With recent suggestions “of privatizing the [U.S.] government’s emergency response capability for natural and human-caused disasters and infectious diseases,” Henry (Chip) Carey, an associate professor of political science at Georgia State University in Atlanta, writes in the World Policy Blog, “One might want to look at Haiti for a case study in the effects of bypassing the government health sector for private organizations.” He continues, “In Haiti, the result of decoupling the state from health care has been across the board decreases in water and sanitation quality.” Carey reviews the history of Haiti’s health system and conditions surrounding the 2010 cholera outbreak. He concludes, “What is needed are comprehensive, low-tech sanitation systems and clean, common water sources throughout the country, overseen by the Haitian government. In the past three decades, the U.S. has not given Haiti’s leaders the chance to show us that they can rise to the occasion. It is high time we change course and help the Haitians help themselves” (11/14).
Private Sector Involvement
AllAfrica correspondent Cindy Shiner recently interviewed Vanessa Kerry, CEO of the Global Health Service Corps, at the annual meeting of the American Society of Tropical Medicine and Hygiene taking place in Atlanta this week. Next year, volunteer doctors and nurses will travel through the Service Corps to Tanzania, Malawi, and Uganda to work in partnership with the Peace Corps, according to AllAfrica. In the interview, Kerry said the program grew out of a desire on the part of physicians and other health care workers to help in resource-poor countries, as well as calls from those countries for more U.S. assistance in building health system capacity. Kerry discusses the focus of the program, how it works as a private partner with public programs, and how the first countries were chosen (11/13).
After President Barack Obama’s re-election on Tuesday, the following blog posts addressed possible foreign policy priorities during the next administration.
Wall Street Journal Examines Program In Pakistan Looking To Provide Health Insurance For Poor Urban Residents
The Wall Street Journal examines how “some local social entrepreneurs are coming up with new ideas to provide the poor with access to better medical services” in Pakistan, where the health care system is “split between low-cost government-funded hospitals offering basic services and expensive private-sector medical institutions … [b]ut the majority of the country’s 190 million people have little access to health care.” The newspaper describes how one program, called Naya Jeevan — “a non-profit micro-insurance program for the urban poor” that “offers an insurance program at subsidized rates under a national group health-insurance model” — operates to help ensure affordable medical care for the poor and how it has come “under scrutiny from the country’s insurance regulator” (Bahree, 11/6).
“[I]t has been a banner year for media attention, political will and global resources on family planning and women’s and girls’ rights and empowerment,” Ward Cates, president emeritus of FHI 360; Laneta Dorflinger, a scientist with FHI 360; and Kirsten Vogelsong, a senior program officer with the family planning division of the Bill & Melinda Gates Foundation, write in the Huffington Post “Global Motherhood” blog, noting the London Summit on Family Planning, World Contraception Day, and the inaugural International Day of the Girl Child. “To achieve the ambitious goals set forth by these international initiatives, however, the global health and development community must act on the current political momentum and not lose sight of the challenges that remain,” they state. Though there are “many contraceptive choices available to prevent unintended pregnancy,” access to contraception is limited for many women and “the currently available methods do not always meet their needs, preferences or budgets,” they write.
InterAction President and CEO Sam Worthington, as part of a series organized by the Chicago Council On Global Affairs’ Global Agriculture Development Initiative and InterAction to highlight the importance of public-private partnerships in agricultural development, writes in the Chicago Council’s “Global Food for Thought” blog that recent figures showing one in eight people in the world is undernourished is “a call to collective action.” He continues, “The private and public sectors have enormous potential to work together and leverage each other’s added value to spur this kind of economic development in a way that will, ultimately, decrease hunger and improve nutrition.” Worthington concludes, “Smart public-private partnerships that draw on the added value of government, business and civil society will ensure that we can reduce hunger and improve nutrition in sustainable, people-centered ways that ultimately improve lives and save them” (10/31).
The Associated Press examines the debate over the future of the Affordable Medicines Facility-malaria (AMFm), after the recent release of two papers evaluating the program’s effectiveness. AMFm was established in 2010 as “a pilot project to subsidize artemesinin combination drugs, the most effective malaria treatment,” the AP writes, noting the $460 million program is managed by the Global Fund to Fight AIDS, Tuberculosis and Malaria. “Last week, a report by Oxfam, an international charity, labeled the program a failure and said there was no proof it had saved lives because officials didn’t track who received the drugs,” the news service writes, adding, “But in another paper published Wednesday in the journal Lancet, experts insisted the program was ‘an effective mechanism’ to lower the price of preferred malaria drugs and make them widely available.” The Global Fund is scheduled to discuss the future of the program at a meeting next month, according to the AP (Cheng, 10/31).
The Humanitarian Centre’s latest Cambridge International Development report (.pdf), titled “Partnerships for global health: pathways to progress,” “provides insights from global health leaders on why partnerships provide a good structure for reciprocal ‘teaching and learning'” and “highlights examples of innovative partnerships — particularly those where the traditional ‘recipient’ of development aid has taken the leading role in providing ideas and ingenuity for global health,” the PLoS “Speaking of Medicine” blog reports. The report comprises several essays, case studies, and other collections of writing from experts in the field, researchers, and politicians, the blog notes (Radl, 10/26).
Deutsche Welle examines the widespread lack of access to medical supplies and drugs in developing countries and efforts by the pharmaceutical industry and others to bring new and lower-cost drugs into these emerging markets. Christian Wagner-Ahlfs of the Federal Coordination of Internationalism, or BUKO, which brings together 130 German activist groups to examine the work of the pharmaceutical industry in developing nations, said new drug prices in particular are “totally exorbitant,” adding, “It is a major problem that the companies do not reveal their actual research costs, so the prices are difficult to control,” according to DW. However, Norbert Gerbsch, deputy managing director of the Federation of German Industry (BPI), said those nations also have a responsibility to improve their health care infrastructure and food security, the news agency reports.
“I’ve always believed that bringing together the world’s brightest minds to help solve the significant and complex crises we face as a global society is the best way to effect change in the world and that is how I envision re-imagining the future of Global Health,” entrepreneur Naveen Jain, founder of World Innovation Institute, Moon Express, inome, and InfoSpace, writes in a Forbes opinion piece. He says he will address this issue in a talk in San Francisco at TEDxSF, which “will explore crucial questions addressing the cutting-edge intersection of technology, medicine, scientific research, and industry at UCSF on November 10, 2012.”