According to a Pan American Health Organization (PAHO) and WHO joint press release, USAID “has tripled its financial support for the Pan American Health Organization/World Health Organization (PAHO/WHO) Regional Tuberculosis Program, which seeks to prevent 15,000 deaths from tuberculosis in Latin America and the Caribbean over the next five years and reduce the incidence of this disease.” The press release notes the commitment “increases a previous $5 million USAID/PAHO agreement, signed in November 2011 to strengthen programs for tuberculosis, maternal and neonatal health, and health systems in the region over the course of a three-year period, to a total of $8.9 million.” The press release states that $5.1 million is earmarked for the tuberculosis program, “up from an originally expected investment of $1.5 million” (10/31).
US Global Health Policy
As part of its “Blueprint” series discussing the creation of a U.S. global AIDS blueprint called for by Secretary of State Hillary Clinton in July, the Center for Global Health Policy’s “Science Speaks” blog features an opinion piece by Salmaan Keshavjee of Harvard Medical School and Partners In Health. With an estimated 1,000 people with HIV dying of tuberculosis (TB) every day, “[i]t is clear that our current approaches to addressing the global tuberculosis pandemic are inadequate,” he writes. Keshavjee says, “First, bold targets for reducing tuberculosis incidence and zero TB-HIV deaths must be prioritized in the blueprint. … Second, known strategies for stopping the spread of tuberculosis have to be actively implemented. … Lastly, any effective strategy has to ensure that HIV advocates at the community level are educated about the threat of tuberculosis,” and he describes each of his points in detail. He concludes, “The United States has shown visionary leadership in the area of HIV treatment and changed the lives of countless people for the better. It is time to take on tuberculosis with the same moral and pragmatic vigor” (Barton, 10/31).
Writing in GlobalPost’s “Global Pulse” blog, Nicola Pardy, an editorial intern at GlobalPost, reflects on the closure of the Global Health Initiative (GHI) office announced in July, noting that the government announced the establishment of a new Office of Global Health Diplomacy. She asks, “So, what has changed in this next phase of the initiative?” Pardy quotes Foreign Policy’s “The Cable” and the Center for Global Development’s “Global Health Policy” blogs, which commented on the announcement. She also cites a recent report by the Kaiser Family Foundation that examines how countries are responding to and implementing the women, girls, and gender equality principle of the GHI; highlights two case studies on GHI reproductive health-related activities in Guatemala (.pdf) and Ethiopia (.pdf) released by the Change Center for Health and Gender Equity in June; and notes an analysis of the GHI published in the Lancet this month. She concludes, “GHI’s lofty objectives have yet to come to fruition. Now it’s time to see whether the initiative has both the momentum and leadership to get there” (10/26).
“As the Acting Special Representative for Global Food Security, I lead U.S. diplomacy on food security and nutrition, and last week was a particularly busy one for the food security team,” Jonathan Shrier, acting special representative for Global Food Security, writes in the State Department’s “DipNote” blog. He details a number of food security-related activities that happened throughout the week, beginning with World Food Day, and writes, “Ending world hunger will require a collective effort among governments, international organizations, the private sector, and civil society” (10/27).
In the Center for Strategic & International Studies’ (CSIS) “Smart Global Health” blog, Phillip Nieburg, senior associate of the CSIS Global Health Policy Center, discusses a recent report (.pdf) he wrote, titled “Improving Maternal Mortality and Other Aspects of Women’s Health: The United States’ Global Role,” “that addresses key challenges to improving maternal mortality and women’s health worldwide and talks about what the related priorities of U.S. foreign policy should be.” He says, “Rather than continuing what appears to me as a piecemeal approach to global aspects of reproductive health, with separate programs to address, e.g., gender-based violence, women and HIV/AIDS, maternal mortality, family planning, cervical cancer, girls’ education, etc., I argue in my report that the United States should develop and implement a comprehensive global plan for women’s health that includes males as well as females, using coordinated prevention and care programming for each stage of the reproductive health life cycle” (10/25).
“It’s not much of a surprise that Monday night’s presidential debate, which focused on foreign policy, was consumed by a discussion of defense spending, and security and trade policies,” but “it’s still disappointing that both [President] Barack Obama and [Republican presidential nominee Gov.] Mitt Romney were relatively silent on issues like global health, research, and international aid,” Global Health Technologies Coalition (GHTC) Communications Officer Kim Lufkin writes in the GHTC’s “Breakthroughs” blog. She summarizes some “brief mentions during the debate season of the role of science and technology,” including some media coverage of the lack of mention of global health. “With the election now less than two weeks away … it seems increasingly unrealistic that either candidate will offer up much on global health, research, or other development topics soon,” she writes, concluding, “But no matter what the outcome is in two weeks, the next president must demonstrate more support for global health and foreign aid than the candidates displayed during Monday night’s debate” (10/24).
In a post in the Center for Global Health Policy’s “Science Speaks” blog, Lucica Ditiu, executive secretary of the Stop TB Partnership, examines the need to include tuberculosis (TB) in the global AIDS response blueprint that Secretary of State Hillary Clinton announced at the XIX International AIDS Conference (AIDS 2012), writing, “At present one in four AIDS-related deaths is precipitated by TB. … All people living with HIV need to get tested for TB and receive TB treatment if they have the disease.” She continues, “We urge PEPFAR to include in the blueprint explicit TB/HIV indicators and activities,” and she provides five examples (10/23).
In the Huffington Post’s “Politics” blog, Serra Sippel, president of the Center for Health and Gender Equity, notes that Secretary of State Hillary Rodham Clinton said at the XIX International AIDS Conference in July that all women should be able to decide “when and whether to have children” and that PEPFAR, in a guidance [.pdf] released last week, said, “Voluntary family planning should be part of comprehensive quality care for persons living with HIV,” and referred to family planning as a human right. “Then, in bold type, they punctuated it with, ‘PEPFAR funds may not be used to purchase family planning commodities,'” she writes. “They take it a step further with a caveat that before anyone decides they’d like their program to have anything to do with family planning, they had best consult relevant U.S. legal counsel first,” she adds. “To be fair, they do say that PEPFAR programs can just refer women to a different program that offers family planning,” but those programs are not always available, Sippel writes, adding, “So the suggestion is flawed from the start.”
Noting that the Global Health Initiative (GHI) leadership and the three core entities of GHI — USAID, the Centers for Disease Control and Prevention (CDC) and PEPFAR — announced the closure of the GHI office and an end to the initiative’s current phase on July 3, Serra Sippel, president of the Center for Health and Gender Equity, writes in the Huffington Post’s “Politics” blog that “the three agencies will be responsible for ensuring that the GHI principles are implemented in the field to achieve global health goals.” She continues, “A focus on the GHI principles — especially principles of health sector integration, equal rights for women and girls, country ownership, and health systems strengthening — is indeed necessary to ensure U.S. global health programs are effective. The principles are the most important piece of GHI, and what has given global health advocates optimism since it was launched in 2009.”
USAID Administrator Rajiv Shah last week released the first progress report for the U.S. global food security program, Feed the Future, which “has helped 1.8 million food producers adopt improved technologies or management practices that can lead to more resilient crops, higher yields and increased incomes,” IIP Digital reports. “The report notes that Feed the Future has also reached nearly nine million children through programs to prevent and treat malnutrition and improve child survival,” the news service states, noting Shah released the report at the World Prize Events in Des Moines, Iowa. IIP Digital summarizes several Feed the Future efforts Shah outlined at the report’s launch (McConnell, 10/19).