The Devex “Development Newswire” examines how disagreements over how to administer global food aid programs is affecting negotiations over a FY 2013 version of the U.S. farm bill. “The farm bill provides for the U.S. Agency for International Development-administered Food for Peace program, which received around $1.5 billion in fiscal year 2012, as well as the McGovern-Dole International Food for Education and Child Nutrition Program, funded at around $200 million,” the news service notes, and writes, “At 0.5 percent or 0.6 percent of the nearly trillion-dollar farm bill, global food aid is ‘barely a rounding error,’ said Lucas Koach, policy adviser at Food for the Hungry.” It continues, “If a new five-year farm bill is not passed, shorter interim bills could succeed, or there could be a continuing resolution to renew funding at 2008 levels,” adding, “If none of those options is in place by the last day of September, the farm bill reverts to statutory language from the 1940s” (Brookland, 8/7).
Programs, Funding & Financing
“The global effort to eradicate polio received a SEK 1 million [about $150,000] boost today as Melinda Gates, co-chair of the Bill & Melinda Gates Foundation, dedicated the monetary award she accepted from the TÃ¤llberg Foundation to Rotary International — a humanitarian service organization that has made a polio-free world its top priority,” according to a Gates Foundation press release. “Rotary International has been an invaluable champion for bringing the world more than 99 percent of the way toward a polio-free world, and will continue to be in the final steps to success,” Gates said, according to the press release (8/6).
U.S. Secretary of State Hillary Clinton on Tuesday visited officials in South Africa and discussed the response to HIV/AIDS, the Associated Press/Huffington Post reports. Speaking with Foreign Minister Maite Nkoana-Mashabane “in the second cabinet-level strategic dialogue between the two nations,” Clinton said “that global efforts to stop the virus ‘have saved hundreds of thousands of lives,'” the news service writes. “In South Africa, 5.7 million people — 17.8 percent of the population — have tested positive for HIV,” and PEPFAR “has spent $3.2 billion on antiretroviral drugs and HIV prevention programs in [the country] since 2004,” according to the AP.
Inter Press Service reports on the successful efforts of Tanzania’s Kigoma Region “to train assistant medical officers to conduct life-saving c-sections at its rural health centers,” allowing pregnant women with complications to deliver at more local facilities instead of having to travel to regional or district hospitals. Tanzania’s maternal mortality rate is high, at 578 deaths for every 100,000 live births, IPS notes. “[A]t one point the Kigoma Region had the highest rate in the country, at 933 per 100,000 live births in the early 1980s,” but “maternal mortality in this region [now] is considered to be lower than in the rest of the country,” according to the news service.
Science looks back at the XIX International AIDS Conference (AIDS 2012), which ended last week in Washington, D.C., writing, “The battle against HIV is having more success than ever. … But several presentations made clear that a gulf separates aspirations from reality when it comes to ‘ending AIDS,’ which [Secretary of State Hillary] Clinton and many other prominent speakers at the conference emphasized was now possible.” Though more people are on antiretrovirals (ARVs) now than ever, low- and middle-income countries are spending more on HIV/AIDS, and “attempts to find a cure — long viewed as a fantasy — now lead the scientific agenda,” most “of the 34 million HIV-infected people in the world do not take ARVs, many receiving treatment have trouble staying on the medication, … new infection rates continue to climb in key populations,” “[n]o AIDS vaccine is on the horizon,” and “funding shortfalls loom for global programs,” Science writes, quoting several speakers at the conference and providing more detail on the successes and challenges in the response against HIV/AIDS (Cohen, 8/3).
In a series of “News Focus” articles in Science, the magazine examines the global effort to eradicate polio. One article examines the Global Polio Eradication Initiative (GPEI) — a partnership of the WHO, Rotary International, UNICEF, the CDC, and the Bill & Melinda Gates Foundation — and recent reports on the program by an Independent Monitoring Board (IMB), “an oversight body” that provides feedback and guidance. A second and third article look at efforts to vaccinate children against polio in Pakistan, which “is the perfect case study for why it is so hard to eradicate poliovirus from its last few strongholds — and what it might take to pull it off.” The WHO’s Chris Maher “and others attribute the explosion of cases last year to a perfect storm of all the problems that are Pakistan: poverty and illiteracy; a health system in tatters; ethnic and sectarian violence; a government struggling to deal with corruption and dysfunction; huge population movements; and, especially since 9/11, rising extremism and anti-Western views — not to mention the natural attrition that accompanies any program that has dragged on for so long,” according to Science (Roberts, 8/3).
“The United States announced Thursday it would hike its humanitarian aid to Syria, adding another $12 million to provide food, water, medicine and other necessities for battered and displaced people” affected by violence in the Syrian conflict, the Los Angeles Times blog “World Now” reports. “The increase approved by the Obama administration brings American humanitarian assistance in Syria to more than $76 million, including $27.5 million to the World Food Programme [WFP], roughly $18 million for the United Nations refugee agency and the rest split among other U.N. funds and non-profit groups,” the blog writes (Alpert, 8/2).
Gilead Sciences Signs Deals With 3 Indian Pharmaceutical Companies To Promote Low-Cost HIV Drugs In Developing Countries
Gilead Sciences Inc. announced Thursday that it plans to partner with Mylan Inc., Ranbaxy Laboratories Ltd. and Strides Arcolab Ltd. “to promote access to high-quality, low-cost generic versions of Gilead’s HIV medicine emtricitabine in developing countries,” the Wall Street Journal reports (Stevenson, 8/2). Gilead signed deals with the three Indian companies “to drive sales and reduce manufacturing costs of low-cost generic versions of its HIV drug emtricitabine in developing countries,” Reuters reports, noting that under the deals, Gilead “will provide technology and funding to help reduce manufacturing costs of the drug, the companies said” (Kuber, 8/2).
PEPFAR on Wednesday “announced awards for a $60 million initiative, with potential for additional funding in year three, to support implementation science research and the evaluation of programs established under PEPFAR,” according to a U.S. State Department media note. “These evaluations, funded through collaboration with the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the U.S. Agency for International Development (USAID), will contribute to the evidence base for HIV programs and maximize the impact of its investments in programs around the world. Data gathered will help partner countries to strengthen their efforts to prevent new HIV infections and save lives,” the media note states, adding, “More than 35 evaluations in over 12 countries will be funded in 2012” (8/1).
On the first stop of a 10-day tour of Africa, Secretary of State Hillary Clinton stopped at the Phillipe Maguilen Senghor Health Center in Dakar, Senegal, where Awa Marie Coll-Seck, the country’s minister of health, “explained to Secretary Clinton how these operational centers dramatically improve maternal and child health,” according to a post in USAID’s “IMPACTblog.” Coll-Seck “also noted that USAID-supported distribution of insecticide impregnated mosquito nets across the country had drastically reduced the incidence of malaria,” according to the blog, which adds that Clinton “was pleased to hear that the United States is playing a key role in helping meet one of its biggest challenges: decentralizing services so they are available at the village level throughout the country.” In an address several hours later, “Clinton invoked the Senghor center … saying she was highly impressed by the integrated nature of the facility” and that “[i]t was a successful model she hoped could be duplicated throughout Senegal and the entire West African region” (Taylor, 8/1).