fantastic,” he continues.
“Young or old, family planning should be a simple and personal decision made by informed individuals or couples regarding how often and when to have children,” Anne Alan Sizomu, the advocacy officer for Deutsche Stiftung Weltbevoelkerung’s (DSW) Uganda country office, writes in this post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, published in partnership with Women Deliver as part of a series on youth perspectives to recognize World Contraception Day, observed annually on September 26. “In order to make informed decisions regarding their future, it is important for young people to have access to timely information and contraceptives,” she continues, adding, “Young people need to demand their reproductive health rights — including access to contraceptives and the ability to decide when to have children” (9/17).
As more people move into the urban slum areas surrounding Bangladesh’s capital, Dhaka, basic services such as water, sanitation and health care are being stretched to capacity by “[n]ew residents [who] are increasingly pushed out to the city’s fringes,” the Guardian reports. “According to health care workers, hospitals are already unable to meet the growing demand for treatment and services,” the newspaper writes, adding, “Dhaka’s largest hospital is operating at 50 percent staff capacity and trying to accommodate 3,000 patients in a facility with just 800 beds.” In addition, “no health care facilities are provided in the slums, [so] Dhaka’s newest — and poorest — residents are facing a health care black hole,” according to the Guardian. The news service says women and girls “most often fall through the cracks,” and describes one project “that aims to bridge this gap and prevent urbanization creating a free fall in maternal and infant mortality levels” (Kelly, 9/18).
The Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, in partnership with Women Deliver, on Friday published two posts on youth perspectives to celebrate World Contraception Day, observed annually on September 26. In the first post, Wanzala Martin, a social worker and co-founder of Allied Youth Initiative-Uganda, writes about access to contraceptives and sexual and reproductive health for young people with disabilities, saying, “The health of youth with disabilities is a human rights issue and is a fundamental pillar for progress on Africa’s road to achieving the Millennium Development Goals by 2015” (9/14). In the second post, Aiste Dackauskaite, an advocacy project coordinator at the Lithuanian Family Planning and Sexual Health Association, writes about barriers to and myths about contraceptives in Lithuania, which has the lowest levels of contraceptive use in Europe (9/14).
“Today about 12 percent of the health work force [in the U.S.] is foreign-born and trained, including a quarter of all physicians,” Kate Tulenko, senior director of health system innovation at IntraHealth International, writes in a New York Times opinion piece, adding, “That’s bad for American workers, but even worse for the foreign workers’ home countries, including some of the world’s poorest and sickest, which could use these professionals at home.” She says expensive schooling and strict credential requirements, which some foreign-trained workers do not have to meet, are keeping U.S. health workers from entering the workforce.
A new pilot project in Cambodia is allowing more than 3,000 volunteer health workers to use a special mobile phone text messaging service to report new cases of malaria, in addition to providing no-cost testing and treatment “in remote parts of the impoverished nation, where access to health services can be difficult,” Agence France-Presse reports. When a person tests positive for malaria, health workers begin them on treatment immediately and send a text message with the patient’s age, gender, type of malaria, and location “to the district health center, provincial health officials and a national malaria database in the capital Phnom Penh — a process that used to take a month,” AFP notes. “The information is also fed into Google Earth to create a map of reported cases and of potential hotspots of [malaria drug] resistance,” a problem in western Cambodia, according to the news service. “Together, the data helps officials track each case and make sure the right treatment is available or that more medication is supplied when stocks are running low,” AFP writes, adding, “Some 230 volunteers have used the mobile phone service so far and there are plans to eventually include all volunteers in the project,” which is being implemented by the Malaria Consortium (Se, 9/17).
“More than half a million people in northern Mali, occupied by Islamist fighters, need aid to cope with rising food prices, collapsed public services and a lack of health care, the International Committee of the Red Cross said on Thursday,” Reuters reports. “Public services practically no longer function, basic health services are not provided and supplying clean drinking water is difficult. Needs are huge,” Yasmine Praz Dessimoz, head of ICRC operations for North and West Africa, said at a news conference in Geneva, according to the news agency. “The ICRC, which deploys 111 aid workers in Mali, is one of few humanitarian organizations to have access to all of northern Mali, where no United Nations aid agencies deploy any staff,” Reuters notes (Nebehay, 9/13).
“The non-communicable disease [NCD] community always talks about the importance of prevention; many consider it the Holy Grail in the fight against NCDs. Why was it so hard to also accept treatment as part of the solution?” Princess Dina Mired, director general of the King Hussein Cancer Foundation in Amman, Jordan, asks in the Huffington Post “Impact” blog, noting only one target of the 2011 U.N. High-Level Meeting on NCDs “deals with treatment, the target on ‘essential medicines and basic technologies for treatment.'” She continues, “Treatment and prevention are heavily interrelated. The success of one is directly related to the other.” She adds, “A person in the developing world will not buy in to the importance of prevention if there is no treatment option available should that person get the disease.”