Fierce Mobile reports on the recent announcement that PEPFAR is teaming up with the United Nations Foundation, Rockefeller Foundation and Vodafone Foundation to be a founding member of the mHealth Alliance, “a group seeking to bring health services to the most remote corners of the globe using mobile networks and technologies.” U.S. Global AIDS Coordinator Eric Goosby announced the partnership during a keynote address last week during the inaugural mHealth Summit in Washington, D.C., according to the news service (Versel, 11/3).
Also In Global Health News: HIV/AIDS In Uganda; Medical Equipment In Tanzania; Birth Control In Afghanistan; Ethiopia Malaria Fight
Changes Planned For Ugandan HIV/AIDS Campaign “The Uganda AIDS Commission (UAC) is revamping its national HIV information campaign after HIV prevention messages were less successful than hoped,” PlusNews reports. “Campaigns aimed at ending cross-generational sex will be abandoned in favour of generic warnings about engaging in risky sex because of…
“Since Myanmar gained independence from the British in 1948, it has been wracked by armed conflicts and fragile ceasefires with civilians and ethnic rebels,” and “[t]he health of Myanmar’s women has been one of the biggest casualties,” GlobalPost reports. Though recent news coverage has focused on political reform in the nation, “little attention has been paid to a more immediate need: affordable, decent health care,” the news service states. The “military junta that ruled the country for a half century spent very little on health care,” little international aid has come into the country, and “the government restricts where and how aid organizations can operate, blocking the delivery of medical services,” the news service writes, adding, “The result has been a health care system that in conflict areas, does not exist, and in large cities, is too expensive for ordinary people, according to experts inside Myanmar and on the Thai border.”
“The non-communicable disease [NCD] community always talks about the importance of prevention; many consider it the Holy Grail in the fight against NCDs. Why was it so hard to also accept treatment as part of the solution?” Princess Dina Mired, director general of the King Hussein Cancer Foundation in Amman, Jordan, asks in the Huffington Post “Impact” blog, noting only one target of the 2011 U.N. High-Level Meeting on NCDs “deals with treatment, the target on ‘essential medicines and basic technologies for treatment.’” She continues, “Treatment and prevention are heavily interrelated. The success of one is directly related to the other.” She adds, “A person in the developing world will not buy in to the importance of prevention if there is no treatment option available should that person get the disease.”
“The notion that diseases or contamination somehow recognize geographic or political borders is a dangerous illusion. … Fortunately, the United States has a broad, diverse, and world-class range of experience and expertise in dealing with all manner of global health issues,” Nils Daulaire, director of the Office of Global Affairs at the Department of Health and Human Services (HHS), writes in a perspective piece in the Journal of Tropical Medicine and Hygiene. Citing some examples of the government’s work in global health, he continues, “With such a wide array of professionals and departments within HHS working on global efforts to prevent disease, promote health, and strengthen partnerships, we needed to find a way to pull together our work and bring it into a coherent whole.” Therefore, “the Office of Global Affairs recently unveiled the HHS Global Health Strategy (GHS) at the beginning of 2012,” he notes.
The Affordable Medicines Facility-malaria (AMFm) — an innovative financing mechanism that subsidizes the cost of artemisinin-based combination therapies (ACTs) in order to expand access to the most effective treatment for malaria — “brought more than 100 million doses of malaria drugs to clinics and pharmacies in 2011” and “also increased access to the top malaria medicines by 26 to 52 percent in six countries,” according to results from the first phase of the program, which is hosted and managed by the Global Fund to Fight AIDS, Tuberculosis and Malaria, NPR’s “Shots” blog reports. The results of the evaluation, released on Wednesday in Washington, D.C., do not estimate how many lives were saved because of improved access to effective malaria medications, as “AMFm ran for only a year and half in most countries,” according to the blog. “The AMFm negotiated with drugmakers to reduce ACTs prices, and then the Global Fund subsidized the initial purchasing of the drugs by clinics and pharmacies,” the blog notes.
“If left unaddressed, [non-communicable diseases (NCDs)] will lead to more death, disability and the implosion of already overburdened health systems in developing countries at huge cost to individuals, families, businesses and society,” Peter Piot, director of the London School of Hygiene and Tropical Medicine and former UNAIDS executive director, writes in the Huffington Post “Impact” blog, adding, “Like AIDS, NCDs are a problem for rich and poor countries alike, but the poor suffer the most.” He continues, “The 2011 U.N. High-Level Meeting on NCDs — only the second time the U.N. had convened a major meeting on a health issue, following the U.N. AIDS Summit in June 2001 — was a landmark event in the short history of the fight against NCDs but was not a tipping point. Much more remains to be done.”
“An increasing number of developing countries are introducing universal health care coverage — and creating new models to do it — according to research … by the Results for Development Institute and others, published in the Lancet as part of its universal health care coverage series,” IRIN reports. “Lessons learned from countries like Ghana, India, and Rwanda are already shaping the way countries like South Africa are beginning to pilot their own bids for universal coverage,” the news service writes. “The research, which surveyed nine developing countries in Africa and Asia (which are now part of a joint learning network on the issue) found that the new models vary considerably but have several common characteristics, including increased revenue and health budgets, larger risk pools and use of the private sector,” IRIN adds, and details some of the findings (9/11).
The Coca-Cola Company and the Global Fund to Fight AIDS, Tuberculosis and Malaria have announced the expansion of a pilot project, called “Project Last Mile,” that uses Coca Cola’s “‘expansive global distribution system and core business expertise’ to help deliver critical medicines to remote parts of the world, beginning in rural Africa,” Pharma Times reports. “The public-private partnership was established in 2010 to help Tanzania’s government-run medicine distribution network, Medical Stores Department, build a more efficient supply chain by using Coca-Cola’s” delivery system model, the news service writes, adding, “The latest phase of the partnership, developed in cooperation with the likes of the Bill & Melinda Gates Foundation, Accenture and Yale University, will increase the availability of critical medicines to 75 percent of Tanzania and expand the initiative to Ghana and Mozambique” (Grogan, 9/26).
VOA News features a five-part series on South Africa’s rural public health sector, which the news service writes is “plagued by a high burden of infectious diseases, severe doctor and nurse shortages, lack of medicines and essential medical equipment and incompetent management,” resulting in high patient death rates. “Eighty percent of South Africa’s population of about 50 million people depends on public health care,” the news service notes. In the first part of the series, VOA writes that “international health care monitoring groups … consistently rate South Africa’s public health sector among the worst in the world,” “despite the fact that the government gives more than 100 billion rand ($13.3 billion) every year to state health — one of the biggest expenditures on such services in the developing world.”