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).
Access to Health Services
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).
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.”
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).
“A pilot community program to improve [tuberculosis (TB)] detection in northern Tanzania has shown good results and could be replicated nationwide as the country seeks to improve its TB treatment and prevention systems,” IRIN reports. The program, run by Management Sciences for Health with help from PATH and Tanzania’s National Tuberculosis and Leprosy Programme and financial support from USAID, “emphasized that TB and HIV treatment must be done ‘hand in hand,'” according to IRIN.
“The Global Fund’s drive to ensure sustainability and efficiency means that it may not be able to meet its commitments to combat disease, says Laurie Garrett,” a senior fellow for global health at the Council on Foreign Relations, in Nature’s “World View” column. Citing his resignation letter, Garrett discusses the “the political struggle” that led Michel Kazatchkine to step down as executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria last week and writes, “It is a classic battle of titans, pitting urgency against long-term sustainability. … Kazatchkine essentially conceded victory to the forces for sustainability.”
Pharmaceutical company heads and global health leaders gathered at a conference on Monday in London to announce the formation of a large public-private partnership to fight neglected tropical diseases (NTDs) and endorse the “London Declaration on Neglected Tropical Diseases” (.pdf), in which they pledged to work together and track progress. The following is a summary of two opinion pieces and a blog post in response to the news.
“Hundreds of HIV-positive Kenyans protested outside the European Union’s Nairobi office on Monday, accusing the E.U. of causing unnecessary deaths by cutting funding to” the Global Fund to Fight AIDS, Tuberculosis and Malaria, AlertNet reports. Late last year, the Global Fund announced it would not hold a new round of grants until 2014, the news service notes, adding, “The demonstrators called on the Global Fund to hold an emergency donor conference to raise $2 billion so developing countries can apply for grants this year” (Migiro, 1/30). Though no new grants will be awarded before 2014, the Global Fund “has set up what it calls a ‘transitional funding mechanism,’ which covers the continuation of essential services” of existing grants, VOA News writes (Majtenyi, 1/30).
Speaking on Saturday at the African Union Summit, UNAIDS Executive Director Michel Sidibe said huge advances in HIV treatment and prevention have been made over the past decade in Africa, “[b]ut these gains ‘are not sustainable,’ … because they are heavily dependent on foreign aid,” the Zimbabwean reports (1/30). “An estimated two-thirds of AIDS expenditures in Africa come from international funding sources, according to a new UNAIDS issues brief titled “AIDS dependency crisis: sourcing African solutions” (.pdf), Xinhua writes (1/29).
In this post on USAID’s “IMPACTblog,” Christina Lau, USAID health officer for Central Asia, discusses tackling tuberculosis (TB) in migrant populations, writing, “Most migrants are unable to access the health care system because they are undocumented laborers, who lack proper identification documents required for health care treatment, and who fear deportation if their documentation status becomes known.” She notes, “USAID is working in coalition with government and international partners in order to improve access to TB services and treatment for this crucial population” (1/26).