Forbes features two interviews with global health leaders. Contributor Rahim Kanani spoke with Seth Berkley, CEO of the GAVI Alliance, about GAVI’s impact, innovation, public-private collaboration, and leadership and responsibility. In the interview, Berkley said vaccinating children not only protects them from disease, but it “protects families and whole communities. And it reduces ongoing health care costs, expands educational opportunities and creates a more reliable workforce. This, in turn, creates a more stable community, higher productivity and stronger national economies. Immunization provides an important foundation for political stability and economic growth” (10/4).
Devex features three video segments from an interview with Jonathan Quick, president and CEO of Management Sciences for Health (MSH), in which he discusses health systems innovation and the challenge of addressing non-communicable diseases. In one clip, Quick describes the founding principles of MSH and how the organization works to build local capacity in the communities where it works. In a second clip, he talks about how health systems innovation — organizing people, processes and resources — will help deliver health technologies more quickly and efficiently (Rosenkrantz/Schwetje, 10/3). And in a third clip, Quick says the international community has made “stunning progress” in the past decade against HIV, malaria, and tuberculosis, but a growing epidemic of non-communicable diseases are killing more people than those three diseases combined. He says synergies of care and treatment and integration will be important to address these illnesses, instead of the more vertical models that have worked over the past decade (Rosenkranz/Schwetje, 10/2).
Experts Worried Political Commitment, Health Services Delivery Still Lacking Despite Efforts To Improve Family Planning In Uganda
“Family planning advocates in Uganda have scored some major financial and policy wins this year, but experts remain concerned that inadequate political commitment and poor health services will continue to impede women’s and girls’ access to contraceptives,” IRIN reports. With one of the fastest growing populations in the world, Uganda’s “President Yoweri Museveni announced that his government would increase its annual expenditure on family planning supplies from $3.3 million to $5 million for the next five years” and he “pledged to mobilize an additional $5 million from the country’s donors,” the news service writes. In addition, the “Ministry of Health has laid out a roadmap for providing universal access to family planning, involving the integration of family planning into other health services,” the news service notes.
Integrating reproductive health and other services, such as HIV care, “makes sense, and there is emerging evidence that it can be associated with a host of benefits, such as improved uptake of services, enhanced program efficiency, and even improved health outcomes when compared to separate services,” Gavin Yamey, who leads E2Pi in the Global Health Group at the University of California-San Francisco (UCSF), and Craig Cohen, a professor in-residence in the UCSF Department of Obstetrics, Gynecology and Reproductive Sciences, write in the PLoS blog “Speaking of Medicine.” They describe five key themes that emerged last month at the Integration for Impact conference, co-hosted by the Kenya Medical Research Institute, the Kenyan government, and UCSF. They write, “The emphasis was on presenting the latest research findings, exploring the policy implications of this evidence, and laying out the unanswered research questions,” and describe the five themes, including keeping human rights at the forefront and better defining and measuring integration (10/3).
Doctors in Kenya on Wednesday were striking for the 17th day to protest poor conditions in some of the nation’s public hospitals, where “[e]mergency rooms … frequently don’t have gloves or medicine, and power outages sometimes force doctors to use the light from their phones to complete a procedure,” the Associated Press reports. Last week, “Kenya’s government fired 1,000 of the 2,000 striking doctors … despite a shortfall of skilled medical practitioners,” the news service writes, noting Kenya has one doctor for every 6,250 people and the WHO recommendation is one for every 100 people. “Attempts to hold talks this week with officials from the Ministry for Medical Services failed, prompting the doctors to flood social media with tell-all stories about deplorable conditions in public hospitals,” the AP states.
The International HIV/AIDS Alliance has been providing technical support for UNAIDS since 2011 to assist policymakers in integrating human rights programs into National Strategic Plans for HIV (NSPs), the organization’s blog states and notes, “As part of the project, three regional workshops were held for: East and Southern Africa; the Middle East and North Africa; and the Asia/Pacific regions.” The blog continues, “The workshops aimed to increase participantsâ€™ knowledge of why human rights and HIV programs must be connected, and how a lack of integration is undermining the effectiveness of the HIV response.” A report, co-published by UNAIDS and the Alliance and titled “Making it Work,” provides “some short-term outcomes and lessons learnt from this initiative,” according to the blog (10/24).
In the Center for Strategic & International Studies’ (CSIS) “Smart Global Health” blog, Phillip Nieburg, senior associate of the CSIS Global Health Policy Center, discusses a recent report (.pdf) he wrote, titled “Improving Maternal Mortality and Other Aspects of Women’s Health: The United States’ Global Role,” “that addresses key challenges to improving maternal mortality and women’s health worldwide and talks about what the related priorities of U.S. foreign policy should be.” He says, “Rather than continuing what appears to me as a piecemeal approach to global aspects of reproductive health, with separate programs to address, e.g., gender-based violence, women and HIV/AIDS, maternal mortality, family planning, cervical cancer, girls’ education, etc., I argue in my report that the United States should develop and implement a comprehensive global plan for women’s health that includes males as well as females, using coordinated prevention and care programming for each stage of the reproductive health life cycle” (10/25).
Deutsche Welle examines the widespread lack of access to medical supplies and drugs in developing countries and efforts by the pharmaceutical industry and others to bring new and lower-cost drugs into these emerging markets. Christian Wagner-Ahlfs of the Federal Coordination of Internationalism, or BUKO, which brings together 130 German activist groups to examine the work of the pharmaceutical industry in developing nations, said new drug prices in particular are “totally exorbitant,” adding, “It is a major problem that the companies do not reveal their actual research costs, so the prices are difficult to control,” according to DW. However, Norbert Gerbsch, deputy managing director of the Federation of German Industry (BPI), said those nations also have a responsibility to improve their health care infrastructure and food security, the news agency reports.
In an opinion piece in the Huffington Post’s “Global Motherhood” blog, David Olson, a global health communications consultant who worked as a communications adviser to the Reproductive Health and Rights Alliance in Kenya earlier this year, describes how “abortion rights [in the country] have been liberalized in certain cases in a Constitution approved in a public referendum two years ago.” He continues, “The new constitution says clearly that ‘the life of a person begins at conception’ and ‘abortion is not permitted unless…'” Olson writes, “And that innocuous ‘unless’ is what keeps the abortion issue alive in Kenya, almost two years after the constitutional referendum: ‘…unless, in the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the mother is in danger, or if permitted by any other written law.'”
Mobile phones and other SMS-based platforms are being used to improve health care systems worldwide and have “opened the gateway to establishing emergency triage systems, sending medication adherence reminders, enabling home-based antenatal care, tracking community immunization and dispatching mass announcements detailing satellite clinic schedules and locations,” Nadim Mahmud, co-founder of Medic Mobile, writes in a CNN opinion piece. “While I am focused on helping people in the developing countries, I am keenly aware that mobile health care innovations also impact people close to home,” he says.