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.
Programs, Funding & Financing
“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).
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).
“As the London family planning summit looms closer, the debate begins over how much money is needed, what it should pay for and whether the fundamentally important issues of women’s reproductive rights will be addressed,” Sarah Boseley, health editor of the Guardian, writes in her “Global Health Blog.” Highlighting a new report from the Guttmacher Institute, which “assesses the scale of the unmet need for contraception,” she writes, “This report puts numbers and dollars into the frame ahead of the summit where the [Bill & Melinda Gates Foundation], [Department for International Development (DfID)], and others will be hoping big fat money pledges will be made, in the same way that the vaccines summit in London attracted massive donations — more money was raised than was hoped for.”
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.”
U.N. Food And Agriculture Agencies Urge G20 To Increase Efforts To Fight Hunger; G20 Launches AgResults Initiative
As G20 leaders wrapped up their meeting in Los Cabos, Mexico, on Tuesday, the U.N. food and agriculture agencies — the Food and Agriculture Organization (FAO), the International Fund for Agricultural Development (IFAD) and the World Food Programme (WFP) — issued a joint statement “call[ing] on them to redouble their efforts to fight hunger” and “welcom[ing] the priority given to food and nutrition security at the summit,” the U.N. News Centre reports. The agencies “noted that food security is closely linked to other issues on the agenda of G20 — such as infrastructure development and restoring growth in countries in crisis” — and emphasized the role of partnerships in improving food security, according to the news agency. The “agencies also welcomed the continuing recognition by the G20 of the pivotal role of smallholder agriculture to global food security and to boosting productivity in a sustainable manner,” the news agency writes (6/19).
Family Planning Summit Offers Opportunity To Integrate Reproductive Services With HIV, Other Health Initiatives
Noting that the Bill & Melinda Gates Foundation and the U.K. government will co-host an international family planning summit in London in July, Gavin Yamey of the Global Health Group at the University of California, San Francisco; Craig Cohen, a professor of obstetrics, gynecology and reproductive services at the University of California; and Elizabeth Bukusi, chief research officer and deputy director of research and training at the Kenya Medical Research Institute, write in a BMJ commentary, “More than 120 million women worldwide aged 15-49 years have an unmet need for family planning, which is due a renaissance after years of neglect.”
The European Commission (E.C.) on Monday “announced an increase in funding to the Sahel by 40 million euros [$50.5 million] as the food crisis is set to peak in the coming weeks putting 18 million people at risk from hunger,” the Guardian reports, noting that the new money brings the total amount from the E.U. to 337 million euros, or $425 million (Tran, 6/18). The E.C. made the announcement at a donor meeting in Brussels, where international representatives sought to mobilize aid, according to VOA News (Palus, 6/18). “Aid agency Oxfam urged donors at the meeting to fill a ‘massive funding gap’ to fight hunger in the Sahel,” Reuters writes (Ebbs, 6/18).
In this post in the Huffington Post’s “Global Motherhood” blog, Doug Horswill, senior vice president of the Canadian resource company Teck, and Venkatesh Mannar, president of the Micronutrient Initiative, which works to eliminate vitamin and mineral deficiencies in the world’s most vulnerable populations, examine global efforts to end child deaths from diarrhea, a campaign they say “many are calling the next revolution in child survival.” “Diarrhea kills up to one million children every year,” they write, adding, “It is a terrible waste of life and untapped potential, made even more terrible by the fact that it costs less than a dollar to treat” with oral rehydration salts and zinc supplements.
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.”