“As the northern Indian state of Rajasthan rolls out an ambitious universal health care plan, the discontent of the state’s doctors stands in stark contrast to the joys of the 68 million people who will benefit from the scheme,” Inter Press Service reports. “Just a little over a year ago, the state government began supplying free generic drugs to its massive population, effectively stripping doctors of the ability to prescribe more expensive branded medicine,” IPS writes. The news service notes, “Some 350 essential generic drugs are now being distributed free of cost,” and, “[a]ccording to news reports, over 200,000 people are currently taking advantage of the program.”
Programs, Funding & Financing
“The U.S. Agency for International Development [USAID] has unveiled plans to harmonize its funding and efforts surrounding nutrition,” Devex reports. “The agency is working on a comprehensive strategy that will make the issue a priority in ‘high-impact interventions’ with nutrition as a component, such as in agriculture, health and humanitarian aid, Robert Clay, deputy assistant administrator at USAID’s Bureau for Global Health, announced Nov. 5 at an event hosted by the Modernizing Foreign Assistance Network in Washington, D.C.,” the news service writes.
“With $2.5 trillion in mineral reserves, South Africa has the largest mining sector in the world,” but “[t]he work can be devastatingly toxic for the body,” with “inhumane and untenable” working conditions, Archbishop Desmond Tutu, archbishop emeritus of Cape Town, South Africa, writes in a Wall Street Journal opinion piece. “South Africa’s 500,000 mine workers have the highest recorded rate of [tuberculosis (TB)] among any demographic in the world,” he states, noting that cramped working and living conditions put them at an increased risk of the disease. Overall, “mine-associated TB gives rise to 760,000 new cases annually in Africa,” and “costs South Africa alone $886 million each year in health care costs and in impoverishment when family providers are too sick to work, or die,” according to a study conducted by the Southern African Development Community (SADC), Tutu writes. Therefore, the 15 SADC nations this summer pledged to take “concrete steps” to fight the disease, he notes.
After President Barack Obama’s re-election on Tuesday, the following blog posts addressed possible foreign policy priorities during the next administration.
Writing in USAID’s “IMPACTblog,” Dereje Bisrat, monitoring and evaluation adviser for the Supply Chain Management System (SCMS), discusses the PEPFAR-funded program, which is administered by USAID and “works with Ethiopia’s Pharmaceutical Fund and Supply Agency (PFSA), nine regional health bureaus, and more than 1,717 health facilities to improve access to HIV/AIDS treatment” in the country. She tells the story of Neima Mohammed, an Ethiopian refugee who, after living in Djibouti for 10 years, returned to her home country to seek treatment through the program, writing, “This story might have ended with Neima’s fateful decline in health. Fortunately, thanks to friends back home, Neima learned Ethiopia was embarking on efforts to provide free antiretroviral treatment to thousands of people living with the disease” (11/6).
“The U.N.’s World Food Programme (WFP) is to deliver emergency aid to the south-east of Cuba, where Hurricane Sandy wrought widespread damage,” BBC News reports. “The WFP is also appealing for $20 million (Â£12.5) to help some 425,000 Haitians affected by the storm,” the news service writes, noting, “The WFP is planning to work with the Cuban government to distribute emergency one-month aid in Santiago de Cuba, which is home to 500,000 residents.”
U.K. International Development Secretary Justine Greening on a visit to New Delhi this week is expected to “outline plans to phase out Britain’s controversial aid payments to India, which are likely to come to an end after 2015,” the Financial Times reports. “According to reports in two British newspapers, Ms. Greening will announce she intends to cut the current Â£280 million-a-year [$448 million] program in half,” the newspaper notes (Stacey, 11/4). “The move comes amid mounting criticism that Britain’s overseas aid program, which is set to reach more than 12 billion pounds [$19 billion] by 2014, cannot be justified at a time of spending cuts back home,” the Times of India writes (11/5).
Wall Street Journal Examines Program In Pakistan Looking To Provide Health Insurance For Poor Urban Residents
The Wall Street Journal examines how “some local social entrepreneurs are coming up with new ideas to provide the poor with access to better medical services” in Pakistan, where the health care system is “split between low-cost government-funded hospitals offering basic services and expensive private-sector medical institutions … [b]ut the majority of the country’s 190 million people have little access to health care.” The newspaper describes how one program, called Naya Jeevan — “a non-profit micro-insurance program for the urban poor” that “offers an insurance program at subsidized rates under a national group health-insurance model” — operates to help ensure affordable medical care for the poor and how it has come “under scrutiny from the country’s insurance regulator” (Bahree, 11/6).
Since its arrival in Haiti two years ago, “cholera has sickened more than 600,000 people and killed more than 7,500,” and “[t]his year the epidemic is on track to be among the world’s worst again, with nearly 77,000 cases and 550 deaths, according to the Haitian Ministry of Health,” Ralph Ternier and Cate Oswald of Zanmi Lasante/Partners in Health in Haiti write in the Huffington Post’s “Impact” blog. “Despite the decrease in cases from 2011, every new case represents an unnecessary and preventable infection and an even further potential of completely preventable and unnecessary death in hardest-to-reach areas,” they state. Though a “multi-pronged approach” to treating and preventing cholera has significantly decreased the number of cases, “[t]he sad reality is that … we know that cholera is not going away, [yet] emergency funding for cholera is,” they write.
“The U.S. Farm Bill that was up for renewal in September in the House of Representatives could have included policies to support farmers in developing countries in their efforts to grow enough food to feed the local population,” but “Congress allowed the Farm Bill to expire on Sept. 30,” Ruth Messinger, president of the American Jewish World Service (AJWS), writes in the Huffington Post’s “Religion” blog. “If Congress does not act quickly after the election to pass a new Farm Bill, the money that exists for emergency food aid will run out in 2013,” potentially putting “up to 30 million hungry people at risk in the event of a crisis,” she continues, adding, “The failure to renew and reform the Farm Bill would also mean a missed opportunity to help end global hunger in the long term through sustainable solutions.”