“[W]hat will the day be like when we finally defeat AIDS, tuberculosis and malaria?” Arianna Huffington, president and editor-in-chief of the Huffington Post Media Group, asks in the Huffington Post’s “The Big Push” blog. “[W]ith the launch today of The Big Push campaign — co-sponsored by the Global Fund [to Fight AIDS, Tuberculosis and Malaria] and the Huffington Post — this might be more than a thought exercise … because the progress that’s been made against these diseases in only the last 10 years has been so staggering that we may actually be in sight of the day when no child is born with HIV, nobody dies of malaria and we stop the spread of tuberculosis,” she continues and provides some statistics.
Programs, Funding & Financing
In the Center for Global Development’s (CGD) “Global Health Policy” blog, Victoria Fan, a CGD research fellow, and Rachel Silverman, a research assistant for the CGD global health team, examine the potential reasons behind “the U.S. government’s apparent lack of support, particularly its legislated ‘opt-in’ stance,” on the Affordable Medicines Facility for Malaria (AMFm), and they note “AMFm’s continued survival [is] all but impossible without an explicit endorsement by the U.S. Global Malaria Coordinator (currently Rear Admiral Tim Ziemer) who leads the U.S. President’s Malaria Initiative (PMI).” Fan and Silverman continue, “The question that the U.S. government must face is not only whether there is compelling evidence of AMFm’s success, but whether the termination of AMFm would be more disastrous than AMFm’s continuation, albeit modified.” They conclude, “Most importantly, personal biases and potential conflicts of interest need to be put aside — if not made transparent — for the benefit of evidence-based debate and decision-making and for the many people and children that would have died without AMFm” (9/21).
Sudanese Refugee Camps See Improvement In Water, Food Provisions, But Concerns Remain Over Disease Threats, Overcrowding
“Aid agencies say water and food provision has improved in four camps housing more than 105,000 refugees from Sudan’s Blue Nile State, but flooding, disease and an influx of additional refugees pose new threats,” IRIN reports, noting, “Sudan’s government forces and rebels have been fighting in Blue Nile State since September 2011, sending refugees south.” U.N. Refugee Agency (UNHCR) Emergency Health Coordinator Pilar Bauza “says refugees have suffered respiratory and diarrheal diseases, malaria and malnutrition from poor living conditions and nutrition,” the news service writes. “Health education campaigns, an increase in water provision from 10 to 13 liters per day, and a drop in malnutrition from 40 to 33 percent have improved the health of the refugees, but more needs to be done,” according to IRIN.
Though the global community has “made incredible inroads” on the Millennium Development Goals (MDGs), “the majority of developing countries are still expected to fall short of the MDG targets for reducing maternal and child mortality by 2015,” Carole Presern, director of the Partnership for Maternal, Newborn & Child Health (PMNCH), writes in the Huffington Post’s “Global Motherhood” blog. A report released recently by PMNCH “sheds light on the reasons why more progress is not being made to end these needless deaths” by examining “commitments made to advance the Global Strategy for Women’s and Children’s Health” launched by U.N. Secretary-General Ban Ki-moon in 2010, she notes.
U.S. Foreign Aid Critical To Achieving Health Goals, Improving Lives, Strengthening International Relationships
“Day after day, American foreign aid is dramatically improving millions of lives and consequently, impressions of America,” former New Jersey Governor Thomas Kean and Ray Chambers, chair of the MDG Health Alliance and the U.N. Secretary-General’s Special Envoy for Malaria, write in the Huffington Post’s “Global Motherhood” blog. For example, “[w]hen a mother in malaria prone sub-Saharan Africa puts her child to sleep under a mosquito net that Americans supported, America is building a relationship with that family” they state, noting, “Most Americans, when they realize that our investment in foreign assistance, at less than one percent of our GDP, can provide such transformative benefits, stand firmly behind this support, even in these more difficult economic times domestically.” The authors cite a recent Kaiser Family Foundation poll that showed two-thirds of respondents felt U.S. spending on global health was too little or about the right amount.
“Spending on maternal and child health has stalled, according to an expert analysis, raising concerns that efforts to cut deaths in poor countries to meet the Millennium Development Goals (MDGs) may falter,” the Guardian reports. According to a report (.pdf) from the Countdown to 2015 Group published in the Lancet, there has been “a downturn in the total amount of overseas development aid earmarked for these goals between 2009 and 2010 — the latest year for which there is data,” the newspaper notes. “Over the period that Countdown has been tracking, funding for maternal and child health has more than doubled, from $2,566 million in 2003, to $6,480 million in 2010,” but after years of steady increases, the latest data show a slight decrease of 0.5 percent, or $32 million, in funding, the Guardian states.
U.N. Secretary-General Ban Ki-moon on Thursday “urged a stronger global partnership to advance progress on the development targets world leaders have pledged to achieve by 2015, as a new United Nations report finds that significant gains risk slowing due to declining aid,” the U.N. News Centre reports. “The eight Millennium Development Goals (MDGs), agreed on by world leaders at a U.N. summit in 2000, set specific targets on poverty alleviation, education, gender equality, child and maternal health, environmental stability, HIV/AIDS reduction, and a ‘Global Partnership for Development,'” the news service notes (9/20). According to the 2012 MDG Gap Task Force Report (.pdf), official development assistance (ODA) from the 23 primary donors in the Organization for Economic Cooperation and Development dropped by almost three percent (in real terms) in 2011 after reaching a peak in 2010, Agence France-Presse notes. “To reach the U.N. target of 0.7 percent of gross national income devoted to aid, the world’s richest nations should be spending more than $300 billion,” the news service writes (9/20).
The Global Fund to Fight AIDS, Tuberculosis and Malaria has published Issue 8 of its newsletter, the “Global Fund News Flash.” The issue reports on the Board’s approval of a new funding approach; says “the Board extended the mandate of the Global Fund to host the Affordable Medicines Facility-malaria for another year after the end of its pilot phase in December”; notes the Global Fund adopted a code of conduct for grant recipients; and profiles Linda Mafu, head of civil society and political advocacy at the Global Fund (9/20).
The Affordable Medicines Facility-malaria (AMFm) — an innovative financing mechanism that subsidizes the cost of artemisinin-based combination therapies (ACTs) in order to expand access to the most effective treatment for malaria — “brought more than 100 million doses of malaria drugs to clinics and pharmacies in 2011” and “also increased access to the top malaria medicines by 26 to 52 percent in six countries,” according to results from the first phase of the program, which is hosted and managed by the Global Fund to Fight AIDS, Tuberculosis and Malaria, NPR’s “Shots” blog reports. The results of the evaluation, released on Wednesday in Washington, D.C., do not estimate how many lives were saved because of improved access to effective malaria medications, as “AMFm ran for only a year and half in most countries,” according to the blog. “The AMFm negotiated with drugmakers to reduce ACTs prices, and then the Global Fund subsidized the initial purchasing of the drugs by clinics and pharmacies,” the blog notes.
Global Health Funding Cuts Threatening Fight Against HIV, TB In Eastern Europe, Central Asia, NGO Report Says
The fight against HIV and tuberculosis (TB) in Eastern Europe and Central Asia is being threatened by cuts in global health funding, according to “a report [.pdf] by leading European non-governmental health organizations,” Reuters reports. In the report, “experts called on the European Union to step in to fill the gaps left by global donors to countries within and neighboring its borders,” the news service notes. According to Reuters, “[c]ountries in Eastern Europe and Central Asia have some of the world’s fastest growing HIV epidemics,” and “Europe is also home to the world’s highest documented rates of drug-resistant TB” (Kelland, 9/18).