IRIN reports on the HIV/AIDS response in Guinea-Bissau, writing, “One year after the Global Fund to Fight AIDS, Tuberculosis and Malaria reduced funding to the Guinea-Bissau government body in charge of coordinating HIV prevention and treatment activities, health centers outside the capital are facing medicine shortages, patients are not receiving the treatment they need, and the transport of patients to treatment centers has been cut.” According to the news service, “The Global Fund stopped most of its funding to the Secretriado National de Luta Contra le Sida (SNLS), the government structure in charge of coordinating the HIV response, at the end of 2011, because of poor performance management and a lack of transparent fiduciary controls.”
Access to Health Services
The U.N. General Assembly on Wednesday “voted in favor of a draft resolution supporting universal health coverage, signaling the importance of universal health care to the international development agenda,” the Washington Post’s “World Views” blog reports (Khazan, 12/12). “The U.N. resolution calls on its members to ensure they have health systems that avoid significant direct payments at the point of delivery and a mechanism to pool risks among the population to avoid catastrophic health care spending and impoverishment as a result of seeking care,” the Guardian notes (Tran, 12/12).
IRIN examines efforts to recruit Madagascar’s traditional midwives, called “matronnes,” to “a campaign to get women to deliver in clinics or hospitals, part of a move to lower maternal and newborn death rates.” The country, which has the highest adolescent fertility rate in Africa, has a “moderately high” maternal mortality ratio, despite having “dropped from 710 deaths per 100,000 live births in 1990 to 240 per 100,000 live births in 2010,” the news service notes. IRIN describes how health centers and non-governmental organizations are working to provide better maternal and newborn health care by convincing traditional midwives to accompany women in labor to clinics, where skilled birth attendants can attend to them (12/12).
“A UNICEF progress report [.pdf] says that more than 850,000 children are expected to have received life-saving treatment for severe acute malnutrition across nine countries in the Sahel region during the course of 2012,” according to a UNICEF press release, noting the number is “based on the more than 730,000 children under five treated at centers between January and the end of September.” The press release continues, “The report says early funding by donors such as the Swedish and Danish Governments, the European Union and USAID meant crucial supplies of ready-to-use therapeutic food were purchased in good time and pre-positioned.” Manuel Fontaine, UNICEF’s acting regional director, said in the press release, “In 2012 a tremendous effort meant we were able to give every child who was able to arrive at a treatment center appropriate care. But we need to get to the state where more robust systems are in place and treatment centers see far fewer children” (12/11).
The Bill & Melinda Gates Foundation’s “Impatient Optimists” blog features two posts on maternal health in Ethiopia. In the first, Jennifer James, founder of Mom Bloggers for Social Good, writes about her trip to the country to “observe Save the Children’s work with frontline health workers.” She writes, “Ethiopia, a country of 84 million and one of the world’s poorest according to the World Bank, is working diligently to save the lives of women and children; and it’s doing it with the help of an army of thousands of women.” James notes, “The Ethiopian government has trained over 38,000 health extension workers (HEWs) since 2003 — all women” (12/11). In the second post, Tesfaye Arage, a nurse in Ethiopia with Marie Stopes International, notes the WHO recently released guidelines (.pdf) on tasksharing on maternal and newborn health care, and he describes how his team in Ethiopia is implementing tasksharing methods (12/11).
The Center for Global Health Policy’s “Science Speaks” blog examines the potential impacts of a proposed anti-homosexuality bill in Uganda, writing that the bill “would stand as an obstacle to both access to health care and to the ability of health care providers to even offer services,” making prevention of “the bill’s passage a matter of life and death, as well as of rights and dignity.” According to the blog, “The record of Uganda’s HIV fight, once hailed as a model and a success story, now showing the most alarming reverses in Africa, stands as testament to what happens to health responses in a setting where science, human rights, and the realities of the impact of discriminatory laws are ignored. In all of those, of course, Uganda is far from alone, raising the question of what the world’s greatest united humanitarian effort, the work to treat and prevent the spread of HIV, could achieve when those issues are addressed.” The blog briefly examines other countries’ anti-sodomy laws and proposed anti-homosexuality legislation (Barton, 12/10).
“Each year, the United States spends more than $1.5 billion feeding starving people overseas,” columnist Farah Stockman writes in a Boston Globe opinion piece. “But our charity comes with a catch: The food has to be bought in America, and much of it must be shipped on American ships,” she continues, adding, “Researchers estimate that buying food closer to where needy people are costs about half as much.” She continues, “We are the last donor country in the world to have these rules,” and writes, “At a time of budget cuts, you would think that one thing Republicans and Democrats could agree on would be making sure every tax dollar stretches as far as it can.” Stockman asks, “Why don’t we just change it?”
“The nearly two-year conflict in Syria has taken tens of thousands of lives, destroyed entire neighborhoods and sent hundreds of thousands of people fleeing. But more quietly, it has also eaten away at the country’s health care system,” IRIN reports. Many pharmaceutical factories, “which used to produce more than 90 percent of the country’s drug needs,” have shut down or cut production, the news service writes, adding, “Those medicines that are available have also risen in price, and amid skyrocketing unemployment and rising food prices, many Syrians — especially those displaced from their homes by the violence — are struggling to afford their usual medication.”
Noting the recognition of International Human Rights Day on December 9, Purnima Mane, president and CEO of Pathfinder International, writes in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, “[E]very person should be able to make decisions about her or his body,” making reproductive rights a human rights issue. “From the London Summit on Family Planning supported by Melinda Gates, where thousands gathered to commit future investments in family planning, to Secretary of State Hillary Clinton’s strong advocacy to ensure U.S. leadership in global health that includes reproductive rights as human rights, to the work that’s happening on the ground in myriad countries around the globe to provide contraception, improve maternal health, ensure HIV prevention and treatment, and much more — progress is happening,” Mane writes, noting some of the barriers and challenges that remain in “[e]stablishing reproductive rights as human rights for all” (12/9).
“[W]e are losing the global fight against bad medicines,” and though “[s]ome progress is being made,” the “problem is that … crackdowns tend to focus on counterfeit drugs” while a “much bigger public health problem … is substandard drugs that are the result of shoddy manufacturing and handling — or perhaps worse, deliberate corner-cutting,” Roger Bate, a resident scholar at the American Enterprise Institute, writes in an opinion piece in The Hill’s “Congress Blog.” He continues, “In poor countries, a frightfully high number of bad drugs reach patients through legitimate supply chains and even donor programs underwritten by U.S. and European taxpayers,” increasing the risk of harm to patients and the development of drug-resistant disease strains.