Integrating reproductive health and other services, such as HIV care, “makes sense, and there is emerging evidence that it can be associated with a host of benefits, such as improved uptake of services, enhanced program efficiency, and even improved health outcomes when compared to separate services,” Gavin Yamey, who leads E2Pi in the Global Health Group at the University of California-San Francisco (UCSF), and Craig Cohen, a professor in-residence in the UCSF Department of Obstetrics, Gynecology and Reproductive Sciences, write in the PLoS blog “Speaking of Medicine.” They describe five key themes that emerged last month at the Integration for Impact conference, co-hosted by the Kenya Medical Research Institute, the Kenyan government, and UCSF. They write, “The emphasis was on presenting the latest research findings, exploring the policy implications of this evidence, and laying out the unanswered research questions,” and describe the five themes, including keeping human rights at the forefront and better defining and measuring integration (10/3).
Access to Health Services
“Zimbabwe is set to attain ‘universal’ coverage for AIDS treatment thanks in part to an $84 million disbursement [on Tuesday] by the United Nations-backed Global Fund to Fight AIDS, Tuberculosis and Malaria,” the U.N. News Centre reports (10/2). “The new disbursement will cover the cost of life-saving antiretroviral drugs (ARVs) for an additional 10,000 new patients, bringing the total number of people on treatment with Global Fund support to 203,440 by the end of the year,” the Global Fund announced in a press release. The funding also will support a six-month ARV buffer stock to prevent treatment interruptions for the 480,000 patients on therapy in Zimbabwe, the press release notes (10/2). The Global Fund’s announcement to support additional patients comes together with an announcement from PEPFAR to increase the number of patients supported by its program from 80,000 to 140,000, with a goal of having 160,000 patients on therapy by the end of next year, Zimbabwe’s Herald notes.
Family Planning Experts Launch Task Force In Support Of International Conference On Population And Development Goals
“Gathered at the Ford Foundation in New York Monday, international luminaries, family planning experts and women’s rights activists” gathered “to mark the launch of a new 26-member high-level task force to galvanize support behind the goals of the International Conference on Population and Development (ICPD),” Inter Press Service reports, adding, “That conference took place nearly two decades ago, in Cairo, Egypt in 1994” and “resulted in a Programme of Action that become the guiding document for the United Nations Population Fund, UNFPA.”
“Although no official decision has been announced about whether to continue the … Affordable Medicines Facility-Malaria (AMFm), many of those familiar with it have told Nature that it must change or be phased out after this year,” the magazine reports in an article examining the future of the pilot program that distributes malaria drugs in seven African countries. “The AMFm aims to make artemisinin-based combination therapies (ACTs) readily available and affordable in malaria-ridden countries by relying on the free market for their distribution,” but “it is unclear how many of the drugs reached the pilot program’s target populations,” Nature writes. The magazine describes possible options for the program, and notes the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria will recommend a future path for the program at its meeting next month (Maxmen, 10/2).
Experts Worried Political Commitment, Health Services Delivery Still Lacking Despite Efforts To Improve Family Planning In Uganda
“Family planning advocates in Uganda have scored some major financial and policy wins this year, but experts remain concerned that inadequate political commitment and poor health services will continue to impede women’s and girls’ access to contraceptives,” IRIN reports. With one of the fastest growing populations in the world, Uganda’s “President Yoweri Museveni announced that his government would increase its annual expenditure on family planning supplies from $3.3 million to $5 million for the next five years” and he “pledged to mobilize an additional $5 million from the country’s donors,” the news service writes. In addition, the “Ministry of Health has laid out a roadmap for providing universal access to family planning, involving the integration of family planning into other health services,” the news service notes.
Reuters examines how Philippine President Benigno Aquino is supporting “a reproductive health bill that will, if passed by the two houses of Congress, guarantee access to free birth control and promote sex education,” despite the “country’s powerful Catholic church.” According to the news service, “The predominately Catholic country has one of Asia’s fastest-growing populations together with significant levels of chronic poverty,” which has stunted economic growth. “Economists say high population growth is a primary factor for that, but the church … says population growth is not a cause of poverty and that people need jobs, not contraception,” Reuters writes. “But despite the arguments of the church and political opponents who decry using state funds to finance contraception, a poll last year showed about 70 percent of people support the bill,” according to the news service, which notes, “Its backers want it passed during the term of this congress, which ends in June” (Lema, 10/2).
“Tanzania has made significant advances in cutting maternal deaths thanks to a United Nations-sponsored program that brings public and private sectors together to resolve one of the most stubborn but preventable woes afflicting the developing world,” but more must be done to scale up efforts to save lives, leaders involved in the program said during a news conference on Tuesday at U.N. Headquarters, the U.N. News Centre reports. U.N. Secretary-General Ban Ki-moon, Tanzanian President Jakaya Kikwete, New York City Mayor Michael Bloomberg, and Helen Agerup, head of the H&B Agerup Foundation, attended the conference, where they discussed results from the Global Strategy for Women’s and Children’s Health, according to the news service (10/2).
During last week’s events in New York, including the U.N. General Assembly, the Clinton Global Initiative, and the Social Good Summit, Devex interviewed several newsmakers on the sidelines of the meetings. WHO Assistant Director-General on Family, Women and Children’s Health Flavia Bustreo in an interview with Devex said three challenges to continuing to lower maternal, child, and infant death rates include improving accountability, channeling resources to areas with the least improvement, and keeping a focus on women and children (Lieberman, 10/1). In another interview, Jill Sheffield, founder and president of Women Deliver, “sat down with Devex to discuss the private sector’s role in implementing global health strategies and how reproductive rights is factoring into donors’ perspectives,” according to the news service (Lieberman, 10/1).
In the PLoS “Speaking of Medicine” blog, Leena Menghaney, a lawyer and India manager of the Access Campaign at Medecins Sans Frontieres, writes about “two critical legal battles between multinational pharmaceutical companies and the Indian government [that] are taking center stage in an ongoing struggle over India’s medicines patent law.” Before describing each case in detail, she summarizes, “One case goes to the heart of what merits a patent. The other addresses what countries can do when patented life-saving medicines are priced out of reach for the vast majority of patients.” Menghaney concludes, “The world is watching closely, as these cases could have a profound impact on access to life-saving medicines for millions of people worldwide” (10/1).
“While reports from the United Nations as well as the Institute for Health Metrics and Evaluation (IHME) indicate that maternal deaths are declining around the world, far too many women continue to die from complications related to pregnancy and childbirth,” Ana Langer, director of the Women and Health Initiative at the Harvard School of Public Health, writes in the Huffington Post’s “Global Motherhood” blog. “In fact, every 90 seconds a young woman dies unnecessarily when she is giving life,” she continues, noting, “More than 90 percent of these deaths could be avoided, if all women had timely access to good quality care.”