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).
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.”
“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.
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.”
“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.
“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.
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.”
“The non-communicable disease [NCD] community always talks about the importance of prevention; many consider it the Holy Grail in the fight against NCDs. Why was it so hard to also accept treatment as part of the solution?” Princess Dina Mired, director general of the King Hussein Cancer Foundation in Amman, Jordan, asks in the Huffington Post “Impact” blog, noting only one target of the 2011 U.N. High-Level Meeting on NCDs “deals with treatment, the target on ‘essential medicines and basic technologies for treatment.’” She continues, “Treatment and prevention are heavily interrelated. The success of one is directly related to the other.” She adds, “A person in the developing world will not buy in to the importance of prevention if there is no treatment option available should that person get the disease.”
Noting the Copenhagen Consensus has stated that “large-scale micronutrient fortification is a proven and cost-effective intervention that can mitigate malnutrition in the form of vitamin and mineral deficiencies and enhance the well-being of millions,” Marc Van Ameringen, executive director of the Global Alliance for Improved Nutrition (GAIN), writes in the Huffington Post “Impact” blog, “On September 9, 2012, [GAIN] launched a partnership in Kabul with Afghanistan’s Ministry of Public Health, the Khalifa Bin Zayed Al Nahyan Foundation (KBZF) and the World Food Programme (WFP) to help alleviate the burden of malnutrition in Afghanistan by bringing more nutritious wheat flour, vegetable oil, and ghee to approximately half of the country’s population.”
The first-ever results from a dengue virus vaccine clinical trial aimed at showing effectiveness “provide signals rather than definitive answers, and a mixture of both promise and unresolved challenges,” Orin Levine, executive director of the International Vaccine Access Center, and Ciro de Quadros, executive vice president of the Sabin Vaccine Institute, write in the Huffington Post “Impact” blog. “To date, these represent the most promising indications that a safe, effective vaccine to prevent dengue is technically feasible,” they continue, adding, “At the same time, the results on protection were inconclusive, somewhat inconsistent with the measured immune responses and uneven across the four strains included in the vaccine.”