In this SciDev.Net opinion piece, journalist Priya Shetty writes that the Sustainable Development Goals — a successor to the Millennium Development Goals (MDGs) proposed to begin in 2015 — “need more focus on health to continue the progress achieved with MDGs.” She continues, “[A]lthough early drafts of the SDGs address issues that the MDGs neglected, such as food security, they are light on health and many social issues (education, for example, or gender equity). This should be of major concern to public health experts.”
“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.”
“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.
In this post in the Center for Global Development’s (CGD) “Rethinking U.S. Foreign Assistance” blog, Connie Veillette, director of CGD’s rethinking U.S. foreign assistance initiative, highlights two recent posts by CGD’s Amanda Glassman and Nandini Oomman on the future of the Global Health Initiative (GHI). She writes, “With the Appropriations Committee weighing in by requiring a status report by mid-February on transitioning GHI to USAID, it is no understatement that the GHI is at an important juncture. Declining budgets for foreign assistance will also require new thinking on where the U.S. provides assistance and for what purpose” (1/31).
“[T]oday, with the national debt approaching $14.7 trillion, Americans rightly demand fiscal responsibility. Yet efforts in Congress to cut billions from the president’s proposed budget for the State Department and the U.S. Agency for International Development (USAID) are short-sighted,” Sen. John Kerry (D-Mass.), chair of the Senate Foreign Relations Committee, writes in a Wall Street Journal opinion piece. He adds that “all of our foreign aid programs and foreign policy initiatives — from sending diplomats to Afghanistan to helping reverse the HIV/AIDS epidemic in Africa — cost less than one-tenth of our annual military expenditures” and “comprises a mere 1.5 percent” of President Obama’s FY 2013 budget request.
“For mental health to gain significant attention, and funding from policymakers globally, it is not enough to convince people that it has a high disease burden but also that there are deliverable and cost-effective interventions — according to South African researchers writing in this week’s PLoS Medicine,” a PLoS press release reports, adding, “Mark Tomlinson and Crick Lund from the Department of Psychiatry and Mental Health based at the University of Cape Town argue that global mental health must demonstrate its social and economic impact.” According to the press release, the authors “discuss a framework to help understand why some global health initiatives are more successful in generating funding and political priority than others” (2/28).
Republican Presidential Candidate Santorum Could Be Beneficial To Global Health Programs If Elected President
In the Republican campaign for the presidential nomination, former Sen. Rick Santorum (R-Pa.), “the most religiously conservative candidate, surprisingly, is the most fervent advocate for U.S. global health diplomacy,” Jack Chow, former U.S. ambassador on global HIV/AIDS and former assistant director-general of WHO on HIV/AIDS, tuberculosis, and malaria, writes in a Foreign Policy opinion piece. “Santorum has staked out global health as one of his preferred instruments of asserting American power abroad” and “seems determined to lay the groundwork for a global health agenda that is not only far more extensive than his competitors’, but would surpass both [George W.] Bush and Barack Obama in advancing U.S. interests abroad through fighting disease,” Chow writes.
In this post in IntraHealth International’s “Global Health” blog, Editorial Manager Susanna Smith responds to an editorial published in the Lancet earlier this month that “issued a dire warning to the international medical community” about the use of medicine as a weapon of war in Syria, writing, “It is just the latest in a series of reports from across the Middle East on how medical care and medical professionals and facilities are being used to inflict politically motivated violence.” She adds, “The U.N.’s condemnation of this type of violence in Syria specifically is one step in the right direction, but it is high time the international medical community speaks out against the overt violations of medicine’s covenant with society, violations that are clearly a strategic weapon on the part of these political regimes” (2/27).
U.S. Funding To Address Basic Health In Ghana ‘Noble’ But Improving Access To Health Care Still Imperative
A joint agreement recently signed by the Ugandan Ministry of Health and the U.S. Government’s Global Health Initiative (GHI) to carry out collaborative initiatives targeted at “bringing quality health care to Ugandans” is “a significant effort that should, with proper implementation, improve health care services, particularly by reducing pregnancy-related deaths,” a Daily Monitor editorial states.
“My worry, as the high-level panel on post-2015 development goals meets this week, is that my voice — and those of many others working at the sharp end of development — won’t ultimately have much influence,” Francess Fornah head of the school of midwifery in Makeni, Sierra Leone on a three-month commonwealth fellowship placement organized by VSO and based at King’s Health Partners in London, writes in the Guardian’s “Poverty Matters” blog. “Every day, thousands of community health workers, voluntary groups, teachers, entrepreneurs and civil servants engage in development activities in their own communities. … know what works, because they’re out there doing it; and they know what doesn’t work, because they’ve seen it fail,” she continues.