In this episode of the Center for Global Development’s (CGD) “Global Prosperity Wonkcast,” CGD’s Lawrence MacDonald interviews Amanda Glassman, a senior fellow and director of the global health policy program at the center, about global health funding in “this austere budget climate.” In an accompanying blog post, MacDonald notes “generating ‘value for money’ (VFM) is a top concern for global health funding agencies and their donors, who want the biggest bang for their buck in terms of lives saved and diseases controlled.” According to the blog, the discussion focuses on the Global Fund to Fight AIDS, Tuberculosis and Malaria, “a multilateral agency that emerged from the G8 meeting process in 2002 when times were better and global health was seen as an area where money could make a difference” (9/5).
Programs, Funding & Financing
Distribution Infrastructure, Effective Education Important For Success Of Micronutrient Powders To Treat Childhood Anemia
In this post in the New York Times’ “Opinionator” blog, journalist Sam Loewenberg examines the administration of micronutrient powders as a treatment option for anemia, “one of the most pervasive problems affecting the world’s children, and one that goes largely unaddressed.” “The presence of anemia usually signifies a host of other micronutrient deficiencies that are more difficult to test for,” so micronutrient powders — such as Sprinkles, the original and most common formulation — “contain not just iron, but 15 essential vitamins and minerals, including iodine, zinc and vitamin A,” he writes. “The Copenhagen Consensus, a group of expert economists convened in 2008 to determine the world’s most effective aid interventions, put micronutrient supplements at the top of the list,” he continues, adding, “According to their estimate, the cost of providing vitamin A and zinc to 80 percent of the world’s 140 million children who are lacking them would cost $60 million per year. The benefits of this treatment would be worth more than $1 billion.”
The Washington Post examines how the “discovery of an almost untreatable form of tuberculosis [TB] in India has set off alarm bells around the world and helped spur a dramatic expansion of government efforts to battle the killer lung disease.” The newspaper writes, “For the past decade, a nationwide tuberculosis program involving millions of health workers and volunteers has made slow but significant progress in battling the disease in India and has been hailed as a public health success story,” but “any sense of complacency was dispelled in December when a doctor in Mumbai, Zarir Udwadia, discovered a strain of the disease that did not respond to any of the 12 frontline drugs.”
“The United States is adding $21 million to its humanitarian aid package for people displaced by violence in Syria, U.S. officials said Wednesday amid U.N. reports that more than 100,000 Syrians fled to neighboring countries in August,” the Washington Times reports (Taylor, 9/5). “USAID [Administrator] Rajiv Shah announced during a visit to Jordan that the new funds would be made available to the U.N. World Food Programme to help feed Syrians both inside and outside the country,” Agence France-Presse writes (9/5).
U.S. Commitment To Foreign Assistance, Global Health To Rise Or Fall With Presidential Election Outcome
In this Lancet opinion piece, Laurie Garrett, a senior fellow for global health at the Council on Foreign Relations, examines a number of social, political, and financial issues at play ahead of the November 6 U.S. presidential election and their implications for domestic and global health programs. “Fundamentally, the 2012 election reflects a Grand Canyon scale rift through the national psyche over the importance of government, provision of tax-supported public goods, including health care, and who is responsible for the 2008 financial crisis and ongoing economic doldrums,” she writes. “But the biggest concern for America’s future is the budget,” she continues. Garrett discusses how sequestration might affect foreign assistance and global health programs and states, “U.S. commitment to foreign assistance and such international ventures as the President’s Emergency Program for AIDS Relief (PEPFAR) and Obama’s signature Global Health Initiative are also likely to rise, or fall with the elections” (9/1).
PlusNews examines the recently approved grants under the Global Fund to Fight AIDS, Tuberculosis and Malaria’s Transitional Funding Mechanism (TFM), stating, “Last week, the Fund announced that 45 new grant applications, from countries such as Burundi, Malawi and Swaziland, have been approved under the TFM.” The news service notes, “Almost 25 percent of this combined total will go towards [tuberculosis (TB)], which represents a significant increase from the average 16 percent of funds allocated for TB since the Global Fund was created in 2002, according to a StopTB Partnership statement released in response” to the fund’s announcement. PlusNews notes, “Unlike regular grants, which can run for up to five years, those awarded under the TFM will be limited to two years, by which time the fund is expected to have launched its new funding model” (9/4).
Developing Countries NGO Delegation To Global Fund Submits Report Highlighting Challenges, Recommendations
The Center for Global Health Policy’s “Science Speaks” blog discusses a report by the developing countries NGO delegation to the Global Fund to Fight AIDS, Tuberculosis and Malaria, submitted recently to the Global Fund Secretariat. “Covering procedures involved in program planning, spending, accounting and in responding to realities on the ground, some of the issues it raises are likely to be addressed in the global charity’s new funding model, but some may not be, a delegation representative wrote in response to an inquiry from ‘Science Speaks,'” the blog notes and highlights some of the challenges and recommendations contained in the report (Barton, 9/4).
The Guardian examines a new Millennium Villages Project (MVP) — “the integrated approach to rural development spearheaded by Jeffrey Sachs of Columbia University’s Earth Institute” — that was launched last week in northern Uganda “by Ghana’s new president John Dramani Mahama and U.K. international development secretary Andrew Mitchell.” According to the newspaper, “Like the 13 other MVP sites … the project will attempt to provide a package of proven, science-based interventions for agriculture, education, health and rural infrastructure.”
The “growing public health problems” of West Nile and dengue viruses in the U.S. can “serve as opportunities to pull the U.S. squarely into the global fight against these mosquito-borne viruses,” a Bloomberg View editorial states. “The two illnesses have come to the U.S. courtesy of climate change and globalization,” the editorial notes, writing, “No vaccines, no cures and no specific medicines exist to prevent or treat dengue or West Nile.” It continues, “That is not uncommon for illnesses that predominantly affect the developing world,” as “[c]ompanies with the know-how to develop such products have generally lacked the profit motive to make the necessary investments, given that sales would be mainly in poor countries.”
U.N. Secretary-General Ban Ki-moon “warned on Friday that Haiti was struggling to cope with a cholera epidemic that has killed thousands and deteriorating conditions in tent camps as aid groups withdraw from the impoverished country due to a lack of funding,” Reuters reports. “In a report to the U.N. Security Council, Ban said there had been an increase in the number of cholera cases since the rainy season began in early March and the World Health Organization had projected there could be up to 112,000 cases during 2012,” the news service writes.