PBS’ Online NewsHour explores the recent nomination of Rajiv Shah as USAID administrator and the outlook for the agency. “While Shah still needs to be confirmed by the Senate, there has been high anticipation for a successor to be named. There is broad consensus in the government and aid community that the agency â€¦ is in need of realignment,” the NewsHour writes.
Programs, Funding & Financing
During its recent board meeting in Addis Ababa, Ethiopia, the Global Fund to Fight AIDS, Tuberculosis and Malaria approved $2.4 billion for the three diseases, PlusNews reports. The money is for the fund’s “ninth round of grants, bringing the total amount of approved funding since its inception in 2001 to $18.4 billion,” according to the publication.
“In the 1990s, when the U.S. shifted its aid policy away from family planning, and from Latin America, the Brazilian NGO Bemfam found itself with a yearly funding hole of $2 million,” the Guardian’s “Poverty Matters Blog” reports in a profile of the NGO and family planning in Brazil. But the organization, which focuses on family planning and sexual and reproductive health, used $3 million in drawback funding from USAID to “set up a not-for-profit condom and lubricant business, Prosex,” the newspaper writes. The company “has proved so successful that it generates around $4 million a year for the NGO — about 40 percent of its funding — and is the fifth most popular condom brand in Brazil,” according to the newspaper. Bemfam “provides sex education to young people, promotes sexual and reproductive rights, and provides family planning services and counseling,” the Guardian writes (Ford, 6/20).
With the disease burden of AIDS, tuberculosis, and malaria expected to make up less than 15 percent of the total disease burden in sub-Saharan Africa (SSA) by 2030, and non-communicable diseases to account for nearly 40 percent of the total in the region, “[a] revision of the approach to research and health care in SSA is therefore urgently needed, but international donors and health communities have generally been slow to respond to the changing environment,” Ole Olesen and M. Iqbal Parker of the International Centre for Genetic Engineering and Biotechnology in South Africa write in a commentary in Tropical Medicine & International Health. “Private and public funding for health research in Africa remains therefore disproportionately focused on the three major infectious diseases, whereas only smaller amounts have been allocated to confront other diseases,” they write and provide examples.
GlobalPost Examines Investment In Community Care Workers In South Africa As PEPFAR Moves Toward Local Implementation Of Programming
“Nearly a decade after it came into being, the President’s Emergency Plan for AIDS Relief (PEPFAR) … is moving increasingly to support local leadership and implementation capacity” in South Africa, GlobalPost’s “Global Pulse” blog reports. “And given the South African health system’s weaknesses in the face of the magnitude of AIDS and TB, that means an investment in … lay listeners with just a few weeks of training,” who can discuss treatment and other issues with patients, the blog writes. The blog profiles Goodness Henama, “one of 22 community care workers in Wallacedene township, in the Cape Town suburb of Kraainfontein.”
Polio Eradication Efforts Threatened By Funding Shortfall, Vaccination Resistance In Some Countries, Experts Say
Marking the 10th anniversary since Europe was declared polio-free, the Independent Monitoring Board (IMB) of the Global Polio Eradication Initiative on Wednesday released a report (.pdf) saying there is “a unique window of opportunity to stamp out polio for good,” with the number of reported cases at historical lows, but a funding shortfall of about $1 million is threatening eradication progress, Reuters reports. Polio “remains endemic in three countries — Pakistan, Afghanistan and Nigeria — after India in January became the latest country to become polio-free,” the news agency notes. IMB Chair Liam Donaldson “said the global financial crisis coupled with growing needs for polio funding had led to a shortfall of $945 million out of a total 2012-13 eradication program budget of $2 billion” and that 33 countries would have to cancel their vaccination programs, leaving 94 million children unprotected, according to Reuters (Kelland, 6/20).
In this post in the Guardian’s “Poverty Matters” blog, U.N. Population Fund (UNFPA) Executive Director Babatunde Osotimehin discusses a family planning summit to be held in London next month, writing the UNFPA “is supporting the initiative so that it can gain traction and support among other donors and UN member countries.” He writes, “More than 200 million women, largely in the least developed countries, want to use modern family planning methods but can’t access them,” and continues, “Enabling women to control the number and spacing of their children is essential to reducing maternal deaths.” The summit, co-hosted by the U.K. government and the Bill & Melinda Gates Foundation, “will be launched to meet this unfilled need for modern family planning in developing countries by tackling the estimated $3.6 billion (Â£2.3 billion) annual shortfall in investment (.pdf),” he adds.
“Two years after some $22 million in donor funds were pumped into malaria control along the Cambodia-Thailand border to fight off suspected resistance to treatment, health workers say the battle is not over,” IRIN reports, adding, “The government reported 103,000 malaria infections and 151 deaths nationwide in 2010. A year later, 85,000 reported infections led to 93 deaths — a 38-percent decline in mortality.” “‘If you take your foot off the â€¦ [accelerator] we can lose everything we have done in the past two to three years,’ Steven Bjorge, anti-malaria team leader in Cambodia for the [WHO], told IRIN in February 2012,” the news service writes.
“Malawi’s new president, Joyce Banda, has inherited an unenviable to-do list from former president Bingu wa Mutharika, and AIDS activists are hoping that bolstering the donor-dependent AIDS response will be one of her most urgent priorities,” PlusNews reports. “An estimated 10 percent of the adult population is HIV-positive, with about 70,000 Malawians newly infected with HIV every year,” the news service writes, adding, “Yet the country is almost entirely dependent on external funding for its AIDS programs, and ambitious plans to scale up treatment have been derailed after the Global Fund to fight AIDS, Tuberculosis and Malaria rejected a succession of funding proposals.”
Zimbabwe's Successful PMTCT Efforts Serve As A 'Model' For Other Countries In Drive To Eliminate Pediatric AIDS
“Zimbabwe is one of the key countries to watch in the drive to eliminate pediatric AIDS in Africa,” Chip Lyons, president and CEO of the Elizabeth Glaser Pediatric AIDS Foundation, writes in this post in the Huffington Post’s “Global Motherhood” blog, adding, “Zimbabwe’s Ministry of Health and Child Welfare and its international partners — including the U.S. Agency for International Development (USAID), the U.K. Department for International Development (DfID), and most recently the Children’s Investment Fund Foundation (CIFF) — have helped turn the tide of the pandemic in children.” He writes, “In June 2011 at the United Nations, a Global Plan was introduced to eliminate mother-to-child transmission of HIV by 2015,” and notes, “Zimbabwe was among the first of many countries to answer the call.”