Noting “[a]round 170 million children under the age of five are stunted” globally, actor and UNICEF ambassador Mia Farrow writes in a CNN opinion piece, “For too long, stunting has been a silent crisis — a personal tragedy for each family,” but “the suffering of some 170 million children constitutes a global catastrophe that calls for an urgent response.” Traveling with UNICEF for more than a decade, Farrow says, “Wherever there is poverty, it is the children who pay the highest price.” She continues, “At this moment, one million children throughout the Sahel region of Africa are at risk of dying.” Farrow highlights progress made in Haiti after the 2010 earthquake “caus[ed] hundreds of thousands of deaths and injuries” in the country and writes, “There is more work to do, but we can see that even in challenging circumstances it is possible to work together to ensure that the world’s most vulnerable children, pregnant women, and mothers have access to food and drinkable water.” She concludes, “In the name of some 170 million children, let’s pull together and end the obscenity of hunger and stunting” (10/16).
“As the importance of [America's] foreign assistance has grown, so has the number of mechanisms to dispense it,” Sen. Dick Lugar (R-Ind.) and David Beckmann, president of Bread for the World and co-chair of the Modernizing Foreign Assistance Network, write in the Huffington Post’s “Politics” blog. The authors note that “more than 24 different agencies play some role in our development and assistance efforts,” including USAID, PEPFAR, and the Department of Defense. They continue, “Policymakers have for some time recognized that we need to bring better strategic guidance and coordination to this system,” adding, “In particular, we need a better way to monitor and evaluate these programs to make sure they are working well and fulfilling their policy goals.”
“Pregnancy and childbirth is still the leading cause of death for teenage girls in the poorest corners of the world, and despite all the progress in reducing maternal mortality by 47 percent, we have yet to save these young, vulnerable lives,” Sarah Brown, founding chair of the Global Business Coalition for Education, writes in the Huffington Post’s “Global Motherhood” blog. “One of the biggest issues to resolve is child marriage; this is rightly front and center of the first International Day of the Girl Child on October 11, 2012,” she continues, adding, “That is why the White Ribbon Alliance for Safe Motherhood has joined the campaign against child marriage and is calling on its supporters to take the lead with one of their recommended actions.”
Some countries in Africa “still rely on dichlorodiphenyltrichloroethane (DDT) for [malaria] vector control,” therefore “[i]t is … problematic that the U.N. Environment Programme (UNEP), without the consent of member states, and violating its own treaties, exerts relentless pressure to ban DDT globally,” Richard Tren, director of Africa Fighting Malaria, and Richard Nchabi Kamwi, Nambia’s minister of health and social services, write in a BMJ opinion piece. Nineteen countries reserve the right to use DDT under the 2000 Stockholm Convention, which “made an exception for DDT in disease vector control,” and the WHO endorses DDT, “arguing that a premature shift to less effective or more costly alternatives will have a negative impact on disease burden,” the authors state.
Briefly recapping a history of foreign aid policy since 1920, former Sen. Blanche Lincoln (D-Ark.) and former Arkansas Gov. Mike Huckabee (R) write in a Politico opinion piece, “Credit for America’s global leadership role belongs to both major political parties and Americans of all stripes” who “have always been guided by the notion that all lives have equal value, regardless of where someone was born.” Because of the current economic recession, “[w]e understand that there might be temptation to cut back on U.S. humanitarian programs and investments abroad,” they write, continuing, “However, the cost of cutting back on such programs is not worth it,” as such cuts would amount to less than one percent of the federal budget, “affect too many peoples’ lives and damage American economic and national security interests at a time our world is more interconnected than ever.”
“If [Republican presidential nominee Gov.] Mitt Romney and his vice-presidential running mate, Representative Paul Ryan, were to win next month’s election, the harm to women’s reproductive rights would extend far beyond the borders of the United States,” a New York Times editorial says. In the U.S., “they would support the recriminalization of abortion with the overturning of Roe v. Wade, and they would limit access to contraception and other services,” according to the editorial, which adds “they have also promised to promote policies abroad that would affect millions of women in the world’s poorest countries, where lack of access to contraception, prenatal care and competent help at childbirth often results in serious illness and thousands of deaths yearly.”
“When President Barack Obama and [Republican presidential nominee] Gov. Mitt Romney debate Monday in Boca Raton for the final time, on foreign policy issues, I hope they will give us a chance to compare their visions of our country’s role in global health,” John May, chief medical officer of Armor Correctional Health Services in Miami, writes in a Palm Beach Post opinion piece. “It is a topic they have yet to address and have only touched on in their party platforms, perhaps because they are reluctant to discuss spending money in other countries,” but “it is important for voters to understand that, at about one-fourth of one percent of the federal budget, global health spending has little impact on the deficit while it addresses tremendous challenges,” he continues.
“What should President [Barack] Obama and [Republican presidential nominee] Gov. Mitt Romney talk about during [Monday's] foreign policy debate? The force that can make or break a foreign policy: food,” author William Lambers, who partnered with the U.N. World Food Programme on the book “Ending World Hunger: School Lunches for Kids Around the World,” writes in a Tennessean opinion piece. “There are 870 million people worldwide who suffer from hunger and malnutrition,” he notes, adding, “As former Army chief and Secretary of State George Marshall said, ‘Food is a vital factor in our foreign policy. And the attitude of Americans toward food can make or break our efforts to achieve peace and security throughout the world.'”
A report (.pdf) released last week by the Kaiser Family Foundation outlines the U.S. Department of Defense’s (DoD) global health work, “present[ing] the first comprehensive analysis of DoD’s activities and budget in this area” and “aim[ing] to contribute to discussions about DoD’s role in global health, understandably regarded as controversial by many observers,” a Lancet editorial states. “The report notes that DoD’s work in global health is varied,” “[n]o overarching policy or strategic document guides the department’s global health-related efforts and there is no single budget for such activities,” the Lancet writes. The report estimates that DoD’s budget for global health work in FY 2012 was more than half a billion dollars, more “than the global health budgets for either the Centers for Disease Control and Prevention or the National Institutes of Health during the same period”; however, “the effectiveness of this investment is unclear,” according to the editorial.
“Between 1970 and 2010, most emerging countries achieved impressive gains in contraceptive coverage,” but, “[b]y contrast, many sub-Saharan African (SSA) countries … have started their contraceptive revolution very late and progress to date has been minimal,” John May, a visiting fellow at the Center for Global Development (CGD), and Jean-Pierre Guengant, researcher emeritus at the Research Institute for Development (IRD) in Marseille, France, write in CGD’s “Global Health Policy” blog. “The widespread belief in SSA that ‘development was the best contraceptive’ has been the major reason why countries did not launch organized family planning programs,” they write, adding, “By and large, the lack of progress in contraceptive coverage has precluded significant decreases in fertility in the region” (10/11).