Blog: Shah Describes Obama Administration’s Approach To Foreign Aid Reporting on a recent international development forum, “Obama’s Foreign Aid Reform” blog notes USAID Administrator Rajiv Shah’s remarks on how the Obama administration “is doing things differently.”Â According to the blog, “The first is on doing a ‘better job of being evidence-based’…
Under Shah’s Leadership, USAID Poised ‘To Regain Its Prominence’ In Global Nutrition, Lancet Opinion SaysÂ Rajiv Shah’s appointment as USAID administrator “comes at a crucial time of challenge and opportunity for the Agency to improve the nutritional well-being of impoverished societies,” write the authors of a Lancet Comment that examines…
“The world has lost momentum in the fight against the AIDS epidemic, with millions of new people infected last year, the ONE foundation said in a report,” titled “The Beginning of the End? Tracking Global Commitments on AIDS” and released on Tuesday, Reuters reports. In its annual report last week, UNAIDS said despite advances in access to medicines that both treat and prevent HIV infection, 2.5 million new cases of HIV occurred in 2011, according to the news service. “That is more than double the target of having only 1.1 million people newly infected each year, said ONE,” according to Reuters.
Emmanuel Njeuhmeli, senior biomedical prevention adviser in the USAID Office of HIV/AIDS, writes in the agency’s “IMPACTblog” that the first International Men’s Day on November 19 was an opportunity to “recognize and celebrate the hundreds of thousands of men in East and Southern Africa who are stepping up for Voluntary Medical Male Circumcision (VMMC) to protect their own health and that of their families.” He continues, “We also recognize the political, traditional and community leaders who are leading the charge in their countries and local communities.” According to Njeuhmeli, who describes some VMMC programs of USAID and PEPFAR, “USAID and UNAIDS have estimated that VMMC has the potential to avert more than 3.4 million new HIV infections in 14 countries in Eastern and Southern Africa, and save an estimated $16.5 billion in care and treatment over the next 15 years, freeing up resources for other crucial HIV interventions” (11/27).
The U.S. government, and in particular U.S. Global AIDS Coordinator Ambassador Eric Goosby, the head of PEPFAR, “have a unique opportunity to make [the program’s] money stretch farther and do more good, at very little cost to U.S. taxpayers: release the reams of data that PEPFAR and its contractors have already collected, at substantial cost — perhaps as much as $500 million each year,” Mead Over, a senior fellow at the Center for Global Development (CGD), writes in the Center’s “Global Health Policy” blog. “This would be a first step in what I hope will be [a] 2013 drive to improve the efficiency, the quality and the accountability of the U.S.’s most frequently praised foreign assistance program,” he states. Over goes on to describe the Data Working Group and its recommendations to PEPFAR (11/13).
Writing in USAID’s “IMPACTblog,” Dereje Bisrat, monitoring and evaluation adviser for the Supply Chain Management System (SCMS), discusses the PEPFAR-funded program, which is administered by USAID and “works with Ethiopia’s Pharmaceutical Fund and Supply Agency (PFSA), nine regional health bureaus, and more than 1,717 health facilities to improve access to HIV/AIDS treatment” in the country. She tells the story of Neima Mohammed, an Ethiopian refugee who, after living in Djibouti for 10 years, returned to her home country to seek treatment through the program, writing, “This story might have ended with Neima’s fateful decline in health. Fortunately, thanks to friends back home, Neima learned Ethiopia was embarking on efforts to provide free antiretroviral treatment to thousands of people living with the disease” (11/6).
After President Barack Obama’s re-election on Tuesday, the following blog posts addressed possible foreign policy priorities during the next administration.
The Global Fund to Fight AIDS, Tuberculosis and Malaria Board recently made several decisions that will affect the future of the organization, including appointing former U.S. Global AIDS Coordinator Ambassador Mark Dybul as executive director and adopting a new funding model, Nature reports in an article examining the history and future of the Fund. “It has been a rough couple of years for the Global Fund,” but “[l]ast week’s appointment of Mark Dybul as executive director could signal a fresh start, and has been broadly welcomed,” Nature writes (Butler, 11/22). “As [Dybul] begins his four-year term in early February 2013, current Fund General Manager Gabriel Jaramillo will transition out of his position,” PlusNews reports, noting, “That position, created to guide the Fund through reforms proposed by a 2011 high-level review panel at a time of low donor confidence, will disappear.”
Noting the U.S. government on Thursday “unveiled a major new strategy for pushing towards achieving an ‘AIDS-free generation,'” Inter Press Service writes, “The far-reaching new blueprint for what’s known as the President’s Emergency Plan for AIDS Relief (PEPFAR) is being widely lauded, yet little attention has been given to a document, published in October, that stipulates how new PEPFAR funding can be used.” The news service notes, “[a]ccording to that guidance, ‘PEPFAR funds may not be used to purchase family planning commodities.'” “The language in the guidance was put there to make clear what exactly (PEPFAR) could and couldn’t pay for — that’s problematic,’ Mary Beth Hastings with the Center for Health and Gender Equity, a Washington advocacy group, told IPS,” the news service writes. An unnamed spokesperson from PEPFAR “told IPS … that ‘there are other entities, particularly USAID, that meet that need [for family planning]. We’re very interested in integrating our services,'” the news service writes (Biron, 11/29).
“Secretary of State Hillary Clinton on Thursday unveiled a game plan for achieving a global ‘AIDS-free generation,’ committing the United States to rapidly scaling up medical interventions that are beating back what once was seen as an unconquerable disease,” Reuters reports (Quinn, 11/29). “Clinton announced the plan, officially titled the ‘President’s Emergency Plan for AIDS Relief (PEPFAR) Blueprint: Creating an AIDS-free Generation,’ [.pdf] at the State Department, two days ahead of World AIDS Day,” CNN notes (Ariosto, 11/29). The 54-page blueprint — “immediately welcomed by AIDS researchers and advocates” — aims “to treat as many people as possible, both to keep them well and to help keep them from infecting others” and will target high-risk populations, such as drug users, gay men, and sex workers, NBC News’ “Vitals” blog writes. The blog notes Clinton released new PEPFAR data (.pdf) showing the program has provided antiretroviral treatment to more than five million people worldwide (Fox, 11/29). “The report from [PEPFAR] states that the world is at a ‘tipping point’ on AIDS, and promises to usher in a generation free of the disease,” The Hill’s “Healthwatch” blog states (Viebeck, 11/29). Once the number of people on treatment surpasses the number of new infections every year, “[w]e will then get ahead of the pandemic and an AIDS-free generation will be in our sight,” Clinton said, Politico Pro reports (Smith, 11/29). The Washington Post adds, “But she warned: ‘Now we have to deliver. … The history of global health is littered with grand plans that never panned out'” (Brown, 11/29).