While a focus on HIV prevention and treatment among women and children has reduced infection rates among these populations, “men have received considerably less attention in the epidemic and receive less targeted HIV prevention and treatment programs,” Edward Mills of the University of Ottawa and colleagues write in a PLoS Medicine essay, adding “Targeting men in prevention and treatment … may have a large impact on mortality, new infections, and the economic impact of HIV/AIDS in Africa.” They note that in Africa, fewer men than women access antiretroviral therapy (ART), and men “typically have higher mortality,” seek care later in the disease, and “are more likely to be lost to follow-up.”
In support of the ninth annual International Day of Zero Tolerance to Female Genital Mutilation, Melanne Verveer, ambassador-at-large for global women’s issues, and David Robinson, acting assistant secretary of state for population, refugees and migration, outline several examples of U.S. advocacy and funding related to stopping the practice of female genital mutilation/cutting (FGM/C) in this post on the State Department’s “DipNote” blog. They call on governments and international donors to “overturn deeply entrenched social norms that are not only harmful to women and girls, but to our communities and societies” (2/6). In a post on USAID’s “IMPACTblog,” Sandra Jordan, communication and outreach adviser for USAID’s Bureau for Global Health, writes, “The single most important aspect of ending this practice is involving the community. USAID focuses on enabling and empowering communities to make their own collective choice to abandon FGM/C” (2/6).
AllAfrica.com examines efforts by African researchers to develop a female-controlled HIV prevention method, writing, “[S]cientists searching for a gel or vaccine that can prevent HIV infection ride a rollercoaster of hope and disappointment.” The article profiles efforts by researchers from the Centre for the AIDS Program of Research in South Africa (Caprisa) to find a microbicide gel to protect women from HIV infection.
“Malaria is killing more people worldwide than previously thought, but the number of deaths has fallen rapidly as efforts to combat the disease have ramped up, according to new research from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington” published in the Lancet on Thursday, an IHME press release reports. “More than 1.2 million people died from malaria worldwide in 2010, nearly twice the number found in the most recent comprehensive study of the disease,” the press release states (2/2). The study, funded by the Bill & Melinda Gates Foundation, “used new data and new computer modeling to build a historical database for malaria between 1980 and 2010,” BBC News notes (Bowdler, 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.”
The New York Times examines developments in circumcision technology, after “three studies have shown that circumcising adult heterosexual men is one of the most effective ‘vaccines’ against [HIV] — reducing the chances of infection by 60 percent or more.” The newspaper writes, “[P]ublic health experts are struggling to find ways to make the process faster, cheaper, and safer” and “donors are pinning their hopes on several devices now being tested to speed things up.” The New York Times reports on several circumcision methods currently being tested, including PrePex, which received FDA approval three weeks ago and “is clearly faster, less painful and more bloodless than any of its current rivals” (McNeil, 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).
Ellen Johnson Sirleaf, president of Liberia and the new chair of the African Leaders Malaria Alliance (ALMA), writes in a Huffington Post opinion piece about Africa’s efforts in the fight against malaria. “Supported by the lessons learned from the decade to ‘roll back malaria,’ which produced a 33 percent decline in malaria deaths in Africa between 2000 and 2010, 41 African presidents have now signed on to end deaths from the disease in their home countries as part of [ALMA],” she writes. But “[d]espite this encouraging progress, much work remains to be done,” she continues.
UNICEF on Friday “appealed … for $1.28 billion to provide humanitarian assistance to children in over 25 countries this year, with nearly one-third of the total amount earmarked for the crisis in the Horn of Africa,” the U.N. News Centre reports (1/27). The agency also released its annual “Humanitarian Action for Children 2012” report, which “decried the rising levels of starvation and malnutrition among children under the age of five in many of the world’s troubled regions,” GlobalPost writes (1/27). UNICEF “said it was seeking nine percent less than in 2011, linked to lower needs in Pakistan and Haiti, but that its needs for fighting hunger had jumped by nearly 50 percent,” according to Agence France-Presse (1/28). The agency said more than one million children in Africa’s Sahel region are at risk of severe malnutrition, Reuters reports (1/27).
Olivier De Schutter, the U.N. special rapporteur on the right to food, on Tuesday “urged the global community to take quick action to prevent millions of people in Africa’s Sahel region from slipping into a full-scale food emergency, warning that drought, poor harvests and rising food prices have left the region on the brink of a humanitarian crisis,” the U.N. News Centre reports. “The area currently affected by the crisis covers a vast swath of territory, including Chad, Mali, Mauritania and Niger but concerns have also been extended to other countries in the region such as Burking Faso and Senegal,” according to the news service (1/24).