President Barack Obama’s December 1 World AIDS Day speech “could be pivotal, but only if it is followed by changes in how we tackle global AIDS,” Chris Collins, vice president and director of public policy at amfAR, The Foundation for AIDS Research, writes in this Huffington Post “Global Motherhood” opinion piece. “Obama signaled a renewed U.S. commitment to funding for global AIDS programs at a time when resources at home are constrained and other countries are backing away from the fight,” he writes, adding, “Now it’s time to plot a course for implementing the president’s vision.”
“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).
Kenya has sufficient funds to support HIV/AIDS treatment programs through 2016, the head of the National AIDS Control Council (NACC) said in a statement on Wednesday after activists protested on Monday in support of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Star reports. The Global Fund had to cancel Round 11 grants because “the cash at hand was not in the bank by the time we wanted to disburse,” according to the Fund’s Deputy Executive Director Debrework Zewdie, a move that sparked fears there would not be sufficient funding to pay for existing treatment programs, the Star notes (Muchangi, 2/2). In his statement, NACC head Alloys Orago said, “Though the available fund cushions beneficiaries from immediate effects of donor withdrawal up to 2016, such a move calls for home grown and innovative ways of locally financing the disease,” according to the Daily Nation (2/2).
“Cash-strapped Swaziland is struggling to fund its HIV programs, and experts are warning of long-term damage to treatment and prevention schemes if steps are not taken to ring-fence funding and supplies,” the Mail & Guardian reports. About 200,000 people are living with HIV in Swaziland, nearly one quarter of the population, the newspaper notes, adding, “Until now the government has done well in terms of providing antiretroviral (ARV) treatment — achieving 78 percent coverage, just under the World Health Organization’s ‘universal coverage’ rate of 80 percent. But there are fears that uncertainty about funding streams and weak supply-chain management could result in a reversal of this progress.” The article discusses funding from the government, PEPFAR, and the Global Fund to Fight AIDS, Tuberculosis and Malaria; antiretroviral drug and testing supply problems; and the epidemic’s effect on children and life expectancy in the country (Redvers, 2/27).
“President Barack Obama [on Monday] proposed a $3.8 trillion budget for fiscal 2013 that aims to slash the deficit by $4 trillion over 10 years,” the Associated Press reports, and provides an agency-by-agency breakdown of the proposed budget (2/13). “Making up just one percent of the U.S. Government’s overall budget, the Department of State/USAID budget totals $51.6 billion,” a U.S. Department of State fact sheet notes (2/13). “Overall, funding for the Global Health Initiative (GHI) is down in the FY 2013 request, with most of the reduction coming from HIV/AIDS bilateral amounts,” according to the Kaiser Family Foundation’s Policy Tracker. “Most other areas saw decreases as well, except for family planning and funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and the GAVI Alliance, which increased,” the resource adds. The budget plan proposes a total of approximately $8.5 billion for GHI, down more than $300 million from FY 2012, the resource notes, adding that $6.4 billion of that funding would go to PEPFAR, including about $4.5 billion for HIV and $224 million for tuberculosis. The Global Fund receives $1.65 billion in the request, according to the resource (2/13).
“More than seven months overdue, the Global Fund to Fight AIDS, Tuberculosis and Malaria grant will finally be released to key South African AIDS organizations that have been struggling to survive,” PlusNews writes, adding, “Some were on the verge of shutting down.” According to the news service, “The Global Fund released US$7,106,426.91 to the South African National Treasury on February 6, the same day seven of the grant’s sub-recipients delivered an open letter to Minister of Health Aaron Motsoaledi, pleading for intervention.”
“Burkina Faso’s Network for Access to Essential Medicines (RAME) has called on the BurkinabÃ¨ government to increase the budget allocation to the health sector to avoid interruptions to AIDS treatment,” Inter Press Service reports. “Despite an emergency plan announced in January, which will see the government spend around one billion CFA francs — two million dollars — to procure AIDS drugs in this West African country, patients and civil society groups are demanding permanent measures to ensure the availability of antiretrovirals (ARVs) and reagents,” the news service notes.
In this post in the Center for Global Development’s (CGD) “Global Health Policy” blog, Amanda Glassman, director of global health policy and a research fellow at CGD, and Denizhan Duran, a research assistant at CGD, note that while the decreases in funding for the Global Health Initiative (GHI) and PEPFAR in President Obama’s FY 2013 budget request are “alarming,” the “bright spot” is that multilateral programs, including the Global Fund to Fight AIDS, Tuberculosis and Malaria and the GAVI Alliance, would get increases in their funding. “Multilateral aid is more efficient. … In the case of U.S. global health aid, potential gains from a shift to multilaterals may be large,” they write (2/15).
The Moscow Times examines a potential shift in Russia’s public health priorities as programs funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria begin to phase out. “While the Global Fund’s eight-year presence in Russia was long expected to end, officials with regional non-governmental organizations (NGOs) largely dependent on the group’s financing say the country is now turning its back on widely accepted harm-reduction strategies and will let independent HIV-prevention groups wither and die,” the newspaper writes.
In this New York Times opinion piece, Paul Farmer, chair of the department of global health and social medicine at Harvard Medical School and a co-founder of Partners in Health, examines the importance of the Global Fund to Fight AIDS, Tuberculosis and Malaria as it faces a “serious financial shortfall,” writing, “Beyond AIDS, the Global Fund is currently the largest donor in the world for tuberculosis and malaria programs. … The question is not whether the Global Fund works, but how to ensure it keeps working for years to come.”