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.”
“While PEPFAR and the Global Health Initiative (GHI) have dominated the global health community’s attention over the past few years, the President’s Malaria Initiative (PMI) has largely flown under the radar,” Rachel Silverman, a research assistant for Center for Global Development’s (CGD) global health team, and Victoria Fan, a research fellow at CGD, write in this post in the CGD’s “Rethinking U.S. Foreign Assistance Blog.” They add, “But just this month, the PMI released the results of an external evaluation which confirms what we’ve long suspected: PMI is doing a remarkably good job and generating ‘value for money’ in U.S. global health efforts” (3/7).
PSI’s “Healthy Lives” blog presents global health-related excerpts of USAID Administrator Rajiv Shah’s annual letter that was published on March 9. Shah touches on programs to improve infant and child health; water, sanitation and hygiene; malaria prevention; HIV/AIDS care; and health care in several countries, including Afghanistan, Ghana and Ethiopia, according to the blog (3/9).
“Nine global HIV/AIDS advocacy organizations sent a letter [.pdf] to President Obama Thursday asking him to rethink his fiscal year (FY) 2013 budget recommendation to slash $546 million in funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) program,” the Center for Global Health Policy’s “Science Speaks” blog reports. The groups, which include AVAC: Global Advocacy for HIV Prevention, the HIV Medicine Association, and POZ Magazine, noted the request “recommended funding the Global Fund to Fight AIDS, Tuberculosis and Malaria at $1.65 billion — keeping the U.S. on track to reach its three-year commitment of $4 billion by 2013,” but in the letter stated, “[W]e must and we do strongly object to the apparent shoring up of the Global Fund budget request at the expense of the PEPFAR program. … These two programs are synergistic and often provide complementary services to the same communities,” the blog notes (Mazzotta, 3/2).
Will McKitterick, a research assistant with the Center for Global Development (CGD), in this “Rethinking U.S. Foreign Assistance” blog post summarizes Secretary of State Hillary Clinton’s “grueling marathon of Congressional committee hearings in defense of the FY2013 international affairs budget request.” The nine hours of hearings “ran the gamut of U.S. priorities in national security and foreign policy,” McKitterick writes, adding, “Congressional leaders seemed alarmed by reductions in global health spending and raised specific concerns over the administration’s ability to meet its commitments to its PEPFAR goal of placing six million people on life-sustaining treatment by 2013. Secretary Clinton assured the committees that cuts would be balanced by consolidating programs, finding efficiencies, improving partners’ capacity, and shifting more responsibilities to host countries” (3/2).
The Center for Global Health Policy’s “Science Speaks” blog reports on a panel discussion hosted on Wednesday by the Consensus for Development Reform and the Modernizing Foreign Assistance Network in Washington, D.C. “Foreign assistance experts discuss[ed] the George W. Bush administration’s legacy on global development, focusing on lessons learned and applying them to the next decade and beyond,” and a central theme was the engagement of the private sector, the blog writes. Panelists highlighted the Millennium Challenge Corporation and PEPFAR, according to the blog (Mazzotta, 3/29).
“The health status of women is linked to their fundamental freedoms and empowerment,” Susan Blumenthal, public health editor at the Huffington Post and former U.S. assistant surgeon general, and Jean Guo, a health policy intern at the Center for the Study of Presidency and Congress, write in the website’s “Healthy Living” blog in a post marking International Women’s Day, which was celebrated on Thursday. “With 3.4 billion women worldwide, women’s health is a global issue today. Yet, societal and environmental factors including poverty, discrimination, and violence are undermining the advancement of women’s health,” they write.
“Health care, taxes, energy, favorite flavor of ice cream — it seems our elected leaders must disagree at every turn. But one issue that has so far repulsed the partisan pressures of the times was highlighted [at the XIX International AIDS Conference (AIDS 2012)] in our nation’s capital last week: the fight against HIV/AIDS,” former Senate Majority Leader Bill Frist (R-Tenn.) writes in an opinion piece in “The Week.” He says, “The conference was a celebration of the remarkable success made because of this leadership, and a call for continued support” in the response against HIV/AIDS. Noting he moderated a panel discussion with Rep. Barbara Lee (D-Calif.) and Sens. Chris Coons (D-Del.), Marco Rubio (R-Fla.) and Mike Enzi (R-Wyo.) on congressional bipartisanship at the conference, Frist continues, “I witnessed what I felt to be an accurate portrayal of how we got to the point where we could celebrate so many successes. Fundamental to the progress has been bipartisanship.”
In this post on the Center for Global Development’s (CGD) “Global Health Policy” blog, CGD’s Victoria Fan, Rachel Silverman, and Amanda Glassman examine “the preliminary report [.pdf] on the pilot of PEPFAR’s Expenditure Analysis Initiative, an important and exciting move by PEPFAR towards evidence-based decision making and greater transparency.” Expenditure analysis (EA) “provides an account of where money gets spent and on what,” they continue, adding, “Here’s why it could be a game changer: This seemingly simple tool is essential for realizing huge potential gains in both technical and allocative efficiency, two core components of value for money.” After describing some of the report’s shortcomings, they write that “the report demonstrates the wide range of potential applications for using EA to improve value for money, which is particularly encouraging given PEPFAR’s plans to institutionalize EA into its routine annual reporting” (8/1).
Peace Corps, PEPFAR, Global Health Service Corps Launch Public-Private Partnership To Place Medical Professionals Overseas
The Peace Corps, PEPFAR and the Global Health Service Corps on Tuesday will announce a public-private partnership program to place U.S. health workers overseas to help address medical professional shortages, CQ HealthBeat reports (Bristol, 3/12). “The Global Health Service Partnership (GHSP) will address health professional shortages by investing in capacity and building support for existing medical and nursing education programs in less-developed countries,” a joint press release (.pdf) states, adding, “The new program is expected to begin in Tanzania, Malawi and Uganda in July 2013.”