In this post in the Department of State’s “DipNote” blog, U.S. Global AIDS Coordinator Ambassador Eric Goosby reflects on his speech at the Brookings Institution on Tuesday in anticipation of the AIDS 2012 conference scheduled to take place in Washington, D.C. from July 22-27. Noting he discussed “some of the lessons learned from the first decade of the President’s Emergency Plan for AIDS Relief (PEPFAR) that can inform future efforts on AIDS and global health,” he writes, “The last 10 years have taught us what must be done to end this epidemic and achieve an AIDS-free generation, and I have great hope that we will get it done. This is the moment to seize this hope, and together we will turn the tide” (6/26).
In the third of a series of entries in GlobalPost’s “Global Pulse” blog, titled “A Daughter’s Journey,” Tracy Jarrett, a GlobalPost/Kaiser Family Foundation global health reporting fellow, visits a USAID-funded HIV clinic at the Chris Hani Baragwanath Hospital outside of Johannesburg, South Africa. The clinic’s Perinatal HIV/AIDS Research Unit (PHRU) focuses on the prevention of mother-to-child transmission of HIV (PMTCT) with funding from USAID and PEPFAR, she states, noting that the “clinic has been a game changer for mothers in Soweto [township] and an example for other PMTCT clinics throughout South Africa” (6/21). Jarrett, whose mother died of AIDS-related complications, is traveling “from Chicago to New York to South Africa to report on what is being done to keep babies and their mothers alive, to fight against stigma and to help those infected while reporting on what is still left to do to achieve an ‘AIDS-free generation,’” according to the first post in her series (6/15). The second post also is available online (6/19).
Fierce Mobile reports on the recent announcement that PEPFAR is teaming up with the United Nations Foundation, Rockefeller Foundation and Vodafone Foundation to be a founding member of the mHealth Alliance, “a group seeking to bring health services to the most remote corners of the globe using mobile networks and technologies.” U.S. Global AIDS Coordinator Eric Goosby announced the partnership during a keynote address last week during the inaugural mHealth Summit in Washington, D.C., according to the news service (Versel, 11/3).
During a live webcast discussing recent changes at the Global Fund to Fight AIDS, Tuberculosis and Malaria, “[p]anelists discussed the fund’s new strategy and what this strategy means for the global fight against these three diseases,” GlobalPost’s “Global Pulse” blog reports. J. Stephen Morrison, senior vice president and director of the Global Health Policy Center at the Center for Strategic and International Studies, noted the Global Fund’s new general manager, Gabriel Jaramillo, had moved quickly in focusing on restructuring and realigning the fund, according to the blog. Todd Summers, independent consultant and chair of the Strategy, Investment & Impact Committee at the Global Fund, said, “Now we see lots of opportunity to really make a big difference and change forever the trajectory” of the epidemics, “Global Pulse” notes.
“More than 100 million condoms will be distributed annually to sex workers, men who have sex with men, and other groups vulnerable to HIV as part of a new five-year program to be run by the Ethiopian government and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR),” PlusNews reports. “Dubbed MULU, the Amharic word for comprehensive, the $70 million program — implemented by the NGOs Population Services International and World Learning — will also target day laborers in the booming construction industry, migrant workers and their partners,” the news service notes.
“Government assurances that the scaling back of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) program in South Africa (SA) will be carefully managed to protect patients are welcome, but … [t]he reality is that the Department of Health is struggling to cope with severe medical staff shortages, financial resources that never seem to stretch far enough, inadequate infrastructure and maintenance programs, and administrative bottlenecks,” a Business Day editorial states. Though the reworking of PEPFAR funding will take place over five years “and does not entail the complete loss” of funding, “the shortfall will have to come from somewhere,” the editorial says, adding, “It will be tragic if, just as we are starting to see light at the end of the long, dark tunnel of the HIV/AIDS epidemic in SA, the gains of the past few years were to be reversed due to the loss of critical foreign funding and the government’s lack of capacity to plug the gap.”
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.
U.S. Commitment To Foreign Assistance, Global Health To Rise Or Fall With Presidential Election Outcome
In this Lancet opinion piece, Laurie Garrett, a senior fellow for global health at the Council on Foreign Relations, examines a number of social, political, and financial issues at play ahead of the November 6 U.S. presidential election and their implications for domestic and global health programs. “Fundamentally, the 2012 election reflects a Grand Canyon scale rift through the national psyche over the importance of government, provision of tax-supported public goods, including health care, and who is responsible for the 2008 financial crisis and ongoing economic doldrums,” she writes. “But the biggest concern for America’s future is the budget,” she continues. Garrett discusses how sequestration might affect foreign assistance and global health programs and states, “U.S. commitment to foreign assistance and such international ventures as the President’s Emergency Program for AIDS Relief (PEPFAR) and Obama’s signature Global Health Initiative are also likely to rise, or fall with the elections” (9/1).
Secretary of State Hillary Clinton reflects on changes in U.S. global health diplomacy since taking office in this Global Health and Diplomacy opinion piece. “America had been leading the global health fight for decades,” but “we recognized that to sustain the impact of our work, we needed to change the way we did business,” she writes. “For example, while our agencies were providing tremendous leadership in isolation, they could still do more to collaborate effectively,” she writes, adding, “[W]e weren’t doing enough to coordinate our efforts with other donors or our partner countries,” and “we weren’t building sustainable systems to eventually allow our partner countries to manage more of their own health needs.” She says, “We were unintentionally putting a ceiling on the number of lives we could save.”
In Foreign Policy’s “Passport” blog, Associate Editor Uri Friedman reflects on former President George W. Bush’s efforts against AIDS, highlighting PEPFAR, which he “established in 2003 and which now supports antiretroviral treatment for 4.5 million people around the world.” Friedman quotes former President Bill Clinton, who, speaking at the Democratic National Convention on Wednesday, said, “I have to be grateful, and you should be too, that President George W. Bush supported PEPFAR. It saved the lives of millions of people in poor countries.” Friedman continues, “[W]hat’s particularly notable about the reference is that, during a convention season designed to draw sharp distinctions between Republicans and Democrats, the two parties have found common ground on at least one point: the success of Bush’s efforts to fight AIDS.”