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Bill Gates Describes How 'Catalytic Philanthropy' Can Help Bring Vaccines, Medicines To Untouched Markets

In an essay adapted for Forbes magazine from a speech given at the Forbes 400 Summit on Philanthropy in June, Bill Gates, co-chair of the Bill & Melinda Gates Foundation, discusses how “[i]nnovations for the poor suffer from … market limitations” and his idea of “catalytic philanthropy.” Gates writes, “The market is not going to place huge bets on research when there are no buyers for a breakthrough. This explains why we have no vaccine for malaria today, even though a million people die from it every year.” Therefore, “when you come to the end of the innovations that business and government are willing to invest in, you still find a vast, unexplored space of innovation where the returns can be fantastic,” he continues.

Challenges, Solutions To Sexual Health Education In South Africa

“South Africa faces significant challenges when it comes to sexual health, and with the high prevalence of rape, teen pregnancy, and sexually transmitted diseases and infections, schools need to implement strong and informative programs on sexuality and contraceptive use,” Jos Dirkx, founder of Girls & Football SA, writes in this post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, published in partnership with Women Deliver as part of a series on youth perspectives to recognize World Contraception Day, observed annually on September 26. She discusses some women’s personal experiences with contraception, and concludes, “Girls & Football SA strongly believes that by creating a safe space through our programming, we are able to present girls with the chance to ask questions, get accurate information and start a dialogue about their bodies, their health, and their sexuality” (9/18).

'Greater Commitment' Needed To Fight NTDs

In a guest post on USAID’s “IMPACT Blog,” Rachel Cohen, regional executive director of DNDi North America, writes, “The United States government and its country partners should be commended for the tremendous achievements in the fight against neglected tropical diseases (NTDs) as part of the U.S. Agency for International Development (USAID) NTD Program” and the National Institutes of Health. “However, not all NTD research is created equal,” she writes, adding, “Beyond basic research, much more research and development (R&D), including late-stage product development, for new drugs, vaccines, and diagnostics is urgently needed for those NTDs where adequate tools do not exist.” Noting that African sleeping sickness, Chagas disease, and kala azar (visceral leishmaniasis) “are not yet included in the USAID NTD Program,” Cohen says “greater commitment to developing new NTD treatments and other tools is sorely needed if disease control or elimination is to be achieved” (9/18).

UNITAID Should 'Reinvent Itself' To Increase Role In Global Health Field

In this post in the Center for Global Development’s (CGD) “Global Health Policy” blog, Victoria Fan, a CGD research fellow, and Rachel Silverman, a research assistant for the global health team at the center, examine the future of UNITAID. “Perhaps due to its relative obscurity and late entry to a crowded global health field, UNITAID has proactively worked to differentiate itself through a focus on commodities, market shaping, novel funding sources, and innovation,” but, “as UNITAID celebrates its sixth birthday …, it stands at a potential crossroads,” they write. Fan and Silverman note that a five-year evaluation report on the future of UNITAID, commissioned by its Executive Board, is forthcoming, and they highlight a paper (.pdf) in which they “outline some contradictions and limitations of UNITAID’s current approach.” They write, “We hope that the imminent evaluation provides the impetus for UNITAID to turn inward and do something truly innovative: buck institutional inertia, change course as necessary, and reinvent itself as the solution to 2012’s biggest global health challenges” (9/17).

Improved Health Critical To Development Of Democracy In Burma

In this post in the Huffington Post Blog, Deborah Derrick, president of Friends of the Global Fight Against AIDS, Tuberculosis and Malaria, examines the role of health efforts in the rebuilding of Burma, also known as Myanmar. “According to the World Health Organization, the ruling military leaders’ investment in health is only two percent of GDP, among the smallest health budgets in the world,” she writes, adding, “An estimated 240,000 people in the country are living with HIV/AIDS, and there remains a high risk of malaria, with incidence of drug-resistant malaria spreading.”

U.S. Can Help Improve Global Food Security

“For all its importance to human well-being, agriculture seems to be one of the lagging economic sectors of the last two decades,” Tyler Cowen, a professor of economics at George Mason University, writes in a New York Times opinion piece. “That means the problem of hunger is flaring up again, as the World Bank and several United Nations agencies have recently warned,” and in Africa, for example, “[t]he expansion of the … middle class and the decline in child mortality rates are both quite real, but the advances have not been balanced — and agriculture lags behind,” he states.

Congress Can Help Improve WASH, Survival For Children Worldwide

David Winder, chief executive of WaterAid USA, highlights the findings of the recently released UNICEF report on child mortality in this Huffington Post “Impact” blog post, saying the decrease in annual number of child deaths “is great news, but is tempered by sobering statistics, especially for children in sub-Saharan Africa,” who continue to face high rates of mortality. “However all is not lost and much can be done to ameliorate the situation. Improving access to safe drinking water, sanitation and hygiene is a key step in preventing many of these needless deaths,” he writes, adding, “Known collectively as WASH, these three basic services are important factors in preventing pneumonia and diarrhea, the leading causes of mortality among children between one month and five years of age.”

Women Play Important Role In Fighting NCDs

“As world leaders make their way to New York this month to attend the United Nations General Assembly, we call on them to renew their commitments to combating non-communicable diseases (NCDs),” Jill Sheffield, president of Women Deliver, and Nalini Saligram, founder of Arogya World, write in the Huffington Post “Global Motherhood” blog, adding, “Tackling NCDs with a woman-centered focus is a critical step towards reaching all development goals.” They continue, “The solution to curbing NCDs and maternal mortality ultimately rests in improving women’s access to strong and capable health systems.” In addition, “[t]eaching women about NCD prevention by promoting healthy lifestyles will result in women not only changing their own lives, but also steer their families and entire communities towards healthy living,” they state, adding, “Educated and empowered women can work to build a healthier, more sustainable world and lift families out of poverty.” Finally, “[i]t’s also important to look at new solutions and technologies,” including clean cookstoves, Sheffield and Saligram write.

Improve Domestic Health Care Worker Recruiting, Training In U.S. To Improve Economy, Global Health

“Today about 12 percent of the health work force [in the U.S.] is foreign-born and trained, including a quarter of all physicians,” Kate Tulenko, senior director of health system innovation at IntraHealth International, writes in a New York Times opinion piece, adding, “That’s bad for American workers, but even worse for the foreign workers’ home countries, including some of the world’s poorest and sickest, which could use these professionals at home.” She says expensive schooling and strict credential requirements, which some foreign-trained workers do not have to meet, are keeping U.S. health workers from entering the workforce.

New Development Goals Should Acknowledge Health, Education, Aid, But Focus On Economic Reform

Noting the 67th session of the U.N. General Assembly begins on September 25, Charles Kenny, senior fellow at the Center for Global Development and a Schwartz Fellow at the New America Foundation, writes in his Bloomberg Businessweek blog, “Small World,” “Accompanying the usual podium speeches will be the start of backroom discussions as to what will replace the Millennium Development Goals [MDGs], a set of targets for global progress agreed to at the 2000 General Assembly meetings.” He continues, “The original Millennium Goals committed the world to halve poverty between 1990 and 2015, alongside ambitious targets to reduce childhood deaths, ensure that every child worldwide completes primary school, safeguard equal access to education for girls, improve access to sanitation, and reduce deaths from maternal mortality, AIDS, and malaria,” and he adds, “The planet has actually done pretty well in meeting these initial targets.”