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Report Examines Foreign Affairs Budget Reforms In Light Of Austerity

“The United States should be more selective about where and how it spends foreign assistance,” according to a new report (.pdf), titled “Engagement Amid Austerity: A Bipartisan Approach to Reorienting the International Affairs Budget,” co-authored by John Norris of the Center for American Progress and Connie Veillette of the Center for Global Development (CGD), the CGD website notes. The report “identifies four flagship reforms that would help U.S. foreign affairs institutions to better reflect national interests and reduce ineffective spending,” including “[a]ccelerat[ing] cost-sharing arrangements with upper middle income recipients of” PEPFAR and “[o]verhaul[ing] U.S. food aid laws and regulations,” according to the website (5/8).

Preventing Mother-To-Child Transmission Of HIV Is ‘Smart Investment’

“Each year, nearly 400,000 children are born with HIV globally, and prevention of mother-to-child transmission (PMTCT) is a particular challenge in sub-Saharan Africa, an area characterized by weak health systems,” U.S. Global AIDS Coordinator Ambassador Eric Goosby writes in the State Department “DipNote” blog. “Last year PEPFAR and UNAIDS joined with other partners to launch the Global Plan, an initiative to eliminate new HIV infections among children and keep their mothers alive,” Goosby writes and reflects on a two-day mission to Nigeria with UNAIDS Executive Director Michel Sidibe last week. He concludes, “Preventing new HIV infections in children is a smart investment that saves lives, and the United States is proud to partner with Nigeria and other countries in this cause” (4/30).

PEPFAR Releases 8th Annual Report To Congress

The Center for Global Health Policy’s “Science Speaks” blog notes that PEPFAR recently released its 8th annual report (.pdf) to Congress. “The five-page document outlines the program’s progress as of the end of fiscal year 2011 in various areas,” including the provision of antiretroviral treatment, care, and support; HIV testing and counseling for pregnant women; and prevention of mother-to-child transmission services, the blog notes. The report includes sections on “leading with science,” “smart investments,” “country ownership,” and “shared responsibility,” according to the blog (Mazzotta, 5/4).

USAID Reports To Congress On Global Health, Child Survival

“In the last 20 years, the world has saved more than 50 million children’s lives and reduced maternal mortality by one-third,” “accomplishments [that] have been the result of good science, good management, bipartisan political support, the engagement of USAID and many other U.S. Government agencies, and the participation of faith-based organizations, civil society, and the private sector,” according to a summary of USAID’s “Global Health and Child Survival: Progress Report to Congress 2010-2011.” The summary states, “With prospects for ending preventable child and maternal deaths, creating an AIDS-free generation, and laying the foundations for universal health coverage, future generations will look back at this period as a turning point in the history of global health” (5/10).

Commentary Addresses Status Of The U.S. Global Health Initiative

In this Lancet opinion piece, Jennifer Kates, vice president and director of global health and HIV policy for the Kaiser Family Foundation, and Josh Michaud, principal policy analyst at the Foundation, examine the U.S. Global Health Initiative (GHI), which “represents the bulk of the U.S. global health budget and bilateral activities in more than 80 countries.” Kates and Michaud provide a brief overview of the initiative, identify the principles upon which it was founded and say that four years into the GHI, “The picture is one of both successes and challenges.”

Ministers Meet To Discuss Global Plan To Eliminate New HIV Infections Among Children

UNAIDS and PEPFAR recently brought together the ministers of health and representatives of the 22 countries with the most new HIV cases among children to discuss progress on the Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive agreed to at the 2011 U.N. High-Level Meeting on AIDS, according to a UNAIDS press release. Though “great strides have been made in reducing HIV infections among women of reproductive age and expanding access to antiretroviral therapy for pregnant women living with HIV, … progress is not being scaled up as quickly on meeting the family planning needs of women living with HIV, preventing maternal mortality and ensuring that all children living with HIV have access to antiretroviral therapy,” according to UNAIDS. “The meeting was the first annual face-to-face gathering of representatives from the 22 focus countries since the launch of the Global Plan,” the press release notes (5/23).

Estimated 740,000 Deaths In Africa Averted Between 2004-2008 In Association With PEPFAR, Study Shows

“The lives of more than 740,000 people in nine African countries were saved between 2004 and 2008 by the U.S. President’s Emergency Plan for AIDS Relief [PEPFAR],” according to a study conducted by Stanford University School of Medicine researchers and published in the Journal of the American Medical Association (JAMA) on Wednesday, HealthDay News reports (3/15). “The study is the first to show a decline in all-cause mortality related to the program,” a Stanford press release notes, adding, “To measure the impact of the program, [Eran Bendavid, assistant professor of medicine at Stanford,] and his colleagues analyzed health and survival information for more than 1.5 million adults in 27 African countries, including nine countries where PEPFAR has focused its efforts” (Richter, 5/10). According to the study, “an estimated total of 740,914 all-cause adult deaths were averted between 2004 and 2008 in association with PEPFAR,” and “[i]n comparison, PEPFAR was associated with an estimated 631,338 HIV-specific deaths averted during the same period,” a JAMA press release states, noting that “all-cause adult mortality declined more in African countries in which … PEPFAR operated more intensively” (5/15).

U.S. Support For Global Fund May Be 'America's Greatest Global Health Legacy'

“This year marks the 10th anniversary of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the world’s most powerful tool in the fight against the three pandemics,” Jonathan Klein, co-founder and CEO of Getty Images, Inc., writes in this post in the Huffington Post Blog, adding, “Since 2002, the Global Fund has saved and improved millions of lives.” Klein notes the Board of the Global Fund convened in Geneva, Switzerland, for its 26th meeting last week, where Board members “discussed progress to date on the current transformation of the Global Fund from emergency response to long-term sustainability.”

Examining Effects Of Reduced AIDS Funding For Ethiopia

Amanda Glassman, director of global health policy and a senior fellow at the Center for Global Development (CGD), and Kate McQueston, a program coordinator at CGD, write in the center’s “Global Health Policy” blog that a reduction in AIDS funding to Ethiopia from PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria “might be warranted due to epidemiological trends and improved efficiency, or might cripple progress as health programs dependent on external donors are cut back,” but “with the current poor status of basic information on beneficiaries and costs, it’s difficult to judge whether these cuts are good or bad.” They outline the history of AIDS funding in Ethiopia, posit what future funding might encompass, and say additional information is needed from PEPFAR, the Global Fund, and the Ethiopian government in order to know the true impacts of reduced funding (9/11).

Devex News Analysis Examines Democratic, Republican Party Platforms On Foreign Policy, Including Global Health

A Devex news analysis examines the Democratic and Republican platform positions on foreign policy following the party conventions, writing, “Even as pocketbook concerns continue to overshadow foreign policy issues on the campaign trail, in both Charlotte and Tampa, top-billed speakers made the case for the U.S. foreign aid program.” The article examines the core principles of each platform, notes that neither platform offers specifics on foreign aid spending, and discusses the platforms’ stances on certain foreign policy issues, including global health, food security, climate change, and gay rights.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.