The Center for Strategic & International Studies (CSIS) on Wednesday released a report called “Advancing Health in Ethiopia.” The report examines what the U.S. can “realistically expect to achieve in its ongoing engagement in health in Ethiopia” and what the core considerations to guide future U.S. efforts should be, CSIS writes on its website (6/6). In a post in the center’s “Smart Global Health” blog, report authors J. Stephen Morrison and Suzanne Brundage, director and assistant director of the CSIS Global Health Policy Center, respectively, reflect on the report findings. They write, “It focuses on the complexity of the U.S.-Ethiopian bilateral relationship just prior to the June 14-15 Call to Action on Child Survival, to be held in Washington, D.C.,” adding, “[I]t examines the Global Health Initiative (GHI) experience in Ethiopia at a moment when the Obama administration is critically engaging with Congress over what modifications in the GHI approach make sense for the future” (6/6).
GlobalPost Blog Examines Large-Scale Public Sector Condom Distribution Campaigns In U.S. Versus Abroad
GlobalPost’s “Global Pulse” blog profiles Washington, D.C.’s public condom distribution campaign, the Rubber Revolution Campaign, one of only a handful of large-scale public sector condom distribution campaigns in the U.S., and examines why public sector condom campaigns are more common outside of the U.S. “In other parts of the world, public sector condom campaigns are standard, [according to Michael Kharfen, bureau chief of partnerships and community outreach at the D.C. Department of Health], while in the United States they are primarily run through non-profit organizations,” the blog writes, noting, “Kharfen added that there is a lesson to be learned from other countries’ efforts to promote condom use through social marketing and public education.”
Less Expensive ARV Combination Just As Effective For Women In Developing Countries As Costlier ARVs, Study Shows
A new study by researchers at Brigham and Women’s Hospital in Boston shows that the less-expensive antiretroviral nevirapine, when used in combination with other antiretroviral drugs (ARVs), is as effective as a more expensive combination among women in developing countries, VOA News reports. While the nevirapine-containing combination was not as effective as some ARV combinations available in the U.S., “about 83 percent of women were able to suppress their virus and stay alive and well after starting the nevirapine-based regimen,” according to lead author Shahin Lockman, an associate professor at Harvard Medical School, who looked at the combinations among 500 African women with late-stage HIV infection, according to the news service.
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.
“Ten years ago today President Bush stepped into the Rose Garden to announce a $500 million program to stop the transmission of HIV passed from mothers to children during birth,” an announcement that “led the way to PEPFAR,” which Bush announced in his 2003 State of the Union address, John Donnelly, correspondent for GlobalPost’s “Global Pulse” blog, writes in this commentary in the blog. “In the years since, PEPFAR has been credited for saving millions of lives, most of them in Africa,” he continues, adding, “For anyone who cares about the global AIDS fight, today should be a day to celebrate the saving of millions of lives in the developing world.”
U.S. Global AIDS Coordinator Ambassador Eric Goosby “discussed lessons learned from the U.S. response to the global HIV/AIDS epidemic over the past decade at an event hosted by the Brookings Institute Monday morning,” the Center for Global Health Policy’s “Science Speaks” blog reports. “While calling recent scientific advances in HIV prevention ‘game changers’ that have offered hope of an AIDS-free generation, [Goosby said] that the successful fight against the epidemic relies on recognizing AIDS-specific efforts so far as a foundation for further health gains, on country ownership, and on continuing to build ‘the shared responsibility’ of a multi-donor response,” the blog adds.
“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.”
The U.S. Government Accountability Office (GAO) recently released two reports on issues related to global health. In “Ensuring Drug Quality in Global Health Programs,” the agency writes, “Concerns have been raised about the potential for substandard drugs to enter the supply chains of global health programs,” and notes that it concluded, “U.S.-funded global health programs have put regulatory and policy requirements in place to help prevent procurement of substandard drugs” (8/1). In another report looking at the WHO, titled “Reform Agenda Developed, but U.S. Actions to Monitor Progress Could be Enhanced,” GAO found, “The United States has provided input into WHO’s reform agenda, particularly in the areas of transparency and accountability, but the Department of State’s (State) tool for assessing progress in the area of management reform could be enhanced” (7/23).
Diagnostics company Cepheid on Monday signed deals with PEPFAR, USAID, UNITAID, and the Bill & Melinda Gates Foundation to immediately reduce the price of its Xpert MTB/RIF test kit for its GeneXpert tuberculosis (TB) diagnostic system in 145 countries, Reuters reports. “The agreements will see the test sold for $9.98, down from its current price of $16.86 per test,” the news service writes, adding, “Cepheid said the Bill & Melinda Gates Foundation will make an initial payment of $3.5 million to make the test immediately available at the lower price” (Ail, 8/6).