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).
Programs, Funding & Financing
“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.”
“With just over one year left to achieve its target of having some 1.1 million men circumcised as part of HIV prevention efforts, Kenya’s government is ramping up efforts to bring more men into clinics, compensating them for their time and encouraging them to bring friends in for the procedure,” IRIN reports. “Kenya has carried out an estimated 477,000 circumcisions since the program started in 2008, according to the government,” IRIN writes. “This figure does not include those in the private sector where voluntary medical male circumcision is also done,” Walter Obiero, the clinical manager at the Nyanza Reproductive Health Society, said, the news service adds. “In 2011, UNAIDS and [PEPFAR] launched a five-year plan to have more than 20 million men in 14 eastern and southern African countries undergo medical male circumcision by 2015,” IRIN notes, writing, “The government is considering integrating male circumcision, currently offered as part of its HIV prevention package, into outpatient services in public hospitals, as well as starting infant male circumcision, which studies have found to be cost-effective” (11/6).
Aidspan, an independent watchdog of the Global Fund to Fight AIDS, Tuberculosis and Malaria, on Monday published Issue 201 of its “Global Fund Observer.” Among other articles, the issue features an article on a recently released Aidspan paper examining how the Global Fund calculates lives saved; a commentary on how the Global Fund’s new funding model will affect its Latin America and the Caribbean portfolio; and an article examining five new reports from the Office of the Inspector General (OIG) — “three on audits in Bangladesh, Djibouti and Ghana, and two on investigations in Djibouti and South Africa” (11/5).
IRIN examines the controversy surrounding the Affordable Medicines Facility-malaria (AMFm), writing, “The argument over the way it operates has reignited ahead of a board meeting of the [Global Fund to Fight AIDS, Tuberculosis and Malaria] on 14-15 November, which is due to assess the success of the project and its reliance on private sector providers.” The news service reports on an evaluation of AMFm published recently in the Lancet and another paper by Oxfam criticizing the facility. The Global Fund Board, which administers AMFm, “is meeting in nine days to decide whether AMF has worked as was intended, and whether it should be continued, scaled up, or abandoned altogether,” IRIN writes (11/5).
“[I]t has been a banner year for media attention, political will and global resources on family planning and women’s and girls’ rights and empowerment,” Ward Cates, president emeritus of FHI 360; Laneta Dorflinger, a scientist with FHI 360; and Kirsten Vogelsong, a senior program officer with the family planning division of the Bill & Melinda Gates Foundation, write in the Huffington Post “Global Motherhood” blog, noting the London Summit on Family Planning, World Contraception Day, and the inaugural International Day of the Girl Child. “To achieve the ambitious goals set forth by these international initiatives, however, the global health and development community must act on the current political momentum and not lose sight of the challenges that remain,” they state. Though there are “many contraceptive choices available to prevent unintended pregnancy,” access to contraception is limited for many women and “the currently available methods do not always meet their needs, preferences or budgets,” they write.