“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).
Noting the successes of the first 10 years of the Global Fund to Fight AIDS, Tuberculosis and Malaria, as well as the funding challenges it faces moving forward, Elisha Dunn-Georgiou, vice president of advocacy at Population Action International, writes in an opinion piece in GlobalPost’s “Global Pulse” blog that the Fund “has always upheld the idea that their work contributes to achievement of all of the health-related Millennium Development Goals (MDGs)” and “always accepted and considered proposals that include reproductive, maternal, and child health interventions, when countries could demonstrate that they would have an impact on AIDS, tuberculosis, and malaria.”
Donor Fatigue, Funding Cutbacks Could Mean Another 50 Years Of AIDS Epidemic, UNAIDS Deputy Executive Director Says
“With enough money spent in the right way, the world could soon reduce new HIV infections to zero, but global apathy and the financial crisis mean it might take another 50 years to stop the AIDS epidemic, a U.N. expert has said,” AlertNet reports. “At a time when HIV/AIDS efforts face an unprecedented decline in funding, Paul De Lay, deputy executive director of UNAIDS …, called on developing states to take more responsibility for tackling HIV in their own countries rather than relying on international assistance,” the news service notes.
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.”
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).
“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).
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).
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.”
“The Global Fund to Fight Aids, Tuberculosis and Malaria has proved to be one of the world’s most important and innovative multilateral funding agencies,” a Financial Times editorial states. Therefore, “[t]he abrupt reshuffle of top management last week” â€“ with the resignation of Executive Director Michel Kazatchkine and the appointment of General Manager Gabriel Jaramillo â€“ “must not distract attention from its achievements over the past decade, which on their own justify further donor support,” the editorial continues. “[T]here is a need to re-examine the agency’s management and operations, particularly when squeezed donors are seeking better value for money,” and that involves “scrutinizing grant applications to ensure its stretched finances go to the neediest: those with fewest resources, the highest disease burden, and policies that do most to prevent and treat infection,” the editorial states.
“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.”