A funding analysis released on Wednesday by the Kaiser Family Foundation (KFF) and UNAIDS found that “[f]unding to fight HIV/AIDS in low- and middle-income countries has remained flat at $7.6 billion,” Politico Pro reports (7/18). “Overall donor government support for AIDS has been flat since 2008, which marked the end of rapid increases in donor disbursements of more than six-fold over the 2002 to 2008 period,” according to a KFF/UNAIDS press release (7/18). The report examines donor government funding to recipient countries, as well as contributions to multilateral organizations such as the Global Fund to Fight AIDS Tuberculosis and Malaria and UNITAID, according to the Center for Global Health Policy’s “Science Speaks” blog.
In this post in the Center for Global Development’s (CGD) “Global Health Policy” blog, Jenny Ottenhoff, policy outreach associate at the center, says “four big issues will impact U.S. support for the global response to the [AIDS] epidemic over the coming year.” According to Ottenhoff, these issues include the FY 2013 budget; the upcoming presidential election; “looming, automatic, across-the-board spending cuts that will be triggered under sequestration in January 2013”; and the potential reauthorization of PEPFAR, which will be decided in 2013. “These storm clouds over AIDS funding could turn out to have a silver lining if austerity creates pressures to improve the global response to AIDS in ways that make it more effective and efficient,” she writes (7/18).
Carrie Hessler-Radelet, deputy director of the Peace Corps, discusses the agency’s work in HIV/AIDS prevention, care, and support in an AIDS.gov blog post. “Last year alone, 52 percent of all Peace Corps Volunteers engaged in such work in communities overseas,” she writes, noting, “In 2013, through the Global Health Service Partnership, we look forward to placing doctors and nurses as adjunct faculty in training institutions in Africa.” She says that every volunteer working in Africa is trained in HIV/AIDS prevention and awareness, outlines how volunteers contribute to the fight against the disease, and concludes, “So many of today’s inequalities, such as poverty, hunger, and HIV/AIDS, still loom large in much of our world. But, even as we face new challenges, we must continue to work together to make sure we can achieve an AIDS-free generation” (7/18).
“As the two people who worked as physicians in the early years of the HIV/AIDS epidemic before the miracle of antiretroviral drug (ARV) therapy, and who now have the honor of leading the domestic and global HIV/AIDS programs for the Obama administration, we look back in awe of the American leadership that has transformed the epidemic in the 22 years since the International AIDS Conference was last held on U.S. soil,” Grant Colfax, director of the Office of National AIDS Policy, and U.S. Global AIDS Coordinator Ambassador Eric Goosby, write in this Washington Blade opinion piece. “As we remember the lives lost to this disease and commit to the vision of an AIDS-free generation, it’s worth reflecting on how U.S. leadership and U.S. investments to combat HIV/AIDS domestically and internationally are saving lives and turning the tide against the disease,” they continue.
The PATH Blog reports on the organization’s efforts in the Democratic Republic of Congo (DRC) “to reduce transmission of HIV, deliver integrated care and services for people affected by HIV/AIDS, and build up the country’s health system to expand and improve services.” The blog highlights a project known as ProVIC, which is funded by PEPFAR and “has reached more than a million people in the DRC with messages about preventing HIV.” The project focuses on data collection efforts for monitoring and evaluation, the blog notes (Donnelly, 7/17).
PEPFAR’s gender-based violence (GBV) initiative is bringing “new momentum” and attention to the intersection of HIV and GBV, Janet Fleischman, senior associate at the Global Health Policy Center of the Center for Strategic & International Studies (CSIS), writes in a post on the center’s “Smart Global Health” blog. She describes the findings of a report (.pdf) for which she traveled to “Tanzania to examine how the GBV initiative is being implemented,” writing, “I found that, although still early in implementation and facing many challenges, the GBV initiative has the potential to yield important lessons about synergies in reducing GBV and HIV, with clear implications for U.S. global health investments” (7/11).
PEPFAR “is recommending improvements to efforts to detect [tuberculosis (TB)] in settings offering health services to pregnant women, women with HIV, newborns, and children,” the Center for Global Health Policy’s “Science Speaks” blog reports. The blog outlines the recommendations of the PMTCT/Pediatric HIV Technical Working Group, which said the decision to produce guidelines for integrating TB screening into maternal and child HIV programs was based on “[r]ecent studies [that] have shown that HIV-infected pregnant women are at increased risk of transmitting both TB and HIV to their infants” (Barton, 7/11).
GlobalPost examines efforts to combat AIDS in Zimbabwe as part of its “AIDS Turning Point” series. The news service writes that “what makes the case of Zimbabwe so curious — and even confounding to many outside observers — is that this country found success even though it was largely cut out of the big spending by PEPFAR’s list of 15 so-called ‘focus countries.'” GlobalPost continues, “Instead, Zimbabwe relies on its own well-mapped network of community health workers … who fan out daily across the country to make sure the country’s AIDS patients receive care.”
Describing PEPFAR as “a targeted approach on a large-scale and with accountability for results,” U.S. Global AIDS Coordinator Ambassador Eric Goosby on Tuesday said the program has done more than fight HIV/AIDS, having had a “broader transformational impact … on the health sector” in many countries, VOA News reports (De Capua, 7/10). Goosby delivered the keynote address at a Health Affairs briefing titled, “Assessing The President’s Emergency Plan For AIDS Relief: Past Achievements And Future Prospects For PEPFAR,” according to a State Department video of his remarks (7/10). The July 2012 issue of Health Affairs “examines the origins of [PEPFAR]; the lessons learned from implementation; the successes achieved in terms of human health and well-being; and the opportunities that now exist to lay the groundwork for an ‘AIDS-free generation,'” the Health Affairs Blog states (Fleming, 7/10).
“A tremendous amount of attention will be focused on AIDS over the next six weeks — and that’s a great thing,” as the International AIDS Conference (AIDS 2012) convenes in Washington, D.C., from July 22 to 27, U.S. Global AIDS Coordinator Ambassador Eric Goosby writes in an opinion piece in The Hill. “This is a moment of hope,” he adds, continuing, “The world has seen a fundamental transformation in the global AIDS outlook over the past decade, with the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria playing leading roles.”