The Center for Strategic & International Studies (CSIS) on Friday released a report (.pdf) titled “Improving Maternal Mortality and Other Aspects of Women’s Health,” the center reports on its webpage. Written by Phillip Nieburg, a senior associate at CSIS, the report “uses data and observations from Tanzania and many other countries to describe the specific burdens on women’s health that are associated with pregnancy, labor, and delivery” and “discusses many of the major interventions currently being planned and/or implemented by developing country governments and their supporters,” according to the report summary, which notes “it identifies key challenges for improving maternal mortality and women’s health overall in developing countries” (10/5).
Programs, Funding & Financing
Noting a recent U.N. study (.pdf) showed that, despite progress on tackling child mortality globally, sub-Saharan Africa “is trailing far behind,” David Dominic, a consultant for non-governmental organizations, writes in this Huffington Post U.K. opinion piece, “[T]he more we look, the more it seems that the U.K. aid system, with regards to sub-Saharan Africa, is carefully designed to control and exploit the region, with scant regard for the impacts upon the poor. That is, aid seems to be used as a tool of modern imperialism.” He continues, “This is significant to us in the U.K. because sub-Saharan Africa is the region which has received most aid from the U.K. over the last few decades and is also where the U.K. has had the most influence.”
“Construction has begun on Ethiopia’s National Public Health Training Center, the first of its kind to be established in the country at a cost of $4 million,” Malaysian News Agency Bernama reports, noting, “The U.S. President’s Emergency Fund for AIDS Relief (PEPFAR) committed to the cost of the project, while the Atlanta-based Centers for Disease Control (CDC) will manage the construction of the ground and three facilities which are expected to be completed by April 2014” (10/23). “It will be the first national training center for health, according to the press statement from the United States Embassy in Ethiopia,” according to New Business Ethiopia, which adds, “The new national public health training center will be a state-of-the-art facility that will act as a training and support hub for Ethiopia’s national public health monitoring, research, and laboratory network” (10/23).
Oxfam Says 'No Evidence' AMFm Has Saved Lives; Global Fund Says Claims Are 'Untrue,' Guardian Reports
Noting “[t]he U.K. government has contributed Â£70 million [$112 million] to the Affordable Medicines Facility for malaria (AMFm),” the Guardian reports, “The charity Oxfam has cast doubt on [the] international scheme that aims to boost the provision of the most effective treatment for malaria.” According to the newspaper, “Oxfam says there is no evidence the program has saved the lives of the most vulnerable people” and “has criticized it as ‘risky and dangerous.’” But “[t]he body behind the AMFm says an independent study shows it has improved access and reduced drug prices,” and “[t]he Global Fund said Oxfam’s claims were ‘simply untrue,’” the Guardian writes, adding, “A DfID spokesman said: … ‘Studies have shown that quality drugs have got through to remote areas — and that more vulnerable groups, including children under five in rural areas and from the poorest backgrounds, are now being reached’” (Dreaper, 10/24).
IRIN reports on allegations that a grant from the Global Fund to Fight AIDS, Tuberculosis and Malaria to Uganda was misused. “Evidence of the mismanagement of a $51 million malaria grant to Uganda from the Global Fund resulted in the July arrest of three Ministry of Health employees and prompted a police investigation into the matter,” the news service writes, adding, “In September, the organization called for the refund of any ineligible expenses under the grant and the strengthening of safeguards to prevent future misappropriation of funds.”
“A combination of major new conflicts and unresolved ones around the world are increasingly straining humanitarian resources at unprecedented levels, the head of the United Nations refugee agency warned” on Monday, the U.N. News Centre reports. Speaking at the UNHCR’s annual Executive Committee meeting in Geneva, U.N. High Commissioner for Refugees Antonio Guterres “said [.pdf] UNHCR’s capacity to help the world’s forcibly displaced was being ‘radically tested’ by the acceleration of the crises, with more than 700,000 people having fled from the Democratic Republic of the Congo (DRC), Mali, Sudan, and Syria this year alone,” according to the news service. He said, “Our operations in Africa, in particular, are dramatically underfunded. … At this moment, we have no room for any unforeseen needs. No reserves available. In today’s unpredictable operating environment, this is a cause for deep concern,” the news service notes (10/1).
Devex features three video segments from an interview with Jonathan Quick, president and CEO of Management Sciences for Health (MSH), in which he discusses health systems innovation and the challenge of addressing non-communicable diseases. In one clip, Quick describes the founding principles of MSH and how the organization works to build local capacity in the communities where it works. In a second clip, he talks about how health systems innovation — organizing people, processes and resources — will help deliver health technologies more quickly and efficiently (Rosenkrantz/Schwetje, 10/3). And in a third clip, Quick says the international community has made “stunning progress” in the past decade against HIV, malaria, and tuberculosis, but a growing epidemic of non-communicable diseases are killing more people than those three diseases combined. He says synergies of care and treatment and integration will be important to address these illnesses, instead of the more vertical models that have worked over the past decade (Rosenkranz/Schwetje, 10/2).
The Lancet examines the history of the Obama administration’s attempt to “reform the way the country delivers development assistance for health abroad” by establishing the Global Health Initiative (GHI). “Despite unusual bipartisan support in Congress and broad consensus among development practitioners about the goals of reform, it proved surprisingly difficult for the multiple entities involved in U.S. global health assistance to agree on a way forward,” the journal states, noting that GHI leadership and the three core entities of GHI — USAID, the Centers for Disease Control and Prevention (CDC) and PEPFAR — announced the closure of the GHI office and an end to the initiative’s current phase on July 3. The Lancet outlines several challenges the initiative faced, including collaboration among the three agencies, leadership, and external factors, such as “the austere budgetary climate.”
In an article on the International HIV/AIDS Alliance’s webpage, the organization compares a new funding model adopted by the Global Fund to Fight AIDS, Tuberculosis and Malaria to its own “key principles” and “outline[s] how civil society is involved in refining the process of how money will be allocated.” The article addresses key elements of the new model as well as next steps leading up to the next Global Fund Board meeting in November (10/1).
Leading up to the debates this month and the November presidential election, “President Obama would be wise to talk up our effective aid programs and the soft power they provide with regional allies,” particularly the U.S. President’s Malaria Initiative (PMI), Roger Bate, a resident scholar with the American Enterprise Institute, and Kimberly Hess, a researcher with Africa Fighting Malaria, write in a New York Daily News opinion piece. “Pointing to the enormous success of this program — and announcing a budget increase — would score valuable points with swing voters and potentially even help Democrats pull some of them off the fence,” they write. Seven years after former President George W. Bush launched PMI, the program “stands among the most effective government programs in recent history — and a rare, genuinely bipartisan foreign policy achievement,” the authors state, noting “under-five mortality rates have declined by 16-50 percent in 11 PMI target countries in which surveys have been conducted.”