In a report (.pdf) released on Tuesday, the non-governmental organization Medecins Sans Frontieres (MSF), also known as Doctors Without Borders, said a new $10 billion global vaccination plan “fails to address the 20 percent of babies — some 19 million infants — who never receive basic, life-saving shots,” and that, “[r]ather than pushing for novel vaccines, the plan should focus more concretely on strategies to get existing vaccines to children,” Nature’s “News Blog” reports (Maxmen, 5/15). The “‘Global Vaccine Action Plan’ has been designed to implement the ‘Decade of Vaccines’ project and will be considered by health ministers gathering next week in Geneva for the 65th World Health Assembly,” according to an MSF press release, which adds, “MSF welcomed the increased emphasis on vaccines stimulated by the ‘Decade of Vaccines’ but expressed concern that some key challenges are being glossed over” (5/15).
Health Workforce & Capacity
In a post on USAID’s “IMPACTblog,” Jonathan Quick, president and CEO of Management Sciences for Health (MSH), discusses USAID’s “Every Child Deserves a 5th Birthday” campaign and several MSH programs working to improve child survival. He writes, “Expanding access to quality health care closer to the home will improve child survival in low-income countries. Training and certifying rural medicine dispensers at a national scale, and providing community-based care by community health workers, will help empower rural communities and improve the health of children in these resource-poor areas. Through these cost-effective, high-impact interventions closer to the home, we can accelerate the reduction in child mortality and save millions of lives” (5/10).
“It is in poor countries and communities, where health needs are greatest and physicians are scarce, that nurses take an even greater role in health care delivery, often serving as the sole providers in rural villages or urban slums,” Sheila Davis, director of global nursing at Partners In Health, writes in a Huffington Post “Impact Blog” opinion piece, noting this is International Nurses Week. “But although nurses deliver 90 percent of all health care services worldwide, they remain largely invisible at decision-making tables in national capitals and international agencies. Their absence constitutes a global health crisis,” Davis continues.
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.”
In a joint statement (.pdf), UNFPA Executive Director Babatunde Osotimehin and Agneta Bridges, secretary-general of the International Confederation of Midwives (ICM), recognize the International Day of the Midwife on May 5. “The right to health is a basic human right that every woman should enjoy. Yet, every day, almost 1,000 women die in pregnancy and childbirth â€¦ One of the main causes for these tragedies is lack of access to maternity services, including the care of midwives or others with midwifery skills at childbirth,” they write, continuing, “Urgent action is needed to achieve the Millennium Development Goals 4 and 5 on child and maternal health before the target year of 2015, and investing in human resources for health, especially midwifery, is one the soundest investments a country can make to accelerate progress” (5/4).
Reuters examines cancer in Africa, writing, “Most of Africa’s around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it’s a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumor growth.” However, according to the news service, sub-Saharan Africa will see an estimated one million new cancer cases this year — “a number predicted to double to two million a year in the next decade,” and, “[b]y 2030, according to predictions from the [WHO], 70 percent of the world’s cancer burden will be in poor countries.”
Nature Outlook examines the fight against malaria in Uganda. “Uganda’s tragic failure to abate malaria has numerous political, geographic, economic and social factors — and illustrates the reality that it takes more than scientific breakthroughs and cheap drugs to solve this persistent menace,” according to the article. Nature describes how a primarily rural population, “[f]unding bottlenecks, inefficient procurement processes, transportation problems,” drug stock-outs, and a lack of health care workers affects access to care and treatment for malaria, as well as how aid from the Global Fund to Fight AIDS, Tuberculosis, and Malaria, the Bill & Melinda Gates Foundation, the President’s Malaria Initiative, and other donors is supporting programs to build sustainable solutions to fighting the disease (Newmen, 4/25).
Though HIV prevalence in Nepal has dropped from 0.45 percent in 2005 to 0.3 percent in 2012, “[p]oor understanding of antiretroviral therapy (ART) amongst health officials, clinicians and patients in Nepal could undermine [those] gains … and threaten future progress in lowering the number of new infections,” PlusNews reports. The news service interviews several Nepalese HIV/AIDS specialists about the importance of patients’ adherence to ART, how difficult travel to clinics can inhibit patients from returning for medication refills or counseling, and how “[p]olicies that neglect the comprehensive nutritional, financial, educational, and pharmaceutical needs of people living with HIV/AIDS amount to treatment illiteracy at the policy level.” PlusNews writes, “Observers fear the positive results from national HIV efforts could be diluted if tensions over the administration of HIV programs continue, and adherence issues hamper implementation” (4/17).
Number Of People Worldwide With Dementia Expected To Triple By 2050; Caregivers Need Support, Report Says
The number of people living with dementia is expected to double to 65.7 million by 2030 and more than triple by 2050, with “the [current estimated] cost of treating and caring for those with the condition at $604 billion a year,” according to a report released Wednesday by the WHO and Alzheimer’s Disease International, Agence France-Presse reports (4/11). “Dementia affects people in all countries, with more than half (58 percent) living in low- and middle-income countries,” and “[b]y 2050, this is likely to rise to more than 70 percent,” according to a WHO press release.
The Associated Press/Huffington Post reports on how communications engineers are joining the fight against AIDS in Africa, highlighting a project in Mozambique that brings wireless printers equipped with cell phone technology to remote villages. “Getting AIDS test results from labs to remote villages once took weeks in Mozambique, with the information sent by courier along the impoverished country’s terrible roads. The delay could mean death,” the news agency writes, adding, “Now, communications engineers have adapted office printers and cell-phone technology to wirelessly and immediately relay test results.”