While a focus on HIV prevention and treatment among women and children has reduced infection rates among these populations, “men have received considerably less attention in the epidemic and receive less targeted HIV prevention and treatment programs,” Edward Mills of the University of Ottawa and colleagues write in a PLoS Medicine essay, adding “Targeting men in prevention and treatment … may have a large impact on mortality, new infections, and the economic impact of HIV/AIDS in Africa.” They note that in Africa, fewer men than women access antiretroviral therapy (ART), and men “typically have higher mortality,” seek care later in the disease, and “are more likely to be lost to follow-up.”
“Cash-strapped Swaziland is struggling to fund its HIV programs, and experts are warning of long-term damage to treatment and prevention schemes if steps are not taken to ring-fence funding and supplies,” the Mail & Guardian reports. About 200,000 people are living with HIV in Swaziland, nearly one quarter of the population, the newspaper notes, adding, “Until now the government has done well in terms of providing antiretroviral (ARV) treatment — achieving 78 percent coverage, just under the World Health Organization’s ‘universal coverage’ rate of 80 percent. But there are fears that uncertainty about funding streams and weak supply-chain management could result in a reversal of this progress.” The article discusses funding from the government, PEPFAR, and the Global Fund to Fight AIDS, Tuberculosis and Malaria; antiretroviral drug and testing supply problems; and the epidemic’s effect on children and life expectancy in the country (Redvers, 2/27).
In this post in PSI’s “Healthy Living” blog, Mannasseh Phiri, PSI’s country representative in Zambia, examines HIV/AIDS in Zambian prisons. Phiri reports the findings of a survey recently conducted by the IN BUT FREE (IBF) Prisons Project “to determine the extent and magnitude of the HIV and AIDS epidemic in Zambia’s prisons.” He concludes, “The high prevalence of HIV in our prisons cannot and should not be ignored. We cannot hope to be able to tackle our HIV epidemic in Zambian society outside of the prisons, unless we face up to the reality of the HIV epidemic inside the prisons” (2/24).
In this post in the U.S. Department of State’s “Dipnote” blog, Ambassador Eric Goosby, the United States Global AIDS Coordinator, responds to President Obama’s fiscal year (FY) 2013 budget request, writing, “It demonstrates that the United States remains fully committed to the fight against global AIDS, and will meet the…
“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).
“Health officials in southern China are proposing new legislation to require real-name registration for HIV testing, a move aimed at lowering infection rates that has sparked controversy over personal privacy,” the Wall Street Journal’s “China Real Time Report” blog reports. It notes that China’s Xinhua News Agency recently reported that the legislation, proposed in China’s Guangxi Zhuang autonomous region, also would mandate people testing positive for HIV must inform their spouses and partners.
“More than seven months overdue, the Global Fund to Fight AIDS, Tuberculosis and Malaria grant will finally be released to key South African AIDS organizations that have been struggling to survive,” PlusNews writes, adding, “Some were on the verge of shutting down.” According to the news service, “The Global Fund released US$7,106,426.91 to the South African National Treasury on February 6, the same day seven of the grant’s sub-recipients delivered an open letter to Minister of Health Aaron Motsoaledi, pleading for intervention.”
“Globally, malnutrition is the most important cause of illness and death,” Jeremy Laurance, health editor at the Independent, writes in this editorial. Laurance details the physical effects of malnutrition on a child and notes, “Malnutrition contributes to more than half of child deaths worldwide. … It affects virtually every organ system,” and “[i]ts impact on the immune system is similar to that of AIDS.”
Cash transfer programs involving small amounts of money paid to schoolgirls and their families who live in low-income settings can help the young women “resist the attentions of older men and avoid HIV infection, according to a new study” published online Wednesday in the Lancet, the Guardian reports (Boseley, 2/14). The study, conducted by researchers from the World Bank, the University of California at San Diego, and George Washington University, found that the weighted prevalence of HIV among girls who had received money was 1.2 percent (seven out of 490) compared with three percent in the control group (17 out of 799) after 18 months (Baird et al., 2/15).
In “the first in a series of conversations with officials at the Centers for Disease Control and Prevention (CDC) discussing the CDC’s role in global HIV and tuberculosis (TB) research and development,” the Center for Global Health Policy’s “Science Speaks” blog interviews Kayla Laserson, director of the Kenya Medical Research Institute (KEMRI)/CDC Field Research Station in Kisumu, Kenya. Laserson answers questions about her work with the CDC, the latest research projects underway at KEMRI/CDC, and progress in Kenya’s HIV response since she began working in Kisumu six years ago, among other topics (Mazzotta, 2/14).