In this post 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 global health team at the center, examine the future of UNITAID. “Perhaps due to its relative obscurity and late entry to a crowded global health field, UNITAID has proactively worked to differentiate itself through a focus on commodities, market shaping, novel funding sources, and innovation,” but, “as UNITAID celebrates its sixth birthday …, it stands at a potential crossroads,” they write. Fan and Silverman note that a five-year evaluation report on the future of UNITAID, commissioned by its Executive Board, is forthcoming, and they highlight a paper (.pdf) in which they “outline some contradictions and limitations of UNITAID’s current approach.” They write, “We hope that the imminent evaluation provides the impetus for UNITAID to turn inward and do something truly innovative: buck institutional inertia, change course as necessary, and reinvent itself as the solution to 2012’s biggest global health challenges” (9/17).
“As world leaders make their way to New York this month to attend the United Nations General Assembly, we call on them to renew their commitments to combating non-communicable diseases (NCDs),” Jill Sheffield, president of Women Deliver, and Nalini Saligram, founder of Arogya World, write in the Huffington Post “Global Motherhood” blog, adding, “Tackling NCDs with a woman-centered focus is a critical step towards reaching all development goals.” They continue, “The solution to curbing NCDs and maternal mortality ultimately rests in improving women’s access to strong and capable health systems.” In addition, “[t]eaching women about NCD prevention by promoting healthy lifestyles will result in women not only changing their own lives, but also steer their families and entire communities towards healthy living,” they state, adding, “Educated and empowered women can work to build a healthier, more sustainable world and lift families out of poverty.” Finally, “[i]t’s also important to look at new solutions and technologies,” including clean cookstoves, Sheffield and Saligram write.
UNICEF has released its 2012 partnership profiles, “short case studies which highlight specific partnership initiatives at global, regional and country levels” and “illustrate how partnerships have contributed to results, either the creation of innovation, policy advocacy, evidence generation, or provision of essential services,” according to UNICEF’s Partnerships webpage. Some of the organizations highlighted include the GAVI Alliance (.pdf), the Global Fund to Fight AIDS, Tuberculosis and Malaria (.pdf), and the Global Polio Eradication Initiative (.pdf) (9/17).
Noting the 67th session of the U.N. General Assembly begins on September 25, Charles Kenny, senior fellow at the Center for Global Development and a Schwartz Fellow at the New America Foundation, writes in his Bloomberg Businessweek blog, “Small World,” “Accompanying the usual podium speeches will be the start of backroom discussions as to what will replace the Millennium Development Goals [MDGs], a set of targets for global progress agreed to at the 2000 General Assembly meetings.” He continues, “The original Millennium Goals committed the world to halve poverty between 1990 and 2015, alongside ambitious targets to reduce childhood deaths, ensure that every child worldwide completes primary school, safeguard equal access to education for girls, improve access to sanitation, and reduce deaths from maternal mortality, AIDS, and malaria,” and he adds, “The planet has actually done pretty well in meeting these initial targets.”
With nearly 6,000 reported cholera cases, including more than 100 deaths, Guinea is facing the worst cholera outbreak since 2007, and “some residents of the capital Conakry are clamoring to be vaccinated,” IRIN reports. “The cholera vaccine has shown promising results in the handful of communities where it has been used: none of those vaccinated have been infected,” the news service writes, noting, “For now cholera vaccination is not generally done on a large scale.” According to IRIN, “WHO and partner agencies are planning a cholera vaccine stockpile for epidemic control and looking at the possibility of introducing the two-dose oral vaccine into national immunization programs in endemic areas,” but the agency also “says such stockpiles should not detract from other prevention efforts: detection, diagnosis, and treatment of cases with oral rehydration and antibiotics; establishment of a safe water supply; implementation of adequate waste disposal, sanitation, and hygiene; and communication and social mobilization.”
“An outbreak of Ebola hemorrhagic fever has claimed possibly as many as 31 lives in the northeast of the Democratic Republic of Congo since May, Health Minister Felix Kabange Numbi said Thursday,” Agence France-Presse reports. “Numbi said an international committee for technical and scientific coordination in the fight against Ebola had carried out retrospective research to find previous cases, which raised the death toll,” according to the news agency (9/13). “We can expect an increase in the number of cases as more people are tracked. These are not necessarily new cases,” WHO spokesperson Tarik Jasarevic said, adding, “I want to stress that this is a serious outbreak, and there is a risk of the Ebola virus spreading, but we would not say that it’s out of control,” NPR’s health blog “Shots” reports (Doucleff, 9/13). “The latest WHO figures show there are now 65 probable or suspected cases of Ebola in Congo, with 108 people under surveillance,” Reuters notes (9/13). “Last month an outbreak of a more deadly Ebola strain in neighboring Uganda killed 16 people, but health workers say the two outbreaks do not appear to be related,” according to BBC News (9/13).
World Bank, Bangladeshi Government Sign Multi-Donor Trust Fund Agreement For Country's Health Sector
“On Wednesday, the World Bank and the Bangladeshi government signed a Multi-Donor Trust Fund Grant Agreement” under which “$280 million coming from the United States, Australia, the United Kingdom, and Sweden will go to the Bangladesh Health Sector Development Program, which aims to improve the health status of people in Bangladesh, particularly women, children and the marginalized,” the Devex “Development Newswire” reports. “The government will finance 75 percent of the program,” and “[t]he World Bank will also provide a $359 million credit through its anti-poverty arm, the International Development Association,” the news service writes (Ravelo, 9/13). “The program will focus on improving emergency obstetric and newborn care services and the nutritional status of expectant mothers and their children” and “will also strengthen health sector planning and resource management, human resources development, management of pharmaceuticals, health information systems and maintenance of health care facilities,” a World Bank press release states (9/12).
Noting the Copenhagen Consensus has stated that “large-scale micronutrient fortification is a proven and cost-effective intervention that can mitigate malnutrition in the form of vitamin and mineral deficiencies and enhance the well-being of millions,” Marc Van Ameringen, executive director of the Global Alliance for Improved Nutrition (GAIN), writes in the Huffington Post “Impact” blog, “On September 9, 2012, [GAIN] launched a partnership in Kabul with Afghanistan’s Ministry of Public Health, the Khalifa Bin Zayed Al Nahyan Foundation (KBZF) and the World Food Programme (WFP) to help alleviate the burden of malnutrition in Afghanistan by bringing more nutritious wheat flour, vegetable oil, and ghee to approximately half of the country’s population.”
The annual number of child deaths worldwide has fallen more than 40 percent since 1990, “the result of myriad improvements in nutrition, access to vaccines and antibiotics, cleaner deliveries, better care of infants immediately after birth, and the use of insecticide-treated mosquito nets,” according to “the findings of a report released Wednesday by three United Nations agencies and the World Bank,” the Washington Post reports (Brown, 9/12). “In 1990, there were 12 million deaths of young children, but the latest figures … show that deaths had fallen by nearly half, to 6.9 million, by 2011,” the Guardian writes (Boseley, 9/12). “[T]he number of deaths is down by at least 50 percent in eastern, western and southeastern Asia, as well as in northern Africa, Latin America and the Caribbean,” the report says, VOA News notes (Schlein, 9/12). However, “[i]n some, mainly sub-Saharan countries, the total number of deaths of children younger than five increased,” BBC News writes, adding, “The Democratic Republic of Congo, Chad, Somalia, Mali, Cameroon, and Burkina Faso saw annual deaths of children under five rise by 10,000 or more in 2011 as compared with 1990” (Doyle, 9/13).
“The World Health Organization (WHO) on Tuesday said Nigeria was not on track in the effort to eradicate wild polio virus before the end of December this year,” Leadership/AllAfrica.com reports. Speaking at the 24th Expert Review Committee (ERC) Meeting on Polio Eradication in Abuja, Bruce Aylward, WHO assistant director-general for polio, emergencies and country collaboration, said Nigeria had the tools and capacity to turn back the increasing number of polio cases that pose a “real and growing danger to international public health,” the news service notes. Aylward “recommended eight major steps for polio eradication for the country, including the implementation of the new house-based micro planning and monitoring method,” refresher training for all personnel to emphasize the emergency status declared by the WHO, and the identification and immunization of missed children and those in insecure areas, among others, according to the news service. ERC Chair Tomori Oyewale “called on Nigerians to change their attitude to polio eradication to ensure the success of the fight against the virus,” the news service writes (9/11).