In a post on IntraHealth’s “Global Health Blog,” Rebecca Kohler, senior vice president of corporate strategy and development at IntraHealth, writes about an event held last week on the sidelines of the Democratic National Convention (DNC) that “focused on the vital role of women’s health in foreign policy.” She writes, “I was encouraged by the level of commitment to a robust global family planning program on the part of our U.S. Congresswomen and the convention delegates. But I also was inspired by the effective role the U.N. Foundation plays in informing, mobilizing, and activating Americans across the country about critical health and development challenges.” Noting that the Kaiser Family Foundation’s 2012 Survey of Americans on the U.S. Role in Global Health “shows that the more informed the public is about global health issues, and how U.S. foreign assistance is saving lives, the more likely they are to support increased funding for health beyond this country’s borders,” Kohler concludes, “Informed and activated Americans are a driving force for change, and the DNC advocacy event was a great reminder that despite the hyper focus on domestic issues during this campaign, people can and do care about global issues” (9/10).
US Global Health Policy
Devex News Analysis Examines Democratic, Republican Party Platforms On Foreign Policy, Including Global Health
A Devex news analysis examines the Democratic and Republican platform positions on foreign policy following the party conventions, writing, “Even as pocketbook concerns continue to overshadow foreign policy issues on the campaign trail, in both Charlotte and Tampa, top-billed speakers made the case for the U.S. foreign aid program.” The article examines the core principles of each platform, notes that neither platform offers specifics on foreign aid spending, and discusses the platforms’ stances on certain foreign policy issues, including global health, food security, climate change, and gay rights.
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).
“President Obama and his Republican rival, Mitt Romney, appeared within hours of each other Tuesday at [the Clinton Global Initiative,] a global charitable gathering hosted by former president Bill Clinton, each focusing on how the United States can better promote prosperity and human rights abroad and at home,” the Washington Post reports (Rucker/Wilson, 9/25). Saying “that decades of foreign aid have not extinguished ‘the suffering and hardship,’ Romney called for big changes in the approach to foreign assistance,” the Associated Press/Fox News writes (9/25). According to Foreign Policy, Romney “pledged … to shift foreign aid toward the private sector and deprioritize humanitarian aid in favor of promoting free enterprise and business development around the world” and “then said he would lower the priority of foreign aid as a means to address humanitarian needs, such as health, as well as foreign aid as a means to promote U.S. strategic interests” (Rogin, 9/25). “His plan, which he called ‘Prosperity Pacts,’ calls for tying development money to requirements that countries allow U.S. investment and remove trade barriers,” the AP adds (9/25).
Secretary of State Hillary Clinton reflects on changes in U.S. global health diplomacy since taking office in this Global Health and Diplomacy opinion piece. “America had been leading the global health fight for decades,” but “we recognized that to sustain the impact of our work, we needed to change the way we did business,” she writes. “For example, while our agencies were providing tremendous leadership in isolation, they could still do more to collaborate effectively,” she writes, adding, “[W]e weren’t doing enough to coordinate our efforts with other donors or our partner countries,” and “we weren’t building sustainable systems to eventually allow our partner countries to manage more of their own health needs.” She says, “We were unintentionally putting a ceiling on the number of lives we could save.”
“No woman should die giving birth, and yet maternal mortality, despite progress, remains one of the leading causes of death among women of reproductive age in developing countries,” Mary Ellen Stanton, senior maternal health adviser for the Global Health Bureau, writes in USAID’s “IMPACTblog.” She notes, “Most of these deaths are preventable.” She highlights the Saving Mothers, Giving Life initiative, writing it “represents a unique partnership through which the United States government has enlisted significant support from key public, private and non-governmental players in the global health field with one collective purpose — to reduce maternal mortality” (9/24).
Following the XIX International AIDS Conference (AIDS 2012) in July, “delegates left Washington with a clear focus on achieving an AIDS-free generation,” Chip Lyons, president and CEO of the Elizabeth Glaser Pediatric AIDS Foundation, writes in the Huffington Post’s “The Big Push” blog. “But in the weeks following, HIV/AIDS and global health have largely disappeared from our political dialogue,” he says, because “[n]ational attention is squarely focused on the November elections, and we haven’t seen the ‘post-conference’ bounce that these issues deserve.” He continues, “Although there was mention of support for PEPFAR and the Global Fund [to Fight AIDS, Tuberculosis and Malaria] at this summer’s conventions, this kind of high-level call to action was noticeably absent in Tampa and Charlotte.”
“Every child should have the opportunity to celebrate his or her fifth birthday,” but 7.6 million “kids die within the first five years of life,” a VOA editorial writes. “That is why [USAID] recently launched ‘Every Child Deserves A Fifth Birthday,’ an awareness-raising campaign leading up to the mid-June ‘Child Survival: Call to Action’ two-day conference,” the editorial states, adding, “This high-level forum, convened by the governments of the United States, India and Ethiopia, together with [UNICEF], will mobilize political, non-governmental and private actors to end preventable child deaths.”
CNN reports on how “[t]he issue of forced abortions — and in some cases, forced sterilizations — in China has seized the spotlight in recent days with news of escaped activist Chen Guangcheng,” who “rose to fame in the late 1990s because of his advocacy for what he calls victims of abusive practices, such as forced abortions, by Chinese family planning officials.” China’s so-called “one-child policy has been blamed for abuses,” the news service reports. The news service writes, “In some cases, advocates say, fetuses identified as female are aborted, … abandoned, left to die or raised as orphans,” as “Chinese traditionally prefer boys over girls.” CNN describes several reports from women’s health advocates working in China of women undergoing forced abortion and sterilization; a report from the Congressional-Executive Commission on China, “created by Congress to monitor human rights and the rule of law in China”; and the State Department’s 2009 Human Rights Report, the news service notes.
“Each year, nearly 400,000 children are born with HIV globally, and prevention of mother-to-child transmission (PMTCT) is a particular challenge in sub-Saharan Africa, an area characterized by weak health systems,” U.S. Global AIDS Coordinator Ambassador Eric Goosby writes in the State Department “DipNote” blog. “Last year PEPFAR and UNAIDS joined with other partners to launch the Global Plan, an initiative to eliminate new HIV infections among children and keep their mothers alive,” Goosby writes and reflects on a two-day mission to Nigeria with UNAIDS Executive Director Michel Sidibe last week. He concludes, “Preventing new HIV infections in children is a smart investment that saves lives, and the United States is proud to partner with Nigeria and other countries in this cause” (4/30).