The Center for Global Development’s (CGD) “Global Health Policy” blog on Thursday published two posts addressing family planning funding. In one, Amanda Glassman, director of global health policy and a research fellow at CGD, examines “what organization will actually allocate and spend these additional resources” pledged at the recent London Summit on Family Planning. After examining alternatives, she proposes a “combination” approach that includes USAID, UNFPA, the World Bank, and other international non-governmental organizations playing roles (7/12). In another post, Glassman and Rachel Silverman, a research assistant at CGD, examine what the money will go toward. They write, “A greater supply of contraception may help, but empirical studies show that conditional cash transfers or scholarships to encourage school continuation or return may be even more effective, both at lowering fertility rates and increasing women’s empowerment” (7/12).
Programs, Funding & Financing
In this guest post on the Global Health Technologies Coalition’s “Breakthroughs” blog, George Fistonich, a research and policy fellow at amfAR, The Foundation for AIDS Research, examines a new amfAR analysis that “outlines the potential effects of budget sequestration on global health programs, using updated figures to reflect recent and accurate estimates.” He writes, “As our analysis illustrates, cutting funding for global health programs — including those that support access to lifesaving HIV/AIDS, tuberculosis (TB), and malaria tools and programs that fund research for the next generation of global health products — would barely make a dent in reducing the U.S. federal deficit. However, cuts to global health and health research programs would have a crippling impact on people around the world” (7/12).
“The Global Fund to Fight Aids, Tuberculosis and Malaria [on Wednesday] opened its first business forum in Bangkok to encourage more private-sector support in combating the three epidemics,” Thailand’s The Nation reports. “Under the theme ‘Investing in Asia-Pacific: Public Private Partnerships in Health,’ the Global Fund Business Forum, which ends [Thursday], is discussing various topics including the role of business in global health and business engagement in sustainable value creation,” the newspaper writes, adding, “Panel sessions on public-private partnerships are also being held in various areas.” “‘The continued and expanded engagement of private contributors is playing a critical role in ensuring the long-term success of the Global Fund and the fight against AIDS, tuberculosis and malaria,’ said Dr. Christoph Benn, director for resource mobilization and donor relations,” according to The Nation (7/12).
On World Population Day, observed on Wednesday, July 11, the U.K. Government and the Bill & Melinda Gates Foundation co-hosted the London Summit on Family Planning. The following are summaries of blog posts addressing the summit.
Global Fund Investigation Finds Recipient Organization In Bangladesh 'Misappropriated' $1.89M In Grant Funds
“The Global Fund to Fight AIDS, Tuberculosis and Diseases is eyeing the recovery of some $1.89 million ‘misappropriated’ grant funds following an investigative report [.pdf] on one of its sub-recipients in Bangladesh,” the Devex “Development Newswire” blog reports. “The money covers 52 percent of the total amount disbursed to nongovernmental organization Padakhep Manabik Unnayan Kendra [PMKU] under the fund’s 2004-2009 HIV and AIDS program,” the blog writes, adding, “The [non-governmental organization (NGO)] ‘fabricated’ documents, including bank statements, accounting journals, invoices and copies of checks that were never issued, according to the report published online Tuesday.”
“Voluntary family planning services will reach an additional 120 million women and girls in the world’s poorest countries by 2020 thanks to a new set of commitments announced [at the London Summit on Family Planning on Wednesday] by more than 150 leaders from donor and developing countries, international agencies, civil society, foundations and the private sector,” a Bill & Melinda Gates Foundation press release reports (7/11). Donors “pledged $2.6 billion over the next eight years at [the summit], in what was described as a breakthrough for the world’s poorest women and girls,” the Guardian writes, adding, “More than 20 developing countries made commitments to boost spending on family planning and to strengthen women’s rights to ease their access to contraception” (Tran, 7/11). Speaking at the summit, Melinda Gates, co-chair of the Gates Foundation, announced the foundation “will spend more than $1 billion over the next eight years to increase access to contraceptives in the developing world and research new methods of birth control” and “outlined several of the initiatives [the foundation] will focus on in the coming years, including efforts to bring down the cost of birth control so that it will be within reach of the world’s poorest women,” the Seattle Times notes (Doughton, 7/11).
GlobalPost examines efforts to combat AIDS in Zimbabwe as part of its “AIDS Turning Point” series. The news service writes that “what makes the case of Zimbabwe so curious — and even confounding to many outside observers — is that this country found success even though it was largely cut out of the big spending by PEPFAR’s list of 15 so-called ‘focus countries.'” GlobalPost continues, “Instead, Zimbabwe relies on its own well-mapped network of community health workers … who fan out daily across the country to make sure the country’s AIDS patients receive care.”
UNICEF and the WHO “are warning of an alarming upsurge in cholera across West Africa’s Sahel region, the area at the southern fringe of the Sahara Desert running from Mauritania to Chad,” VOA News reports (Schlein, 7/10). “So far in 2012, cholera has killed nearly 700 people in West and Central Africa and more than 29,000 cases were reported,” according to a UNICEF press release (7/10). “Both UNICEF and WHO say they are critically short of funds to do what is needed to contain the outbreak,” but “[t]hey say action must be taken now before the number of cholera cases explodes,” VOA writes (7/10). IRIN examines efforts to curb the spread of cholera in Guinea, with the administration of a vaccine, and Sierra Leone (7/10).
Early treatment with antiretroviral medication can significantly reduce the risk of HIV transmission to an uninfected sexual partner, “[b]ut many logistical hurdles stand in the way of making this strategy feasible, affordable and effective, according to experts writing in Tuesday’s edition of the journal PLoS Medicine,” the Los Angeles Times reports. Though Science magazine hailed the finding as “breakthrough of the year” in 2011, “[e]xperts are now divided about whether the treatment-as-prevention approach can essentially halt the AIDS epidemic,” the newspaper writes (Loury, 7/11). The PLoS Medicine collection, which includes nine reviews and one research article, “provide insights into the factors which will support evidence-based decision-making in HIV prevention, with a focus on the use of antiretroviral treatment to prevent HIV transmission,” according to the collection’s homepage (7/10).
Describing PEPFAR as “a targeted approach on a large-scale and with accountability for results,” U.S. Global AIDS Coordinator Ambassador Eric Goosby on Tuesday said the program has done more than fight HIV/AIDS, having had a “broader transformational impact … on the health sector” in many countries, VOA News reports (De Capua, 7/10). Goosby delivered the keynote address at a Health Affairs briefing titled, “Assessing The President’s Emergency Plan For AIDS Relief: Past Achievements And Future Prospects For PEPFAR,” according to a State Department video of his remarks (7/10). The July 2012 issue of Health Affairs “examines the origins of [PEPFAR]; the lessons learned from implementation; the successes achieved in terms of human health and well-being; and the opportunities that now exist to lay the groundwork for an ‘AIDS-free generation,'” the Health Affairs Blog states (Fleming, 7/10).