The following blog posts address global AIDS issues, following World AIDS Day on December 1 and the release of the Obama administration’s “President’s Emergency Plan for AIDS Relief (PEPFAR) Blueprint: Creating an AIDS-free Generation” (.pdf) on November 29.
The “Blueprint for an AIDS-free Generation,” (.pdf) released on Thursday by U.S. Secretary of State Hillary Clinton, “shows that upfront investments to support the rapid scale-up of lifesaving AIDS treatment will yield significant savings — of both lives and dollars — in the near future,” Archbishop Desmond Tutu, archbishop emeritus of Cape Town, South Africa, writes in the Huffington Post’s “Impact” blog. “For the Blueprint to be a success, the funding to implement it must be secured,” Tutu writes, adding, “Advocates will need to lobby President Obama to ensure that specific targets are attached to the Blueprint, that progress is tracked and that adequate resources are allocated quickly to fund accelerated, up-front investments.” He continues, “That’s no small order in the current global economic environment and in light of the political gridlock in Washington over plans to correct the U.S. federal deficit.”
The Financial Times on Friday published a special report titled, “FT Health: Combating AIDS 2012” (.pdf). The report, released ahead of World AIDS Day, observed annually on December 1, includes several pieces, including an article discussing human behavior as an obstacle to eradicating HIV, an article examining Global Fund reform, and an article examining how the number of AIDS-related deaths could be reduced by more effectively treating tuberculosis patients (11/30).
Aidspan, an independent watchdog of the Global Fund to Fight AIDS, Tuberculosis and Malaria, on Friday published Issue 204 of its “Global Fund Observer.” Among other articles, the issue features an article on the resolution of a stalemate over a grant to Zambia; an article summarizing the latest report from the Global Fund’s Office of the Inspector General; and an article on a proposed new AIDS funding rule in Brazil (11/30).
“[O]ne thing I’ve learned from working on HIV/AIDS my entire political career — we are far better united than divided,” Rep. Barbara Lee (D-Calif.) writes in a Politico opinion piece, noting examples of bipartisan legislation that “help to slow the rate of infections and reduce the number of deaths from AIDS.” She continues, “We can put into place the policies that can help end AIDS. Even in a time of fiscal uncertainty, we have the resources. We just have to be smart about it, and that means responding to the reality of HIV and not the luxury of our political comfort.” Lee writes, “Worldwide, we have to maximize our efficiency and build programs that make sense,” including integrating family planning, maternal health, and HIV services and “respond[ing] to the needs expressed by key populations, including men who have sex with men, sex workers, and people who inject drugs.” She says, “As long as we are supporting laws that limit comprehensive sex education, deny federal funding for syringe exchange services, or criminalize people living with HIV for consensual sex, biting and spitting, we are allowing HIV to thrive.”
“HIV is the leading cause of death of women of reproductive age,” and without HIV, “maternal mortality worldwide would be 20 percent lower,” Lucy Chesire, executive director and secretary to the Board of the TB ACTION Group, writes in the Huffington Post’s “The Big Push” blog. She says that women “often face barriers accessing HIV treatment and care,” adding she recently “was struck with the significant role the Global Fund [to Fight AIDS, Tuberculosis and Malaria] has played in reducing women’s barriers to treatment.”
Leading up to World AIDS Day on December 1, the AIDS.gov blog published several pieces discussing progress in reaching the goal of an AIDS-free generation. The pieces are summarized below.
In the Center for Strategic & International Studies’ (CSIS) “Smart Global Health” blog, Todd Summers, senior adviser at the CSIS Global Health Policy Center, reviews the Global Fund to Fight AIDS, Tuberculosis and Malaria’s old rounds-based grant system that the Global Fund Board recently agreed to replace with a new funding model “that’s designed to be flexible, focused, and fast,” he says. Summers describes some of the shortcomings of the old model, outlines the “[c]ore attributes” of the new model, and writes, “Many other important aspects of the new funding model remain to be worked out, and some larger questions remain. I’ll try to highlight some of these in upcoming blogs” (11/26).
The “grand experiment” of the Affordable Medicines Facility-malaria (AMFm) — a pilot program that aims to get artemisinin-based combination therapies (ACTs) into rural areas of several African nations — “seems likely to end, its successes underrated and potential improvements not yet explored,” a Nature editorial says. In October, “an independent evaluation found that it had performed remarkably well on the main benchmarks of success, increasing the number of outlets stocking ACTs and lowering prices,” but last week “the Global Fund to Fight AIDS, Tuberculosis and Malaria decided to end the AMFm as a stand-alone program, by integrating it into the fund’s core system for awarding malaria-control grants to countries,” the editorial notes, adding, “This integration probably spells the end for AMFm, because there will be no new money for the program after the end of next year.”
The Global Fund to Fight AIDS, Tuberculosis and Malaria Board recently made several decisions that will affect the future of the organization, including appointing former U.S. Global AIDS Coordinator Ambassador Mark Dybul as executive director and adopting a new funding model, Nature reports in an article examining the history and future of the Fund. “It has been a rough couple of years for the Global Fund,” but “[l]ast week’s appointment of Mark Dybul as executive director could signal a fresh start, and has been broadly welcomed,” Nature writes (Butler, 11/22). “As [Dybul] begins his four-year term in early February 2013, current Fund General Manager Gabriel Jaramillo will transition out of his position,” PlusNews reports, noting, “That position, created to guide the Fund through reforms proposed by a 2011 high-level review panel at a time of low donor confidence, will disappear.”